Registered Nurse

All Nations; Missoula (MT); On-site; USD 45,000 - 48,000; Full time

Benefits offered by this job

Loan repayment program

Job summary

All Nations Health Center Clinic in Missoula, MT is hiring a Registered Nurse to coordinate physical and behavioral health needs. You will triage, educate, and support patients with chronic conditions, reporting to the Lead Nurse.

Salary ranges from $33 to $35 per hour, DOE, with priority closing date Oct 29, 2026. The RN will work within a culturally responsive team, using EHRs to document care and support integrated care across services.

Qualifications

• BSN from ACEN-accredited program.
• Current Montana RN license.
• 3–5 years clinical experience.
• BLS for Healthcare Providers (CPR/AED).
• Immunizations and TB testing per policy.
• Pre-employment background check incl. fingerprinting, CPS, and OIG checks.
• Strong nursing assessment and chronic disease management skills.
• Confidentiality, safety procedures, and team collaboration.

Responsibilities

• Provide direct patient nursing care within RN scope and policies.
• Conduct nursing assessments and triage health concerns; coordinate follow-up.
• Support care plans and chronic disease management, including diabetes education.
• Educate patients and families with culturally responsive communication.
• Document assessments and care in the electronic health record promptly.
• Coordinate integrated care with Behavioral Health and other teams.
• Participate in quality improvement initiatives and reporting.
• Attend required meetings and trainings.

Skills

BSN

Montana RN license

BLS/CPR/AED

Electronic Health Records

Communication skills

Critical thinking

Team collaboration

Education

BSN (ACEN-accredited)

Montana RN license

Tools

Electronic Health Records (EHR)

Microsoft Office

Job description

Location: All Nations Health Center Clinic 830 West Central Avenue Missoula, MT 59801

Wage: Wage: $33–$35 per hour, Depending on Experience (DOE)

Closing Date: Priority Application Date: 10/29/26

The Registered Nurse serves as a point of contact for patients, providers, and caregivers, helping coordinate physical and behavioral health needs. The RN assesses and triages health concerns, supports implementation of care plans, and assists patients with managing chronic conditions, including diabetes. Through education, referral management, and follow-up, the RN helps patients set self-management goals and navigate clinical and community services. This position reports to the Lead Nurse and supports safe, coordinated care that respects patient dignity, cultural identity, and informed choice.

DUTIES & RESPONSIBILITIES DIRECT PATIENT CARE

• Provide direct patient nursing care within RN scope of practice, provider orders, and ANHC
  policies.
• Conduct nursing assessments and triage new and ongoing health concerns; communicate findings
  to providers and arrange appropriate follow-up.
• Complete preventive screenings and assist with screening for behavioral health and substance use
  concerns as appropriate to the nursing role.
• Support care plans and chronic disease management, including diabetes education, health
  monitoring, and patient self-management goals
• Educate patients and families about conditions, procedures, medications, and treatments using
  clear, culturally responsive communication.
• Track completion of clinical orders, referrals, and follow-up appointments; identify barriers and
  communicate needs for care plan reassessment
• Document relevant assessments, interventions, education, and care coordination accurately and
  promptly in the electronic health record.
• Advocate for patient privacy, informed choices, and participation in care decisions

Integrated care and care coordination

• Collaborate with medical providers, Behavioral Health, and other care team members to
  coordinate physical and mental health services.
• Develop and reassess care plans with patients, providers, and other involved care partners to
  support appropriate, accessible care.
• Gather information about medications, prior treatments, health needs, and barriers to care; share
  relevant information with the treating team.
• Work with patient services, benefits navigation, and transportation staff to address barriers to
  appointments, medications, and follow-up care.
• Facilitate referrals and appointments for primary care, specialty care, behavioral health, social
  services, and community resources.
• Coordinate transitions of care and follow-up with external healthcare organizations and facilities
  to reduce gaps and duplication.
• Participate in integrated care meetings and provide daily care coordination updates as
  appropriate.

Documentation and Quality Improvement

• Participate in quality improvement initiatives, evaluation of clinical care, and development of
  clinical tools and procedures.
• Work with the interdisciplinary team to collect data, track outcomes, and support planning;
  prepare quarterly reports on outcomes and improvement activities as assigned.
• Help prevent adverse patient events; promptly respond to safety concerns and report incidents
  according to organizational policy.
• Maintain quality, safety, and infection prevention standards and follow emergency procedures.
• Support orientation, training, and evaluation of new staff as assigned by the Lead Nurse or
  appropriate supervisor.
• Maintain working knowledge of community resources, referral networks, and payer requirements
  relevant to care coordination.
• Build collaborative relationships with referral sources, community partners, and vendors.
• Develop patient education materials and present clinical practice topics.
• Attend required meetings and trainings and perform other duties consistent with the nursing role.

Cultural Responsiveness and Community Service

• Demonstrate cultural humility and respect when working with American Indian and Alaska
  Native relatives, families, Tribal communities, and colleagues.
• Respect the diversity of Tribal nations, cultures, traditions, identities, and lived experiences
  within the Urban Indian community.
• Use trauma-informed approaches that support patient dignity, trust, choice, and participation in
  care.
• Recognize barriers to healthcare and work with the care team to connect patients with appropriate
  clinical and supportive services.
• Participate in cultural learning and professional development that strengthens service to
  Indigenous communities.

MINIMUM QUALIFICATIONS

• Bachelor of Science in Nursing (BSN) from a program accredited by the Accreditation
  Commission for Education in Nursing (ACEN).
• Current Montana license to practice as a registered nurse.
• Three to five (3–5) years of experience in a clinical setting.
• Current Basic Life Support (BLS), including CPR and AED, certification for Healthcare
  Providers.
• Documentation of healthcare worker immunizations and tuberculosis screening consistent with
  organizational requirements.
• Ability to pass required pre-employment screening, including a criminal background check with
  fingerprinting, CPS check, and OIG exclusion screening.
• Strong nursing assessment and chronic disease management skills; ability to plan, implement,
  and evaluate patient care.
• Sound judgment, critical thinking, problem-solving, organization, and written and verbal
  communication skills.
• Proficiency with electronic health records, Microsoft Office, email, and other clinical software.
• Ability to protect confidentiality, follow safety procedures, and work effectively in a
  collaborative care team.
• Basic knowledge of managed care and commitment to respectful customer service, cultural
  responsiveness, and trauma-informed practice.
• Ability to respond effectively to emergencies and emotionally demanding patient care situations.

PREFERRED QUALIFICATIONS

• Experience in outpatient primary care, integrated care, patient navigation, or case management.
• Experience working with Indigenous individuals, Tribal communities, or Urban Indian

Organizations.

• Experience screening for common mental health and substance use concerns.
• Knowledge of Medicaid, Medicare, insurance reimbursement, and clinical documentation
  supporting ICD-10-CM, CPT, and HCPCS coding.
• Experience with patient and community education programs and familiarity with healthcare
  accreditation and certification requirements.

PHYSICAL DEMANDS

Duties may require occasional lifting, pushing, or pulling up to 20 pounds; stooping, kneeling,
crouching, reaching, and use of fine motor skills. The role requires the ability to communicate with
patients and staff and perform visual and clinical tasks, with or without reasonable accommodation

Loan Repayment

Loan repayment or forgiveness opportunities may be available through the Indian Health Service
Loan Repayment Program or Public Service Loan Forgiveness, subject to program eligibility and
approval.

Preference in employment is given to qualified Native American candidates, in accordance with Title 42CFR36.221.