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Registered Nurse/LPN- Overnight

Rimrock Foundation

Billings, Montana

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LPNHealthcare OccupationsPatient Care Nursing OccupationsNursing OccupationsLicensed Practical Nurses

Posted Aug 12, 2026 · Last seen active Aug 13, 2026

What the posting states

Shift
Nights

About this role

Show full description
JOB SUMMARY: Provides quality patient care according to established standards of nursing practice and Rimrock’s policies. Assures adherence to state statutes and rules, CARF standards, and federal regulations including HIPAA and 42 CFR Part 2. Positively represents the organization and promotes Rimrock’s Mission to the community. ESSENTIAL FUNCTIONS: Completes nursing assessments on all new patients, formulates nursing care plans, provides report on patient to provider, and charts in electronic health record. Administers medications as ordered. Makes frequent rounds for purposes of observing, assessing and meeting patient needs and conditions in the Medical Unit. Review all LPN assessments. Charts the progress note on patients’ complaints, nursing observations and condition changes, including incident reports and behavior forms. Reports to the Director of Patient Care any pertinent nursing or medical information regarding patients. Reports the condition and status of all patients to the on-coming nurse. Counts controlled drugs at the beginning and end of shift. Participates in continuing education and in-service education programs for the improvement of patient care and own professional growth and development. Administers TB tests, CIWA scales and BAL’s to all applicable patients. ORGANIZATIONAL COMPETENCIES: Accountability – Takes ownership for resolving problems, reaching goals, and serving patients, team, and organization. Accepts responsibility for own behavior. Assures that resources are allocated in accordance with the priorities of the strategic plan. Performs self-quality monitoring in order to develop and execute plans to meet established goals. Time Management – Maximizes the use of time and resources and effectively prioritizes tasks. Completes paperwork, evaluations, and other required documentation accurately and timely. Teamwork – Works cooperatively and capably with a wide variety of people. Actively promotes teamwork and information sharing within and across departments. Works in a spirit of teamwork and trust and maintains professional boundaries in working with others. 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. Safeguards confidential information of patients, employees, and business operations Safety – Knows and understands emergency procedures and completes incident reports within 24 hours of event with detailed information. Communication – Consistently uses positive communication skills to promote effective interpersonal relationships. Provides timely and thorough follow-up with internal and external customers. Models professionalism by addressing others with appropriate actions, appearance, and communication. Models and promotes effective written and verbal communication. Customer Service – Supports the organization’s customer service initiative. Strives for service excellence by seeking challenges and turning them into opportunities. Anticipates and meets needs of patients while maintaining appropriate boundaries. Displays a friendly, helpful, and approachable demeanor. Obtains feedback from patients regarding their perceptions of the service provided to them and utilizes this information to improve service delivery. Respect – Establishes compassionate and supportive rapport with patients. Communicates tactfully and respectfully with patients, coworkers, and others. Quality Improvement – Assures that information is collected, organized, reported and used to improve the quality of systems and services. Recognizes and appropriately reports to supervisor areas within scope of responsibility that fall outside the quality parameters. Serves on committees or process improvement teams to assist in improving quality/customer satisfaction, as assigned. EDUCATION/TRAINING: Graduated from an accredited nursing program and received nursing diploma. SKILLS: Knowledge and understanding of current nursing theory and practice and ability to perform accordingly under the supervision of the Director of Patient Care and/or Medical Director; understanding of Rimrock’s policies related to patient care; knowledge of limitations in nursing practice and ability to request assistance of supervisor when needed; ability to establish appropriate rapport with chemically dependent patients; understanding of chemical dependency therapy process and ability to function as a member of an interdisciplinary treatment team. 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 of up to 25 pounds, walking and stooping is required. A typical workday involves sitting, frequent use of a keyboard, reaching with hands and arms, and talking and hearing, approximately 70% of the time. Approximately 30% or less of the time is spent standing. 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. Will work primarily at Main Facility. 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.

Skills for this role

Nursing assessmentCare plan formulationMedication administrationPatient observationLPN assessment reviewProgress note chartingControlled drug countingTB test administrationCIWA scale administrationBAL administrationBlood glucose testingDirect patient care

Requirements

  • Blood glucose testing
  • Nursing policy compliance
  • Incident reporting compliance
  • Direct patient care
  • Healthcare incident report preparation
  • Customer communication
  • Nursing
  • Patient progress tracking

About the employer

Rimrock Foundation logo
Rimrock Foundation
Rehab Center

You are looking at overnight RN/LPN work on Rimrock Foundation’s Medical Unit in Billings, Montana. The posted shift texture is familiar and specific: rounds, assessments, meds, CIWA/BAL/TB, a controlled-drug count at the start and end of the shift, and report…

3.8 Google rating

What reviewers appreciate

  • Sign-on bonus up to $10,000 mentioned in hiring posts
  • Clear overnight Medical Unit workflow: rounds, assessments, meds
  • CIWA/BAL/TB work built into the posted role

What reviewers flag

  • Compensation and benefits score about 2.5 on Glassdoor—the lowest major category
  • Senior management rated about 2.4 with CEO approval near half
  • Diversity and inclusion around 2.3
overnightMedical Unitwithdrawal protocolsstructured handoffcontrolled-drug countsmixed reviews

Living in Billings, MT

Billings, Montana's largest city, sits along the Yellowstone River beneath the dramatic Rimrocks—sandstone cliffs that rim the city's north edge. A regional medical hub for the Northern Plains, it blends outdoor access, frontier heritage, and urban conveniences that appeal to RNs seeking big-sky living without sacrificing professional opportunity.

Map showing the location of Billings, MT
Billings, MT on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Billings area
93.5
6% below the national average
Median gross rent
$1,138/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

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Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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