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Registered Nurse (RN) – PCU – Nights

All, Healthcare

Great Falls, MT

Location: Great Falls, Montana | Schedule: Full-Time, On-Site, Nights

Overview

A prominent regional healthcare system is seeking an experienced Progressive Care Unit (PCU) Registered Nurse (RN) to join its inpatient services division. This role offers a supportive clinical environment with strong nurse-to-patient ratios, administrative support, and a collaborative, compassionate team culture, based in a scenic Montana community known for its quality of life and outdoor recreation.

What you'll do

  • Provide specialized, direct nursing care to hemodynamically stable or predictably unstable patients on an advanced medical/surgical and stepdown unit.
  • Manage a broad and diverse patient population, including pre/post-PCI care, pacemaker placements, revascularization, carotid endarterectomy, thoracotomy, CHF, COPD, DKA, sepsis, and a wide scope of complex surgical cases.
  • Utilize skilled assessment and intervention tools to closely monitor for, recognize, and stabilize potentially deteriorating clinical conditions.
  • Operate and manage advanced medical equipment, including arterial lines, central lines, chest tubes, nasogastric tubes, continuous bladder irrigation, multiple titration IV pumps, and short-term ventilatory support.
  • Coordinate and collaborate with multidisciplinary healthcare teams from admission through comprehensive discharge planning.
  • Act as a clinical leader on the floor, assisting with precepting new staff and providing directional support to LPNs, CNAs, and ancillary teams.

Required qualifications

  • Graduate of an accredited nursing program; Associate Degree in Nursing required.
  • Active, unrestricted Registered Nurse (RN) licensure in the State of Montana (or immediate compact/endorsement eligibility).
  • BLS, ACLS, and PALS certifications required (or must be obtained within 6 months of hire).
  • Proven post-graduate clinical practice in an advanced Medical/Surgical unit combined with recent Critical Care (ICU) or Progressive Care (PCU/Stepdown) nursing experience.
  • Proficiency in basic cardiac telemetry, EKG interpretation, advanced nursing principles, and standard office/computer software.
  • Successful completion of pre-employment screenings, including a criminal background check, drug screening, and health/immunization verification.

Preferred qualifications

  • Bachelor of Science in Nursing preferred.
  • EPNC and TNCC certifications highly preferred.
  • Dedicated pediatric nursing experience highly desired.

Compensation and benefits

  • Comprehensive medical, dental, and vision insurance packages.
  • Robust retirement savings plan with a generous employer matching contribution.
  • Fully covered medical malpractice insurance.
  • Generous paid time off (PTO) allocation to support a healthy work-life balance.
  • Benefits and compensation structure apply to full-time positions; eligible benefits may vary or be prorated for part-time arrangements.

Why this role

This position offers strong nurse-to-patient ratios, robust administrative backing, and a team-oriented culture, combined with the opportunity to build advanced clinical skills in a scenic Montana community offering an excellent quality of life.

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