Registered Nurse: Holistic Care Leader

North Big Horn Hospital District; Douglas (WY); On-site; USD 80,000 - 110,000; Full time

Job summary

North Big Horn Hospital District in Douglas, WY, is seeking a seasoned RN to supervise daily nursing activities and support licensed practical/vocational nurses and CNAs in delivering holistic care aligned with regulations and facility policies.

The role directs nursing staff, coordinates admissions/discharges, administers medications, and collaborates with the interdisciplinary team while maintaining high-quality patient outcomes and safety standards.

Qualifications

• RN license in practicing state.
• Current CPR certification.
• Nursing degree from an accredited college.
• Prior long-term care experience preferred but not required.

Responsibilities

• Directs the daily activities of the licensed practical/vocational nurse and certified nursing assistants in accordance with current federal, state and local regulations and guidelines and established facility policies and procedures.
• Follows the nursing model to promote holistic care for the residents.
• Ensures that policies and procedures are complied with by nursing personnel assigned.
• Participates in the admission, discharge and transfers of residents as required.
• Assesses for changes in residents' status, notifying the physician and resident's family or representative and documenting accordingly.
• Transcribes physician orders to medical record and carries out orders as written.
• Prepares and administers medications as per physicians' orders and observes for adverse effects as indicated.
• Performs wound treatments as per physicians' orders, observes for changes and documents accordingly as indicated.
• Schedules follow up appointments for residents and transportation needs as indicated.
• Provides nursing leadership to nursing personnel assigned to the unit.
• Provides direct care skills such as colostomy changes, tube feedings, wound care, suctioning, IV administration, etc. in accordance with current policies and procedures, as assigned.
• Performs rounds to ensure resident needs are being met and personnel are performing their assigned duties.
• Collaborates with other members of the interdisciplinary team as needed to ensure residents' needs are holistically met.
• Participates in management team meetings as indicated to discuss census changes, resident changes in status or care need, or complaints or concerns.
• May assist in evaluating work performance of nursing personnel and implements discipline according to operational policies and as directed.
• Informs appropriate departments of concerns or complaints and files grievances as necessary.
• Reports any incidents or unusual occurrences to the unit manager, assistant director or nursing or director of nursing and participates in the investigative process as needed.
• Participates in end of life care as required.
• Ensures that there is adequate stock of medications, supplies, equipment and notifies appropriate personnel of needs.
• Initiates, reviews and updates care plans as required.
• Promotes teamwork, mutual respect, and effective communication.
• Participates in the survey process when inspection surveys arise.
• May participate in QAPI activities as needed or assigned.
• Ensures that infection control principles are followed and helps correct deficiencies in practice as noted.
• Other duties as assigned.

Skills

RN License

CPR Certification

Long-term Care Experience

Leadership

Education

Nursing Degree

Job description

North Big Horn Hospital District in Douglas, WY, is seeking a seasoned RN to supervise daily nursing activities and support licensed practical/vocational nurses and CNAs in delivering holistic care aligned with regulations and facility policies.

The role directs nursing staff, coordinates admissions/discharges, administers medications, and collaborates with the interdisciplinary team while maintaining high-quality patient outcomes and safety standards.