Nursing Jobs in Montana

CNA - Hospital Acute Care and Emergency Department (Full-time/Columbus)

Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family. Essential Job Function • Support and model behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic and facility safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • For level II and level III: Completes yearly level II and level III competency checklist. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • Department or Level Specific Duties and Responsibilities • Proficient in basic patient care and treatment, planning and observation within the scope of practice for a Certified Nursing Assistant • Competent to perform routine, non-complex aspects of patient care, treatments and procedures • Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care • Refers more difficult problems to a Level II or III staff person, LPN, RN, physician and/or non-physician provider • Practices within scope of practice as determined by state regulations and Billings Clinic guidelines • Work is performed under the clinical supervision of the RN or LPN • Work is performed independently in accordance with assigned schedules and operating procedures • Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with the LPN, RN, and/or physician • Expected to prioritize all aspects of job performance • Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient • Ability to utilize and apply PSE skills • Demonstrated personal accountability in all facets of role responsibilities • Adheres to patient safety goals and standards • Participates in QI/RM activities within the department • Participates in the financial viability of the organization by ensuring appropriate utilization of supplies and equipment and maximizing the flow of patient care to maximize effective utilization of the nursing staff’s time • Assists patient activities of daily living, such as baths, oral hygiene, grooming, toileting, ambulating and turning • Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.) • Basic hospital/ED patient quick registrations and full registrations assistance of nursing personnel. Minimum Qualifications Education • High School Diploma or GED Certification and Licensures • CPR • CNA

NP

Outpatient

2 weeks ago

NP or PA - Supportive Palliative Care

Billings Clinic Billings, MT

Essential Job Functions • Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. • Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination. • Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests) • Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice) • Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan) • Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient) • Refers patients to other health care providers and appropriate sources of care as necessary. • Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition) • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities. • Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Performs other duties as assigned or needed to meet the needs of the department/organization. Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.