Staff Registered Nurse

Working title: Staff Registered Nurse

Classification title: Registered Nurses

Division: CHC

Program: Main Clinic

Reports to: RN Supervisor

FLSA status: Non-Exempt: Full-Time

Schedule: Monday-Friday; 8am to 5pm

Wage Range: $34.52 to $50.04 hourly depending on number of years of transferrable experience and internal equity

Serving the Yellowstone County community and south-central Montana for nearly 50 years RiverStone Health is an essential provider of personal and public health services. Health Education Leadership and Protection HELP is what we do.

From medical dental and behavioral healthcare; home care and hospice; public health services like immunizations WIC health promotion and restaurant inspections; and educating the next generation of health professionals our expertise spans all ages and stages of life. Underlying principles of access affordability compassion and quality in all interactions RiverStone Health improves life health and safety for all of the communities we serve.

Provide direct care of patients. 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. May advise patients on health maintenance and disease prevention or provide case management. Must keep all information confidential. Licensing or registration required.

Nursing Services 95%

• Welcomes patient/family establishes rapport and answers any questions regarding treatments immunizations beneficial health practices disease prevention or care plans. Responds to patients questions and comments in a courteous and timely manner. Accommodates language or literacy barriers and special needs of patient/parents to make them feel comfortable and informed about procedures.
• Makes initial patient evaluation visit and assessment including taking patient medical histories. Performs regular follow-up assessments of patients status and adjusts treatments as necessary.
• Maintains documentation such as clinical and progress notes vaccine records treatment plans and maintains other appropriate records.
• Informs the primary medical provider of any changes in patients condition or needs and coordinates any modifications in treatment with other appropriate personnel.
• Assesses and determines the physical social and environmental needs of clients and develops a plan of treatment with other team members.
• Provides skilled comprehensive nursing care and implements health care plans immunizations and treatments for patients. Maintains all sanitary and aseptic techniques throughout procedures.
• Administers prescribed oral and injected medications as directed by a licensed medical provider and dispenses medication to patients as required.
• Participates in discharge planning for patients and/or reviews comfort measures and after care instructions with patient/parents.
• Communicates and coordinates regularly with appropriate others to maximize the effectiveness and efficiency of interagency operations and activities. Participate in program quality improvement projects.
• Keeps immediate supervisor and designated others accurately informed concerning work progress including present and potential work problems and suggestions for new or improved ways of addressing such problems.
• Attends meetings conferences workshops and training sessions and reviews publications and audio-visual materials to become and remain current on principles practices and new developments in assigned work areas.
• Communicates information from provider to patient (lab results treatment updates etc.) and documents appropriately in EMR
• Refills medications
• Triages patient needs as needed using Clear Triage program and nursing assessment skills.
• Manages flow of session in the pod to provide patient centered care.

• Perform other duties as assigned in support of RiverStones mission and goals.

Minimum Qualifications

• Associate degree in Nursing.
• Certification by the American Heart Association (AHA) for Basic Life Support (BLS)
• Any combination of experience and training which provide the equivalent scope of knowledge skills and abilities necessary to perform the work.

Preferred Qualifications:

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

• Current license as a Registered Nurse in Montana.

• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment meeting quality standards for services and evaluation of customer satisfaction.
• Knowledge of the information and techniques needed to diagnose and treat human injuries diseases and deformities. This includes symptoms treatment alternatives drug properties and interactions and preventive health-care measures.
• Thorough knowledge of nursing techniques and their relation to medical and surgical practice.
• Thorough knowledge of public health principles and practices preventive measures and knowledge of community resources.
• Thorough knowledge of the skills necessary to provide care appropriate to patients served.
• Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.

• Doing things right the first time
• Making people feel welcome
• Showing respect for each customer
• Anticipating customer needs and concerns
• Keeping customers informed
• Helping and going the extra mile
• Responding quickly
• Protecting privacy and confidentiality
• Demonstrating proper telephone etiquette
• Taking responsibility for handling complaints
• Being professional
• Taking ownership of your attitude toward Service Excellence.

• None

• Constant standing and walking
• Occasional lifting up to 25 pounds.
• Risk of needlestick injury is possible.
• The position is regularly exposed to biological pathogens and contagious diseases where Personal Protective Equipment (PPE) and special precautions must be taken due to reduce exposure and mitigate risk.
• Create and maintain a safe/secure working environment by adhering to safety security and health requirements. Integrates injury illness and loss prevention into job activities by attending any necessary training and implementing best practices.

• Work is structured by regulations and established nursing practices. The position makes independent professional judgements regarding patient health. Decisions directly affect the quality of services provided to the public.

• Contacts occur both inside and outside RiverStone Health and typically are for the purposes of rendering services to patients to gather information and provide education and instruction.
• Contacts are often non-routine and may require use of approaches that consider the needs concerns or unique circumstances surrounding particular patients.
• Hostility debate or conflict may be characteristic of some patient contacts.
• Communication with others is a critical element of the position because the purpose of the contact may be to negotiate matters involving significant issues of importance.
• Work directly with other care team members to provide wholistic care for patients.
• Act as a resource for clerical staff to resolve matters concerning procedures patients and appointments.
• Communicate and coordinate with others to maximize the effectiveness and efficiency of interagency operations and activities.

This position has no budget responsibility

Required Experience:

Staff IC