Data Collection and Reporting Coordinate completion of the Minimum Data Set (MDS) for each nursing home resident assessment in accordance with CMS requirements. Review resident charts for nursing, therapy, physician, and interdisciplinary team (IDT) documentation and assessments; conduct resident and staff interviews to collect and verify required information. Determine the appropriate assessment type (e.g., 5-day, Interim Payment Assessment, or Discharge) based on resident history and CMS PDPM guidelines. Complete MDS assessment reports, incorporating all collected data, and interpret and apply instructions as outlined in the CMS MDS Manual. Resident Care Plan Coordination Initiate, coordinate, and update resident care area narrative assessments and care plans to ensure compliance with timelines and regulations. Review charts and MDS data, conduct interviews, and develop preliminary care plans with problem statements, goals, and interventions; distribute to care team members for input and approval. Participate in Medicare Utilization Review meetings to assess current treatment plans, coordinate with administration and therapy staff, and recommend modifications as needed. Organize and coordinate care conferences, including notifying participants, reviewing electronic health records (EHR) for medication or care concerns, and documenting conference notes. Scheduling, Records Management, and Training Review and process medical records for approved admissions; compile appropriate documentation for resident charts. Enter admission orders into the EHR and evaluate for completeness, contraindications, or irregularities, report findings for correction or follow-up. Review pre-admission medical records to determine appropriate ICD-10 codes for active diagnoses and ensure coding accuracy in MDS entries to optimize PDPM reimbursement. Assist with staff education related to MDS accuracy, documentation standards, and care planning best practices as directed. Other Duties as Assigned Perform additional functions as assigned by the Rest Home Administrator. Duties may include special projects, assist other employees, and participating in ongoing training. In the event of a declared emergency (e.g., fire, flood, riot, or other disaster), County employees may be required to provide services during the emergency and subsequent recovery period. Knowledge of: Human growth and development, nursing assessment, and long-term care best practices. Medical terminology, documentation standards, and the MDS assessment process. Medicare and Medicaid reimbursement systems, including PDPM and RUG methodologies. CMS and state regulations governing long-term care facilities. Care planning, interdisciplinary coordination, and resident-centered care approaches. Skill in: Conducting accurate, detailed clinical assessments and interpreting complex medical data. Maintaining organized and compliant resident records and reports. Using electronic health record systems and related medical software. Communicating effectively with residents, staff, and medical professionals. Coordinating care and fostering collaboration within interdisciplinary teams. Ability to: Work independently while maintaining compliance with established procedures. Prioritize tasks and manage multiple assessments simultaneously. Exercise sound clinical judgment and attention to detail. Communicate effectively, both verbally and in writing, with diverse audiences. Maintain confidentiality and demonstrate professionalism in all interactions. Bachelor’s degree in nursing from a National League of Nursing (NLN)-accredited program; and Current licensure as a Registered Nurse in the State of Montana; and Minimum of three (3) years of related clinical experience; or An equivalent combination of education and experience that provides the required knowledge and skills. Certification as a Resident Assessment Coordinator (RAC-CT) preferred. As a condition of hire, pre-employment drug testing and background investigation may be done. NOTE: Must be willing to work in a smoke free campus. To be considered for this position please be prepared to attach the following required documents: Cover Letter, Resume, 3 Work References Gallatin County is an equal opportunity employer. All applicants will be considered for employment on the basis of merit and qualifications without regard to race, creed, religion, color, or national origin or because of age, physical or mental disability, marital status, or sex when the reasonable demands of the position do not require an age, physical or mental disability, marital status, or sex distinction.
