Weekend Registered Nurse

RiverStone Health•Billings, MT

6h•$35 - $50•Hybrid

About The Position

RiverStone Health, serving the Yellowstone County community and south-central Montana for nearly 50 years, is an essential provider of personal and public health services. Our expertise spans all ages and stages of life, from medical, dental, and behavioral healthcare to home care and hospice, public health services, and educating future health professionals. We are committed to access, affordability, compassion, and quality in all interactions, aiming to improve life, health, and safety for all communities we serve. The RiverStone Health Hospice Services care for terminally ill patients who want comfort-oriented care rather than a cure, emphasizing quality of life. Care and grief support services are provided wherever home is, including patients' homes, relatives' or friends' homes, nursing homes, or other facilities. Our team of hospice professionals and volunteers work with patients and families to relieve physical symptoms and decrease psychological, social, emotional, or spiritual distress. 24-hour on-call nursing services are available to meet urgent needs.

Requirements

Associate degree in Nursing.
Current license as a Registered Nurse in Montana.
Valid State of Montana Driver’s License and vehicle insurance.
Current BLS certification.
Computer literacy, in Microsoft Office Suite.
Ability to maintain a calm and positive demeanor during difficult interactions.
Ability to display non-judgmental and empathetic listening skills.
High degree of detail-oriented skill level.
Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.
Ability to work collaboratively to maintain a positive work environment.
Ability to prioritize and perform a wide range of tasks under pressure of continuous interruptions.
Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.
Ability to understand and adhere to required administrative policies and procedures.
Excellent communication skills to ensure efficiencies and quality customer services.
Ability to travel and use own personal vehicle.
Must keep all information confidential.
Licensing or registration required.

Nice To Haves

Bachelor of Science in Nursing
Experience with hospice/palliative care
Experience with home health care

Responsibilities

Provide direct care of patients every other weekend.
Assess patient health problems and needs, develop and implement care plans, and maintain medical records.
Administer nursing care to ill, injured, convalescent, or disabled patients.
Advise patients on health maintenance and disease prevention or provide case management.
Keep all information confidential.
Provide end of life care and instruction for patients and families based on established clinical nursing practice standards.
Direct end of life care, symptom management, medication administration in compliance with physician’s orders and plan of care.
Inform the primary medical provider of any changes in patient’s condition or needs, and coordinate any modifications in treatment with other appropriate personnel.
Monitor and interpret symptoms and treatments, and develop a plan of care in collaboration with an interdisciplinary team.
Provide education and support to patients and families.
Assess and determine the physical, social, and environmental needs of clients and develop a plan of treatment with other team members.
Initiate the plan of care and priority setting to ensure effective and efficient patient care delivery and achievement.
Consult and coordinate with the interdisciplinary team members to assess, plan, implement, and evaluate patient’s plan of care.
Follow a plan of care that assures the patient and family needs are identified, prioritized, and met to achieve desired clinical outcomes/goals.
Regularly re-evaluate the patient’s nursing needs and make necessary revisions in the plan of care.
Assure that care, educational, and end-of-life planning needs of patients are met.
Direct and supervise, including supervisory visits, Licensed Practical Nurses (LPN) and Certified Home Health Aides (CHHA) within the area of responsibility.
Communicate a report to the appropriate team members for the continuation of care, including reporting any changes in patient’s condition to the physician and family as needed.
Demonstrate knowledge and skills necessary to provide care appropriate to patients of all age groups, including assessing data reflective of the patient’s status and interpreting information to identify patient needs.
Document care provided for the patient encounter in the electronic medical records in a timely manner, including charting observations, activities, and other data related to the clinical condition of the patient and palliative care.
Provide hygiene/personal care to patients.
Maintain knowledge of and compliance with current Medicare/Medicaid, state regulations and rules, HIPAA compliance, and accreditation regulations for hospice services.
Communicate and coordinate regularly with appropriate others to maximize the effectiveness and efficiency of interagency operations and activities.
Participate in program quality improvement projects.
Keep immediate supervisor and designated others accurately informed concerning work progress, including present and potential work problems and suggestions for improvement.
Rotate on-call to assure patient care needs are met after hours and on weekends and holidays, including after-hour triage of phone calls, admissions, nursing visits for symptom management and education, and attendance to all patient deaths.
Perform other duties as assigned in support of RiverStone’s mission and goals.