Day Shift Progressive Care Nurse

Sterling St James Inc.; Great Falls (MT); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Retirement plan with employer match

Malpractice insurance provided

Generous PTO

Job summary

Sterling St James Inc. seeks an experienced Registered Nurse for a Progressive Care Unit (PCU) to join their inpatient services team in Great Falls, Montana.

The RN will provide direct patient care, monitor cardiac patients, and support post-procedure recovery while collaborating with physicians and staff to ensure high-quality outcomes in a fast-paced, supportive environment.

Qualifications

• Must be a graduate of an accredited nursing program (ADN required; BSN preferred).
• Active, unrestricted RN license in MT or compact/endorsement eligibility.
• BLS, ACLS, and PALS certifications required or obtained within 6 months of hire.

Responsibilities

• Provide direct nursing care to stable or predictably unstable patients on PCU/stepdown.
• Manage diverse patient population including post-procedure and complex surgical cases.
• Monitor for deterioration and stabilize conditions using advanced assessment techniques.
• Operate and manage arterial lines, central lines, chest tubes, and ventilatory support.
• Coordinate with multidisciplinary teams from admission to discharge planning.
• Precept and support LPNs, CNAs, and ancillary staff.

Skills

Cardiac telemetry

EKG interpretation

Nursing fundamentals

Office software

Critical care nursing

Pediatric nursing experience

Education

Associate Degree in Nursing

Tools

BLS

ACLS

PALS

EPNC

TNCC

Job description

Registered Nurse (RN) – Progressive Care Unit (PCU)

Job Type: Full-Time | On-Site | Shift: Days

Setting: Progressive Care Unit (PCU) / Stepdown

Location: Great Falls, Montana

We have partnered closely with a prominent regional healthcare system to secure a full-time, dedicated nursing professional for their inpatient services division. We are currently seeking an experienced Progressive Care Unit (PCU) Registered Nurse (RN) to join a specialized clinical team. This position is ideal for an RN looking for a supportive clinical environment that emphasizes excellent nurse-to-patient ratios, robust administrative backing, and a strong culture of teamwork and compassion.

Tucked into a scenic Montana community known for an exceptional quality of life and outdoor recreation, this role provides an ideal balance of professional clinical development and personal lifestyle stability.

Responsibilities:

• 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.

Qualifications:

• Education: Graduate of an accredited nursing program (Associate Degree in Nursing required; Bachelor of Science in Nursing preferred).
• Licensure: Active, unrestricted Registered Nurse (RN) licensure in the State of Montana (or immediate compact/endorsement eligibility).
• Certifications: Core certifications in Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) are required (or must be obtained within 6 months of hire). EPNC and TNCC certifications are highly preferred.
• Required Experience: Proven post-graduate clinical practice in an advanced Medical/Surgical unit combined with recent Critical Care (ICU) or Progressive Care (PCU/Stepdown) nursing experience.
• Preferred Experience: Dedicated pediatric nursing experience is highly desired.
• Core Skills: Proficiency in basic cardiac telemetry, EKG interpretation, advanced nursing principles, and standard office/computer software.

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.

Note on Compensation & Hiring Requirements: All job offers are contingent upon the successful completion of standard pre-employment screenings, including a criminal background check, drug screening, and health/immunization verification.

Note on Employment Status: The comprehensive benefits package and compensation structure detailed above are explicitly offered for full-time positions. Eligible benefits may vary or be prorated for part-time arrangements.