This position is located in the Gallatin County Sheriff’s Office Detention Division and is responsible, with the medical provider, for ensuring the delivery of health care in a timely and clinically appropriate manner to inmates and or staff. Ensures those served receive consistent and high-quality care in accordance with established local, federal and, state policies, procedures, regulations and guidelines. Provides professional medical care to inmates based on their specific needs. This position reports to the Detention Center Clinic Director. This work requires knowledge of the principles and practices, theories, laws and authorities of corrections nursing, professional nursing, and medicine that includes: medical terminology, diagnostic and preventative techniques; pharmacology; communicable disease follow up and interventions; immunizations; operation and maintenance of equipment used in patient care; community resources; health care records management; interpersonal relations; health education and counseling; Detention Center policy and procedures; inmate rights; common safety hazards and precautions; and the ability to apply knowledge; maintain accurate medical charts and records; handle sensitive and confidential information; communicate effectively both in writing and verbally; responds to emergency situations; and establish and maintain cooperative relationships with those contacted in the course of work. This position is required to make independent determinations that could have significant ramifications and must possess excellent verbal and written skills. Position requires use of a variety of medical equipment and tools. The required knowledge and skills are generally acquired through a combination of education and experience equivalent to a minimum of an Associate’s Degree in Nursing from an accredited School of Professional Nursing, Certification at a minimum as a RN and two (2) years of job related work experience. Requires licensure granted by Montana State Board of Nursing or equivalent. VALUES Commitment to Service . Employees meet the needs of constituents in a positive, engaged, respectful manner. We have a clear understanding of why our jobs are important and how we make a difference for our citizens. We are engaged in our work and focused on doing it to the best of our abilities. Teamwork. Employees attain collective goals by building, maintaining, and leveraging internal and external collaboration. We strive to create a positive working atmosphere by recognizing the strengths of our coworkers and partners and put aside personal differences for the benefit of the organization and the people we serve. Mutual Respect. Employees are open-minded and willing to listen respectfully to and incorporate alternative opinions to build dynamic solutions. We listen to understand and value everyone for what they contribute. Innovative . Employees maintain a solution-focused perspective and think creatively to take advantage of opportunities, overcome constraints, and anticipate and address long-term needs. Effectiveness . Employees accurately and thoroughly complete work to improve outcomes and produce the intended result. Responsibility . Employees are accountable and fulfill their obligations in an open and transparent manner. We take our obligations seriously, make good decisions, and can be depended upon . About Gallatin County: Located in a sweeping valley in the heart of the Rocky Mountains, Gallatin County is the most populated and fastest growing county in scenic southwest Montana. The County Seat of Bozeman at large encompasses over 50,000 people, yet has a small town feel. Located in a breathtaking Rocky Mountain setting, it is close to world-class downhill skiing, blue ribbon trout streams, Yellowstone National Park and a multitude of other outdoor activities in the pristine nearby wilderness areas. Gallatin County covers over 2,500 square miles of mountain lands varying in topography and climate from temperate river valleys to snow-capped peaks and open ranch lands. Nearly half of all the land in Gallatin County is under public ownership by the Gallatin National Forest, the State of Montana, Bureau of Land Management or the National Park Service. Gallatin County is large and diverse, featuring everything from the spectacular scenery of Yellowstone National Park (our first National Park) to lush farmland, and a growing economy of high-tech industries. Skiers, outdoor enthusiasts, wildlife watchers, mothers and fathers, business owners, vacationers, ranchers, retirees, students, and many others have grown to love Gallatin County's boundless opportunities. Some of the many benefits offered to full-time and part-time employees: Excellent Medical Health Benefits – Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $205.00 per pay period. Medical deductible is $400 for an individual and $1,000 for a family. Paid Parental Leave (PPL)- In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Gallatin County provides 240 hours of PPL to eligible full-time employees. The hours are pro-rated for part-time employees. Tuition Assistance - Because we value the professional and personal development of our employees, Gallatin County is proud to offer reimbursement of certain education expenses. To see all of our benefits, please click on the benefits tab. Licenses and Certifications : Applicants for this position must possess a valid driver’s license issued by the state of Montana, provide own transportation to conduct out of office job duties (mileage reimbursement provided under the County policy), and to be insurable under the County’s liability policies. As a condition of hire, the final candidate will be required to successfully pass a criminal history check and background investigation. To apply for this position please be prepared to attach the following required documents: Resume Three (3) Work References Gallatin County does not discriminate against any applicant on the basis of race, color, religion, creed, political ideas, sex, sexual orientation, gender identity or expression, age, marital status, national origin, physical or mental disability, or any other protected class status in violation of any applicable law.
