Staff Registered Nurse

RiverStone Health•Billings, MT
•$35 - $50•Onsite

About The Position

The Staff Registered Nurse provides direct patient care in RiverStone Health’s Main Clinic. The role assesses patient health needs, develops and implements care plans, maintains medical records, and provides nursing care to ill, injured, convalescent, or disabled patients. The nurse may counsel patients on health maintenance and disease prevention and provide case management, while maintaining confidentiality of patient information. A current Montana Registered Nurse license is required. The nurse welcomes patients and families, conducts initial and follow-up assessments, documents care, coordinates treatment with medical providers and other team members, administers medications and immunizations, provides discharge and after-care guidance, and triages patient needs. The position also participates in quality improvement and coordinates patient-centered care within the clinic pod. Work is structured by regulations and established nursing practices, while requiring independent professional judgment regarding patient health. The role has no supervisory or budget responsibilities. RiverStone Health provides personal and public health services to Yellowstone County and south-central Montana, including medical, dental, behavioral, home care, hospice, and public health services, as well as health-professional education. Its stated principles include access, affordability, compassion, and quality.

Requirements

  • Associate degree in Nursing.
  • American Heart Association certification in Basic Life Support (BLS).
  • Current license as a Registered Nurse in Montana.
  • Any combination of experience and training that provides equivalent knowledge, skills, and abilities necessary to perform the work.
  • Knowledge of customer and personal service principles, including customer-needs assessment, service quality, and customer satisfaction.
  • Knowledge of diagnosing and treating human injuries, diseases, and deformities, including symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
  • Thorough knowledge of nursing techniques and their relationship to medical and surgical practice.
  • Thorough knowledge of public health principles, preventive measures, and community resources.
  • Knowledge of skills necessary to provide appropriate care to the patients served.
  • Knowledge and understanding of HIPAA-protected sensitive health information and confidentiality.
  • Ability to maintain a safe and secure working environment and follow safety, security, health, and exposure-prevention practices.
  • Ability to exercise independent professional judgment regarding patient health.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Experience in an FQHC or clinic.

Responsibilities

  • Welcome patients and families, establish rapport, answer questions, and accommodate language, literacy, and other special needs.
  • Conduct initial patient evaluations and assessments, take medical histories, and perform follow-up assessments, adjusting treatments as necessary.
  • Maintain clinical and progress notes, vaccine records, treatment plans, and other appropriate medical records.
  • Inform the primary medical provider of changes in a patient’s condition or needs and coordinate treatment modifications with appropriate personnel.
  • Assess clients’ physical, social, and environmental needs and develop treatment plans with other team members.
  • Provide comprehensive skilled nursing care and implement care plans, immunizations, and treatments using sanitary and aseptic techniques.
  • Administer prescribed oral and injected medications and dispense medication as required.
  • Participate in discharge planning and review comfort measures and after-care instructions with patients and families.
  • Communicate and coordinate with relevant parties to support effective interagency operations and activities, and participate in program quality improvement projects.
  • Keep the immediate supervisor and designated others informed about work progress, problems, and suggestions for improvement.
  • Attend meetings, conferences, workshops, and training and review materials to remain current in assigned work areas.
  • Communicate provider information to patients, including lab results and treatment updates, and document appropriately in the EMR.
  • Refill medications.
  • Triage patient needs as needed using the Clear Triage program and nursing assessment skills.
  • Manage clinic pod session flow to provide patient-centered care.
  • Perform other duties as assigned in support of RiverStone Health’s mission and goals.
  • Work with care team members to provide holistic care and act as a resource for clerical staff regarding procedures, patients, and appointments.
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