Rehab Aide

Rimrock; Billings (MT); On-site; USD 32,000 - 42,000; Full time

Job summary

Rimrock Rehabilitation Center in Billings, MT seeks an Rehabilitation Aide to provide psychosocial rehabilitation services under supervision. The role supports clients after program hours and collaborates with Medical Unit staff and counselors, ensuring adherence to state rules and HIPAA.

Responsibilities include rounds, incident reporting, crisis intervention, medication assistance, and staff training attendance, with daily duties in patient supervision and safety across facilities.

Qualifications

• High school diploma or GED required.
• Attend monthly departmental sessions and in‑services.
• 4 hours of CEU training annually in Trauma Informed Care, De‑escalation, Motivational Interviewing, and Suicide Awareness.
• A valid driver’s license required.

Responsibilities

• Provide observation and therapeutic support to assigned patients, including rounds at residential sites to ensure security and program schedules.
• Report incidents and emergencies immediately to supervisor and nurse on duty.
• Intervene and de‑escalate situations when necessary.
• Monitor and facilitate client phone calls.
• Document patient care or behavioral issues in the clinical care team logs.
• Maintain facility security and ensure no contraband is brought by visitors or patients.
• Assist clients with self‑administered medication and related instructions.

Skills

Communication

Empathy

Teamwork

Adaptability

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Job Summary

The Rehabilitation Aide, with documented training and under the supervision of a Licensed Addiction Counselor or Mental Health Professional Staff, will provide psychosocial rehabilitation services as per the Administrative Rules of Montana 37.106.1413. The aide will provide direct services and support to clients after program hours, in addition to delegated assistance to Medical Unit staff and counselors. The aide will assure adherence to state statutes and rules, CARF standards, and federal regulations including HIPAA and 42 CFR Part 2. The aide positively represents the organization and promotes Rimrock’s Mission to the community.

Essential Functions

• Provide observation and therapeutic support to assigned patients, including rounds at the assigned residential sites to assure security and maintenance of program schedules.
• Report all incidents, unusual events, and emergencies immediately to the supervisor and nurse on duty, according to Rimrock’s policies and procedures.
• Intervene and de‑escalate situations when necessary.
• Monitor and facilitate client phone calls.
• Document patient care or behavioral issues in clinical care team through AM/PM communication logs.
• Monitor all visitors and assure that no contraband is brought into the facility by visitors or patients.
• Perform client luggage searches at admission and transport any luggage to the storage area; perform additional searches as needed.
• Assist clients while they self‑administer medication, including removing medication from secured storage, handling and opening medication, providing verbal, visual, or written instruction, and holding and assisting the client when drinking oral medications.
• Attend all scheduled staff meetings and in‑services to ensure compliance with mandatory training requirements as noted in the Administrative Rules of Montana 37.106.1434 and by CARF standards.
• Follow guidelines under the code of conduct section in the employee handbook.
• Assist with food service and patient supervision in the dining room.
• Monitor and accompany clients on any breaks.
• Maintain regular, predictable, and reliable attendance.
• Guide clients through self‑advocacy and problem solving when situations arise.
• Train new employees after completion of RA II requirements.
• Perform other duties as assigned.

Safety‑Related Duties

• Transport patients to outside activities in a safe and prudent manner, observing all driving laws and Rimrock’s policies, and maintain driving logs. Report any mechanical problems to the supervisor immediately.
• Provide rounds to assure the security of facilities, ensuring doors are locked and alarms are set after hours.
• Ensure all incident report forms are completed according to Rimrock’s policies.
• Be familiar with emergency procedures and assist in an actual event or drill situation.

Organizational Competencies

• Accountability – takes ownership for resolving problems, reaching goals, and serving patients, team, and organization.
• Time Management – maximizes the use of time and resources and effectively prioritizes tasks.
• Teamwork – works cooperatively and capably with a wide variety of people.
• Flexibility – adapts rapidly to changing work demands and priorities.
• Confidentiality – complies with all HIPAA and 42 C.F.R. Part 2 regulations relating to privacy, security, and confidentiality.
• Safety – knows and understands emergency procedures and completes incident reports within 24 hours of an event with detailed information.
• Communication – consistently uses positive communication skills to promote effective interpersonal relationships.
• Customer Service – supports the organization’s customer service initiative and strives for service excellence.
• Respect – establishes compassionate and supportive rapport with patients.
• Quality Improvement – ensures that information is collected, organized, reported and used to improve the quality of systems and services.

Experience / Education / Training

High school diploma or GED required.

• Attend monthly departmental sessions and in‑services.
• View non‑violent crisis intervention tapes/videos and attend related training.
• Attend 4 hours of CEU training annually, specifically in Trauma Informed Care, De‑escalation, Motivational Interviewing, and Suicide Awareness.

Career Advancement

• Rehabilitation Technician I for one year.
• No disciplinary action within the last twelve months.
• Complete required 4 CEUs for calendar year.
• Cross‑trained at main facility and one residential facility.
• Score 90% on Safety RA Quiz.
• Complete skills assessment.

Certificate or License

• A valid driver’s license required.
• Insurable under Rimrock’s driving policy; may not have more than 2 violations/accidents or suspensions/reinstatements within 3 years; may not have any DUI/Reckless/Felony driving convictions within 5 years.
• CPE & First Aid training certification must be obtained within 6 months of employment.

Skills

Communication; ability to take direction and work adjunctively with the therapeutic team; provide empathy and possess knowledge and compassion of patients with addiction, and implement positive reinforcement of patients. Computer skills and proficiency with Microsoft software including Word, Excel, and Outlook.

Physical Demands

Work is indoors in an office environment with moderate noise. Intermittent physical effort involving lifting up to 25 pounds, walking and stooping is required. A typical workday involves walking, standing, reaching with hands and arms, and talking and hearing, approximately 70 % of the time. Approximately 30 % or less of the time is spent sitting. Normal vision abilities required, including close vision and ability to adjust focus.

Work Environment / Job Locations

Involves everyday risk or discomfort requiring normal safety precautions in an office setting, meeting room and patient care areas. Work may involve mental and emotional stress. Some driving required. Work will be primarily in the main facility, although it may be required to work at another facility with adult or adolescent patients.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Requirements

• High School Diploma or GED.
• Valid Driver's License.
• Insurable under Rimrock’s driving policy; may not have more than 2 violations/accidents or suspensions/reinstatements within 3 years; may not have any DUI/Reckless/Felony driving convictions within 5 years.
• CPE & First Aid training certification obtained within 6 months of employment.