Registered Nurse (RN) - PCU - Days

Top Echelon LLC; Great Falls (MT); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Retirement plan with employer matching

Fully covered malpractice insurance

Generous PTO

Job summary

Top Echelon LLC partners with a regional health system to recruit a Progressive Care Unit (PCU) Registered Nurse in Great Falls, Montana. This full-time, on-site role offers day shifts, a supportive clinical culture, favorable nurse-to-patient ratios, and strong teamwork.

The PCU RN will care for stable to moderately unstable patients, collaborate with multidisciplinary teams, and participate in discharge planning while upholding patient safety standards.

Qualifications

• Graduate of an accredited nursing program; ADN required, BSN preferred.
• Active Montana RN license or eligibility via compact/endorsement.
• BLS, ACLS, and PALS certifications within 6 months of hire.

Responsibilities

• Provide direct nursing care to stable to moderately unstable PCU patients.
• Monitor and respond to evolving clinical conditions with appropriate interventions.
• Coordinate care with MDT and participate in discharge planning.
• Operate and manage advanced medical equipment on the PCU/stepdown unit.
• Assist with precepting new staff and support to LPNs/CNAs.

Skills

Telemetry

EKG interpretation

Clinical leadership

Precepting

Education

Associate Degree in Nursing

Bachelor of Science in Nursing preferred

Tools

Electronic Medical Records

Microsoft Office

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.