All jobs

$33 - $40 / HOUR

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.

MDS

Registered Nurse (RN) - MDS Coordinator

$33 - $40 / HOUR

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.

NP

Part-time

Nurse Practitioner

$50 / HOUR

This contracted position is located in the Gallatin County Sheriff’s Office Detention Division and is responsible for providing professional medical services to inmates within the Detention Center. The role ensures inmates receive appropriate care in accordance with federal, state, and local laws, Montana Jail Standards, and recognized correctional healthcare and community standards. The position is supervised by the Detention Center Clinic Director and collaborates with a multidisciplinary team of medical professionals, detention staff, and community healthcare providers. Essential Duties and Responsibilities Provide professional medical services within the Gallatin County Detention Center, including diagnosis, treatment, and medication management. Ensure all care is delivered in compliance with established laws, regulations, policies, and professional standards. Provide direct patient care in the Detention Center clinic with a minimum of 12 hours per week, 52 weeks per year, except for approved time off. Be available “on call” by County-issued phone during clinic hours, including weekends and holidays, unless time off is approved. Communication may include text, phone, or email. Respond to special circumstances beyond regular clinic hours as needed (e.g., infectious disease outbreaks, emergencies, disasters, or legal obligations). Participation may include on-site care or conference calls. Follow safety and security protocols specific to working in a detention setting. Collaborate with clinic staff to ensure continuity of care and coordinate referrals to community providers, specialists, hospitals, and emergency services. See inmates as scheduled by clinic staff and therapists; communicate professionally and respectfully with inmates, detention staff, community providers, and family members as appropriate. Review and sign assigned documents in the electronic health records (EHR) system; maintain timely and accurate documentation of all patient encounters. Develop care plans, schedule clinic follow-ups, and conduct discharge planning as clinically indicated. Maintain active professional licensing and certifications required to provide services in the State of Montana. Knowledge, Skills, and Abilities Principles, practices, and laws governing professional nursing and/or medicine. Medical terminology, diagnostic and preventive techniques, pharmacology, immunizations, and communicable disease intervention. Standards of correctional healthcare, inmate rights, and Detention Center policies and procedures. Documentation and medical records management, including use of electronic health records. Professional standards for patient confidentiality and HIPAA compliance. Ability to: Apply medical knowledge in varied and complex patient situations. Make independent medical determinations under pressure. Communicate effectively, both verbally and in writing, with diverse individuals. Collaborate with correctional staff, nursing staff, and outside healthcare providers. Use and maintain medical equipment and tools appropriately. Master’s degree in nursing from an accredited program. Current Family Nurse Practitioner (FNP) certification. Two (2) years of professional related experience. Prescriptive authority and active licensure with the Montana State Board of Nursing. Mental health experience preferred. 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. For application consideration, the following documents are required to be submitted: Gallatin County Application Applicant Survey Resume and three (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.

Temporary

Registered Nurse (RN) Casual-Call - Detention Center

$36 - $41 / HOUR

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.

LPN

Part-time

Nurse (RN/LPN, Casual On-Call) - Rest Home

$30 - $43 / HOUR

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.

Correctional

Registered Nurse (RN)- Gallatin County Corrections

$38 - $44 / HOUR

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 appropriate 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 is supervised by 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 Associates 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. Licenses and Certifications : Position must possess a valid driver’s license issued by the state of Montana or attain a Montana driver’s license within six months of hire and 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. For application consideration please be prepared to attach the following required documents: Resume’ Cover Letter 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.