Under general supervision, performs a variety of professional nursing services for residents of the Gallatin Rest Home. WORK SHIFT: Nurses work various shifts according to facility needs and their availability. Minimum of 2 shifts per month providing shifts are available. Applicants for this position must be certified to practice as a registered nurse in the state of Montana; must have thorough knowledge of the theories, techniques and practices of professional nursing; medical terminology and the effects of medication and treatment; supervisory principles and practices; and the ability to apply knowledge; supervise the work of others; maintain accurate medical charts and records; handle sensitive and confidential information; communicate effectively both in writing and verbally; provide professional nursing care to aged and handicapped individuals; react well in emergency situations; direct, instruct and oversee the work of subordinate personnel; and establish and maintain cooperative relationships with those contacted in the course of work. Completion of an approved course in professional nursing, license to practice professional nursing in the state of Montana. Two (2) years work experience in a similar health care setting affording the opportunity to demonstrate supervisory capabilities, or any equivalent combination of education and experience. VALUES Commitment to Service . Employees meet the needs of constituents in a positive, engaged, respectful manner. We have a clear understanding of why our jobs are important and how we make a difference for our citizens. We are engaged in our work and focused on doing it to the best of our abilities. Teamwork. Employees attain collective goals by building, maintaining, and leveraging internal and external collaboration. We strive to create a positive working atmosphere by recognizing the strengths of our coworkers and partners and put aside personal differences for the benefit of the organization and the people we serve. Mutual Respect. Employees are open-minded and willing to listen respectfully to and incorporate alternative opinions to build dynamic solutions. We listen to understand and value everyone for what they contribute. Innovative . Employees maintain a solution-focused perspective and think creatively to take advantage of opportunities, overcome constraints, and anticipate and address long-term needs. Effectiveness . Employees accurately and thoroughly complete work to improve outcomes and produce the intended result. Responsibility . Employees are accountable and fulfill their obligations in an open and transparent manner. We take our obligations seriously, make good decisions, and can be depended upon . About Gallatin County: Located in a sweeping valley in the heart of the Rocky Mountains, Gallatin County is the most populated and fastest growing county in scenic southwest Montana. The County Seat of Bozeman at large encompasses over 50,000 people yet has a small-town feel. Located in a breathtaking Rocky Mountain setting, it is close to world-class downhill skiing, blue ribbon trout streams, Yellowstone National Park and a multitude of other outdoor activities in the pristine nearby wilderness areas. Gallatin County covers over 2,500 square miles of mountain lands varying in topography and climate from temperate river valleys to snow-capped peaks and open ranch lands. Nearly half of all the land in Gallatin County is under public ownership by the Gallatin National Forest, the State of Montana, Bureau of Land Management or the National Park Service. Gallatin County is large and diverse, featuring everything from the spectacular scenery of Yellowstone National Park (our first National Park) to lush farmland, and a growing economy of high-tech industries. Skiers, outdoor enthusiasts, wildlife watchers, mothers and fathers, business owners, vacationers, ranchers, retirees, students, and many others have grown to love Gallatin County's boundless opportunities. Some of the many benefits offered to full-time and part-time employees: Excellent Medical Health Benefits – Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $205.00 per pay period. Medical deductible is $400 for an individual and $1,000 for a family. Paid Parental Leave (PPL)- In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Gallatin County provides 240 hours of PPL to eligible full-time employees. The hours are pro-rated for part-time employees. Tuition Assistance - Because we value the professional and personal development of our employees, Gallatin County is proud to offer reimbursement of certain education expenses. To see all of our benefits, please click on the benefits tab. Please be prepared to attach your resume when applying for this position! Effective July 1st, 2024 , the hourly compensation will increase to: RN: $35.00 - $43.00 PER HOUR LPN: $30.00 - $38.00 PER HOUR As a condition of hire, pre-employment drug testing may be done. NOTE: Must be willing to work in a smoke free campus. Gallatin County does not discriminate against any applicant on the basis of race, color, religion, creed, political ideas, sex, sexual orientation, gender identity or expression, age, marital status, national origin, physical or mental disability, or any other protected class status in violation of any applicable law.
