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Cascade County Seeking Regisered Nurse: Four Positions Available

Posted Date: 
February 14, 2018

Position:  Registered Nurse
County Department:  Community Health Care Center
Department Admin:  Trista Besich
Type of Position:  Full-Time
Salary:  $17.57 - $20.67 DOE, Must join MNA NHSC; Nursing Loan Repayment Site
Closing Date:  Open Until Filled

Applications available at Cascade County Human Resources Department, or Job Service.

All application materials must be turned in to the Cascade County Human Resources Department and date stamped by 5:00 p.m. on the closing date.


The Registered Nurse is responsible for providing comprehensive nursing services including assessment, education, counseling, case management and prevention services to individuals and families in the Community Health Care Center (CHCC) as appropriate. Activities are performed in accordance with the licensure of the State of Montana and the policies and procedures of Cascade County and the CHCC.  This position is Nurse Corps loan repayment eligible with a HPSA score of 21.


Support and closely coordinate primary health care with the patient’s primary care provider and when appropriate other health center providers, review patients’ medical records for completeness and updates prior to the patients’ visit, screen and gather information from patients, assist in routine physical examinations by preparing the patient, the equipment and supplies and assists the Provider as needed, execute medical orders for specific drugs, treatments, medications, injections and performs testing or procedures per Provider orders, assess the immunization status of patients, administers immunizations and documents immunization records according to written protocol, facilitate in-clinic or outside referrals to other community providers and organizations, participate in care team huddles, coordinate patient flow to assure patients are seen in a timely manner, facilitate communication regarding treatment recommendations between specialists or other health providers and the primary care provider, support patient engagement and follow-up in care, evaluate patient care plans with care team, document patient encounters, patient progress, treatment and follow-up care in the electronic medical record system ensuring proper documentation of clinic visits, diagnosis, treatments and medications within the scope of nursing practice, track and document referrals for clinically indicated services outside the CHCC (mental health specialty care, substance abuse treatment, surgical, diagnostic imaging, hospitalizations, housing assistance, etc.), attend and participate in meetings and Quality Improvement activities as required, serve as a member of committees as requested, participate in peer review as part of Quality Improvement activities and in compliance with CHCC policies, maintain confidentiality according to HIPAA and the HITECH Security Act, work as a team player with staff and other community organizations to ensure quality services and program requirements are met to carry out the goals and objectives of the CHCC program, follow agency and county policies and procedures, establish and maintain positive and productive working relationships with fellow employees, supervisors and the public, perform duties efficiently and effectively, perform other duties as assigned or required.

Knowledge and understanding of: Primary health care and nursing activities as described in the Montana Nurse Practice Act, general medical office/clinic practices, community resources, cultural and linguistic sensitivity, basic computer data entry, HIPAA Privacy and security rules, safety policies and procedures.

Skills in: Excellent customer service, time management and organization, strong written and verbal communication, Microsoft Excel, Word, Outlook, Windows, Internet, electronic medical record systems.

Ability to: Demonstrate good nursing care, collaborate effectively in a team setting, maintain effective and professional relationships with patients and other members of the care team, assess patients as appropriate to current licensure, respond appropriately to an emergency or crisis situation, adapt to changes in the work environment, manage competing demands, changes in approach or method to best fit the situation, deal with frequent change, delays and or unexpected events, adhere to a high degree of confidentiality and sensitivity towards the families involved, maintain confidentiality and compliance with HIPAA privacy and security rules, work with patients with diverse social, economic and cultural backgrounds in an empathic, non-judgmental, respectful and professional manner, work with people from all walks of life, such as individuals with various social and emotional histories, high risk, unemployed, homeless, abused and people with mental health conditions, work independently with little direction but also with a team, read and comprehend materials, analyze and compile information, pass a criminal background check, observe required work hours and demonstrate punctuality, meet established timelines and/or deadlines, observe established lines of authority, identify problems that adversely affect the organization and its functions and offer positive suggestions for improvements.


The above is typically acquired through a combination of education and experience. At a minimum, all qualified applicants must have:


  • Registered Nurse degree required. Bachelor of Science-Nursing preferred
  • 3-5 years of experience in a primary health care setting or equivalent


  • State of Montana Nursing License

The successful applicant shall serve a 6-month probationary period and may have a criminal background check conducted. The results thereof may disqualify the applicant from consideration for employment with the county.

Notice to Applicants: Applicants who are claiming Veteran’s or Handicap Preference must provide a DD-214 Discharge Document (part 4) or DPHHS Handicap Certification and Employment Preference Form with their application for employment so Cascade County may apply the preference during the selection process.

Cascade County makes reasonable accommodations for any known disability that may interfere with the applicant’s ability to compete in the recruitment and selection process or an employee’s ability to perform the essential duties of the job. For Cascade County to consider such arrangements, the applicants must make known any needed accommodations.