LPN

License Practical Nurse (LPN) - Rest Home

$30 - $38 / HOUR

This is a Union position under the Gallatin Rest Home Registered Nurses and Licensed Practical Nurses Bargaining Unit. This position is located at the Gallatin Rest Home. Under general supervision of the Director of Nursing, this position performs a variety of paraprofessional nursing services for patients in a residential, clinical or institutional setting. This position reports to the Director of Nursing and provides shift supervision to the Certified Nurse Aides. The position provides supervision to the Certified Nurse Aides, including performing and conducting the performance appraisals; reports personnel problems and concerns to the appropriate personnel and provides guidance and training to employees with less experience and may coordinate special projects as requested. Essential Job Duties and Responsibilities Performs a variety of para-professional nursing services toward meeting the daily and special needs of residents and in compliance with the nurse practices act. Responds to residents’ personal requests, satisfying authorized requests and reporting unusual or special requests to the appropriate personnel. Consults with and interprets policies for personnel, residents, relatives and others. Orders and administers medications as directed by the physician. Routinely observes and reports on the condition of residents. Provides residents with basic care and in helping maintain personal hygiene. Takes and records the resident’s body temperature, pulse and respiration rates, reporting unusual symptoms to the physician or supervising nurse. Administers enemas, irrigations, perineum care, lotion rubs, messages and first aid; changes dressings; lifts and ambulates residents and provides post mortem care. Assists in feeding the residents who cannot feed themselves, this may also include recording the food and fluid intake of the resident. Maintains a variety of medical charts and logs. Under direction of a registered nurse, administers injections. Sterilizes equipment and supplies. Assists the health team in the evaluation of the resident’s needs and implementation of treatment programs. Observes and helps maintain the resident’s room and equipment to ensure proper functioning and safety. Arranges and coordinates the services of other health care professionals. Attends and participates in daily report sessions and in-services training. May assist in the training of other para-professional nurses. Performs the work of subordinate personnel in emergency situations. Other Duties as Assigned Perform a variety of other duties as assigned by supervisor. This includes coordinating special projects and events, system research and analysis, attending meetings and special events, and attending continuing education and training as required. If the County Commission proclaims a local emergency due to an actual or threatened disaster such as an earthquake, fire, riot, flood, etc., County employees may be required to provide services during the emergency and for a subsequent period of assessment and recovery. This work requires the knowledge of practical nursing principles, practices, and methods; the physical and emotional needs of aged and handicapped individuals; knowledge of medical terminology and the effects of medication and treatment. This position must have the ability to react well in emergency situations; apply medical and nursing knowledge; communicate effectively both in writing and verbally; maintain accurate medical charts and records; provide practical nursing care to aged and handicapped individuals; the use of a variety of medical equipment and tools and establish and maintain cooperative relationships with those contacted during the course of work. The required knowledge, skills and abilities are typically acquired through completion of an approved course in practical nursing and licensure to practice practical nursing in the State of Montana. Previous work experience in a geriatric setting is preferred but not required. Gallatin County is committed to providing a safe and productive workplace for its employees. In order to have a safe working environment that is drug and alcohol free, Gallatin County established Section 526 “Workplace Drug and Alcohol Policy”. Under this policy, certain positions are designated as “testable” positions. This position is safety sensitive in nature and is designated as a “testable position”. The position is subject to pre-employment testing, upon reasonable suspicion, on a random basis, return to duty and any follow-up testing under the policy. 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 . PHYSICAL ABILITES Essential Physical Abilities The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. Working Conditions Work is performed in a nursing facility, involving risk of infection or exposure to bodily fluids, which requires special safety precautions.

Registered Nurse (RN) - Rest Home

$35 - $43 / HOUR

This is a Union position under the Gallatin Rest Home Registered Nurses and Licensed Practical Nurses Bargaining Unit. This position is located at the Gallatin Rest Home. Under general supervision of the Director of Nursing, this position performs a variety of professional nursing services for patients in a residential, clinical or institutional setting. This position reports to the Director of Nursing and provides shift supervision to the Licensed Practical Nurses and the Certified Nurse Aides. The position provides supervision of the Licensed Practical Nurses and the Certified Nurse Aides, including performing and conducting the Certified Nurse Aides performance appraisals; reports personnel problems and concerns to the appropriate personnel and provides guidance and training to employees with less experience and may coordinate special projects as requested. Essential Job Duties and Responsibilities Performs a variety of professional nursing services in compliance with the nurse practices act toward meeting the daily and special needs of the residents within a residential, clinical, or institutional setting. Works closely with personnel in other departments to ensure the overall well being of the residents. Orders, prepares, checks dosages, and administers or gives to authorized personnel for distribution of medications as directed by the physician. Takes and records the residents body temperature, pulse, and respiration rates, reporting unusual symptoms to the resident’s physician. Performs restorative and rehabilitative therapy. Routinely observes and reports on the condition of the residents. Performs professional nursing services such as administering enemas, irrigations, perineum care, lotion rubes, massages, first aid and changes dressings. Lifts and ambulates residents. Provides postmortem care. Maintains a variety of resident charts, records, assignments, summaries, and reports. Assists with and/or directs routine and special staff scheduling. Prepares and reviews information posted to the resident’s charts, records, and reports. Consults with and interprets policies for personnel, residents, their relatives, and others. Under direction of a physician, administers injections. Sterilizes equipment and supplies. Participates in the health team evaluations of the resident’s needs and implementation of the treatment programs. Arranges and coordinates the services of other health care professionals. Attends, participates, and directs daily report sessions and in service trainings. Trains, instructs and directs the work of nursing personnel. Performs the work of subordinate personnel in emergency situations. Other Duties as Assigned Perform a variety of other duties as assigned by supervisor. This includes coordinating special projects and events, system research and analysis, attending meetings and special events, and attending continuing education and training as required. If the County Commission proclaims a local emergency due to an actual or threatened disaster such as an earthquake, fire, riot, flood, etc., County employees may be required to provide services during the emergency and for a subsequent period of assessment and recovery. This work requires a 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. The required knowledge, skills and abilities are typically acquired through completion of an approved course in professional nursing, licensure to practice professional nursing in the State of Montana and two (2) years of work experience in a similar health care setting affording the opportunity to demonstrate supervisory capabilities. Gallatin County is committed to providing a safe and productive workplace for its employees. In order to have a safe working environment that is drug and alcohol free, Gallatin County established Section 526 “Workplace Drug and Alcohol Policy”. Under this policy, certain positions are designated as “testable” positions. This position is safety sensitive in nature and is designated as a “testable position”. The position is subject to pre-employment testing, upon reasonable suspicion, on a random basis, return to duty and any follow-up testing under the policy. 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 . Essential Physical Abilities The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. Working Conditions Work is performed in a nursing facility, involving risk of infection or exposure to bodily fluids, which requires special safety precautions.

CNA

Certified Nurse Aide (CNA) - Rest Home