Registered Nurse (RN) - PACU - Hospital (Great Falls, MT)

KARIER; Great Falls (MT); On-site; USD 52,000 - 66,000; Full time

Benefits offered by this job

Retention bonus

Relocation assistance

Comprehensive medical coverage

Dental coverage

Vision coverage

HSA/FSA options

Life insurance

Long-term disability

Voluntary benefits

PerkSpot discount

Wellness program

PTO

Job summary

KARIER is seeking a Hospital PACU Registered Nurse (RN) to join a surgical services team in Great Falls, Montana. This full-time, on-site role emphasizes excellent nurse-to-patient ratios, robust administrative support, and a culture of teamwork and compassion.

The position offers varied shifts from 6:00 AM to 7:30 PM, with rotation and opportunities to develop clinical skills in PACU, perioperative care, and discharge planning within a supportive rural hospital system.

Qualifications

• Graduate of an accredited nursing program (ADN required; BSN preferred).
• Active Montana RN license (or endorsement/compact).
• BLS, ACLS, and PALS certifications required upon hire.
• 1–2 years acute care in ICU/ED/PACU; CVICU/Telemetry background valued.
• New Graduate RNs welcomed and encouraged to apply.

Responsibilities

• Pre-Operative Preparation: Safely assess, admit, and optimize patients arriving for elective or outpatient surgical procedures, ensuring all pre-op checklists and safety parameters are met.

Skills

Critical care experience

New graduates welcome

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (preferred)

Tools

BLS

ACLS

PALS

Montana RN license or endorsement

Job description

Registered Nurse (RN) - Post-Anesthesia Care Unit (PACU) - Hospital

Job Type: Full-Time | On-Site

We have partnered closely with a prominent regional healthcare system to secure a full-time, dedicated nursing professional for their surgical services division. We are currently seeking an experienced Hospital PACU Registered Nurse (RN) to join their clinical team. This position is ideal for an RN looking for a supportive 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.

Operational Hours: 6:00 AM – 7:30 PM Varied Shifts

Requirements

Shared Rotation (~4 weeknights/month + 1 weekend every other month)

Registered Nurse (RN) - Post-Anesthesia Care Unit (PACU) - Hospital

Job Type: Full-Time | On-Site

Location: Great Falls, Montana

We have partnered closely with a prominent regional healthcare system to secure a full-time, dedicated nursing professional for their surgical services division. We are currently seeking an experienced Hospital PACU Registered Nurse (RN) to join their clinical team. This position is ideal for an RN looking for a supportive 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.

Operational Hours: 6:00 AM – 7:30 PM Varied Shifts

Requirements

Shared Rotation (~4 weeknights/month + 1 weekend every other month)

• Pre-Operative Preparation: Safely assess, admit, and optimize patients arriving for elective or outpatient surgical procedures, ensuring all pre-op checklists and safety parameters are met.
• Phase I Recovery (Post-Op Monitoring): Closely monitor and stabilize patients waking up from general, regional, or local anesthesia. Manage airway and ventilation (including extubation), track hemodynamic stability, and conduct frequent neurological checks.
• Advanced Visual & Device Care: Recover and monitor higher-acuity post-operative patients with chest tubes, central lines, arterial lines, multiple titration IVs, and those requiring short-term ventilator support (comprehensive training provided if required).
• Wound & Line Management: Perform continuous surveillance of surgical sites, dressings, incisions, and drains (JP drains, Foleys, NG tubes) to catch or prevent post-op complications.
• Symptom & Pain Control: Titrate powerful IV medications to manage acute post-operative pain, treat post-anesthesia nausea/vomiting (PANV), and utilize warming devices to manage hypothermia and shivering.
• Observation Unit Care: Directly care for both medical and surgical observation patients who are admitted to observation beds from the Emergency Department, through direct admission, and/or post-surgical status.
• Collaborative Leadership: Coordinate care plans dynamically with Providers, Anesthesia teams, Nurse Managers, and Charge Nurses. Provide appropriate clinical guidance and directional support to LPNs and CNA staff.
• Discharge & Transfer Planning: Utilize standardized scoring systems (like the Aldrete Score) to safely clear patients for home discharge (Phase II) or execute detailed hand-off reporting to inpatient units (ICU, PCU, Med/Surg).

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 upon hire.
• Clinical Experience: 1–2 years of acute care experience in ICU, ED, or PACU preferred, with dedicated background or professional familiarity in Cardiovascular ICU / Telemetry highly valued.
• Preceptor or Charge Nurse experience is a strong plus.
• New Graduate RNs are welcomed and strongly encouraged to apply!

Core Skills

• Advanced understanding of basic nursing principles/procedures, strict application of the principles of asepsis, proficient intravenous (IV) insertion/management skills, and basic computer/office technical literacy.

Benefits

• Retention Bonus: $25,000
• Relocation Assistance: $3,000–$7,000 based on distance
• Comprehensive medical coverage with multiple PPO and HDHP plan options.
• Dental coverage with Base and Buy-Up plan options, plus voluntary vision coverage.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options for eligible employees.
• Employer-paid basic life insurance and AD&D coverage.
• Employer-paid long-term disability coverage.
• Voluntary supplemental benefits, including life, AD&D, short-term disability, critical illness, hospital indemnity, accident, and whole life coverage.
• Legal and identity theft protection plan.
• Employee discount program through PerkSpot.
• Wellness program opportunities.
• Benefits eligibility begins on the first day of the month following the date of hire for full-time employees.
• Retirement savings plan with employer matching contribution.
• Medical malpractice insurance.
• Generous paid time off (PTO) to support work-life balance.

Note on Compensation & Hiring

Final hourly compensation will be verified and determined by the organization based on your documented years of nursing experience. 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.

• Competitive base compensation plus applicable shift differentials, including night differential.
• Retention Bonus: $25,000
• Relocation Assistance: $3,000–$7,000 based on distance
• Comprehensive medical coverage with multiple PPO and HDHP plan options.
• Dental coverage with Base and Buy-Up plan options, plus voluntary vision coverage.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options for eligible employees.
• Employer-paid basic life insurance and AD&D coverage.
• Employer-paid long-term disability coverage.
• Voluntary supplemental benefits, including life, AD&D, short-term disability, critical illness, hospital indemnity, accident, and whole life coverage.
• Legal and identity theft protection plan.
• Employee discount program through PerkSpot.
• Wellness program opportunities.
• Benefits eligibility begins on the first day of the month following the date of hire for full-time employees.
• Retirement savings plan with employer matching contribution.
• Medical malpractice insurance.
• Generous paid time off (PTO) to support work-life balance.

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.