Registered Nurse (RN) - PCU - Days

Top Echelon Software, LLC; Great Falls (MT); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan with match

Malpractice insurance

PTO

Job summary

Top Echelon Software, LLC seeks a Progressive Care Unit (PCU) Registered Nurse in Great Falls, MT for a full-time, on-site role with day shifts. The RN will deliver direct patient care on a PCU/stepdown unit within a supportive clinical team.

Required are MT RN licensure (or compact), BLS/ACLS/PALS, and recent PCU/ICU exposure. Pediatric experience is a plus and professional development is encouraged.

Qualifications

• Associate degree in nursing required; BSN preferred.
• Active MT RN licensure or compact/endorsement eligibility.
• BLS, ACLS, and PALS certifications required or must be obtained within 6 months of hire.
• Recent Critical Care (ICU) or PCU/Stepdown experience.
• Pediatric nursing experience desired.

Responsibilities

• Provide direct nursing care to patients on a PCU/stepdown unit.
• Care for diverse patient populations including pre/post-PCI care and complex surgical cases.
• Monitor and respond to deteriorating conditions with assessment and intervention.
• Operate advanced medical equipment (arterial/central lines, chest tubes, ventilatory support).
• Coordinate with multidisciplinary teams from admission to discharge planning.
• Precept and mentor LPNs, CNAs, and ancillary staff.

Skills

Telemetry & EKG interpretation

Advanced nursing principles

Patient assessment

Office software

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (BSN) preferred

Tools

Office software

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.