PACU RN — Surgical Recovery Specialist

Top Echelon Software, LLC; Great Falls (MT); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Nurse-patient ratio

Medical/dental/vision

Retirement plan with employer matching

Fully covered malpractice insurance

Generous PTO

Job summary

Top Echelon Software, LLC is seeking an experienced Registered Nurse for a Hospital PACU role in Great Falls, Montana. This full-time, on-site position supports perioperative care with strong nurse-to-patient ratios and robust administrative backing.

The ideal candidate holds ADN (BSN preferred) with MT RN licensure and 2–4 years in acute medical/surgical or critical care settings. Certifications in BLS/ACLS/PALS are required on hire.

Qualifications

• Graduate of an accredited nursing program (ADN required; BSN preferred).
• Active, unrestricted RN licensure in Montana (or compact/endorsement eligibility).
• Core certifications: BLS, ACLS, PALS required on hire.
• Minimum 2–4 years of recent hospital experience in acute Medical/Surgical or Critical Care.
• CCU/ICU familiarity preferred.
• Proficient in asepsis, IV management, and basic computer literacy.

Responsibilities

• Pre-Operative Preparation: assess, admit, and optimize patients for elective/outpatient procedures with pre-op checklists.
• Phase I Recovery: monitor and stabilize patients waking from anesthesia, manage airway and hemodynamics, perform neuro checks.
• Advanced Visual & Device Care: monitor patients with chest tubes, central/arterial lines, IV titration; training provided.
• Wound & Line Management: monitor wounds, dressings, drains, and incisions to prevent complications.
• Symptom & Pain Control: titrate IV medications for post-op pain and PANV; manage hypothermia.
• Observation Unit Care: care for observation patients from ED through post-surgical status.
• Collaborative Leadership: coordinate with Providers, Anesthesia, Nurse Managers; guide LPNs/CNAs.
• Discharge & Transfer Planning: use Aldrete Score for discharge or hand-off to inpatient units.

Skills

IV Insertion

Asepsis

Airway Management

Nurse Leadership

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN) preferred

Tools

EHR (Electronic Health Records)

Job description

Top Echelon Software, LLC is seeking an experienced Registered Nurse for a Hospital PACU role in Great Falls, Montana. This full-time, on-site position supports perioperative care with strong nurse-to-patient ratios and robust administrative backing.

The ideal candidate holds ADN (BSN preferred) with MT RN licensure and 2–4 years in acute medical/surgical or critical care settings. Certifications in BLS/ACLS/PALS are required on hire.