This position is located in the Gallatin Rest Home and is responsible for performing a variety of basic resident care services including assisting residents with grooming and hygiene, escorting residents, observing and recording eating habits, assisting residents with socialization and communication skills, and providing various other direct care services as assigned. This position reports to the Director of Nursing Services and does not supervise other employees. DIRECT RESIDENT CARE Assists residents in activities of daily living, such as toileting, cleaning face and hands, oral hygiene, bathing, hair care, shaving, dressing, and eating. Takes residents’ temperature, pulse, and blood pressure; collects specimens; ice bags, collars, and lotions. Assists residents with changes in positioning. Encourages residents to express feelings and emotions by talking with and listening to them. Escorts and/or transports residents using specialized equipment for appointments, special events, or meals, and provides supervision during activities. Records and reports residents’ status relevant to appetite, food preferences, eating habits, vital signs, weight and skin conditions. THERAPEUTIC PROGRAM ASSISTANCE Provides assistance to residents in areas including basic life skills, leisure skills, socialization and communication skills, active and passive range of motion skills, and ambulation skills. Records residents’ physical and emotional status using established forms that describe routine care and significant behavioral or physical changes. Reports significant changes in residents’ condition or environmental elements of concern to the nurse on duty. This work requires knowledge of Rest Home guidelines and procedures, basic nursing skills, communication skills, and skill in the operation of specialized nursing home equipment (e.g., mechanical patient lifts, etc.). Applications for positions must be at least 18 years of age. Work Environment/Physical Demands Work is performed in a nursing facility, involving risk of infection or exposure to bodily fluids, which requires special safety precautions. In addition, the work requires excessive standing, walking, and other physical exertion, including but not limited to reaching, kneeling, bending, twisting, squatting, pushing and pulling. Position must be able to safely and correctly use nursing facility devices such as gait belts and mechanical equipment for lifting, pulling and turning residents who may range in weight from less than 80 pounds to over 300 pounds. Position must also be able to lift 10 to 20 pounds frequently, 20 to 50 pounds occasionally and rarely lift 50 to 100 pounds. The required knowledge, skills, and abilities are typically acquired through a combination of education and experience equivalent to graduation from high school and (1) year of related experience. The position also requires state certification as a Nurse's Aide. Must be certified in Montana. VALUES Commitment to Service . Employees meet the needs of constituents in a positive, engaged, respectful manner. We have a clear understanding of why our jobs are important and how we make a difference for our citizens. We are engaged in our work and focused on doing it to the best of our abilities. Teamwork. Employees attain collective goals by building, maintaining, and leveraging internal and external collaboration. We strive to create a positive working atmosphere by recognizing the strengths of our coworkers and partners and put aside personal differences for the benefit of the organization and the people we serve. Mutual Respect. Employees are open-minded and willing to listen respectfully to and incorporate alternative opinions to build dynamic solutions. We listen to understand and value everyone for what they contribute. Innovative . Employees maintain a solution-focused perspective and think creatively to take advantage of opportunities, overcome constraints, and anticipate and address long-term needs. Effectiveness . Employees accurately and thoroughly complete work to improve outcomes and produce the intended result. Responsibility . Employees are accountable and fulfill their obligations in an open and transparent manner. We take our obligations seriously, make good decisions, and can be depended upon . About Gallatin County: Located in a sweeping valley in the heart of the Rocky Mountains, Gallatin County is the most populated and fastest growing county in scenic southwest Montana. The County Seat of Bozeman at large encompasses over 50,000 people, yet has a small town feel. Located in a breathtaking Rocky Mountain setting, it is close to world-class downhill skiing, blue ribbon trout streams, Yellowstone National Park and a multitude of other outdoor activities in the pristine nearby wilderness areas. Gallatin County covers over 2,500 square miles of mountain lands varying in topography and climate from temperate river valleys to snow-capped peaks and open ranch lands. Nearly half of all the land in Gallatin County is under public ownership by the Gallatin National Forest, the State of Montana, Bureau of Land Management or the National Park Service. Gallatin County is large and diverse, featuring everything from the spectacular scenery of Yellowstone National Park (our first National Park) to lush farmland, and a growing economy of high-tech industries. Skiers, outdoor enthusiasts, wildlife watchers, mothers and fathers, business owners, vacationers, ranchers, retirees, students, and many others have grown to love Gallatin County's boundless opportunities. Some of the many benefits offered to full-time and part-time employees: Excellent Medical Health Benefits – Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $205.00 per pay period. Medical deductible is $400 for an individual and $1,000 for a family. Paid Parental Leave (PPL)- In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Gallatin County provides 240 hours of PPL to eligible full-time employees. The hours are pro-rated for part-time employees. Tuition Assistance - Because we value the professional and personal development of our employees, Gallatin County is proud to offer reimbursement of certain education expenses. To see all of our benefits, please click on the benefits tab. As a condition of hire, pre-employment drug testing may be done. NOTE: Must be willing to work in a smoke-free campus. Gallatin County does not discriminate against any applicant on the basis of race, color, religion, creed, political ideas, sex, sexual orientation, gender identity or expression, age, marital status, national origin, physical or mental disability, or any other protected class status in violation of any applicable law.
