Pioneer Medical Center

Hospice Home Health Aide/CNA

Pioneer Medical Center is a 25-bed critical access hospital, essentially the county hospital for Sweet Grass County, Montana: Population 3700. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, skilled trades people and active retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded places. Big Timber is a vibrant and welcoming small town, an hour from Bozeman and Billings. Our schools are highly rated, with high community support.

Pioneer Medical Center has an immediate opening for a PRN certified CNA Home Health Aide to join our Hospice patient care team.


Under general supervision of the Hospice RN Case Manager and/or Director of Nursing. Assists in the delivery of patient/resident care. Works collaboratively with the Interdisciplinary Team (IDG) to meet the physical, psychosocial, educational, and spiritual needs of the hospice patient and their families.





1. Supports and models behaviors consistent with Pioneer Medical Center’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety or job performance.

2. Supports and practices the mission and philosophy of Hearts & Hands Hospice (HHH) and Pioneer Medical Center (PMC).

3. Identifies needs and sets goals for own growth and development; meets all mandatory system/departmental educational requirements.

4. Utilizes performance improvement principles to assess and improve the quality of patient/resident care.

5. Competently performs all basic home health aide skills.

6. Assists the patient with personal care which may include bathing, oral hygiene, hair care, routine skin care, catheter care, feeding dressing, grooming, transfers from bed to chair, bedside commode, or wheelchair and helping with ambulation.

7. Assists the patient/family with incidental household tasks essential to the patient’s health needs such as making and changing beds, delivering needed supplies and general caregiver respite.

8. Assists the family in maintaining a healthy and safe environment.

9. May assist the patient/family with plans and preparation of nutritious meals and may assist with occasional household chores when necessary.

10. Demonstrates positive, supportive, and caring behavior in communication with patient, families, visitors, providers, staff, and others.

11. Performs other duties as assigned or needed to meet the needs of the department/organization.

12. Maintains competency in all organizational, departmental, and outside agency safety standards as it relates to the environment, employee, and patient/resident safety.

13. Identifies needs and sets goals for own growth and development.

14. Performs other duties as assigned or needed to meet the needs of the department/organization.




• Common policies and procedures, both organizational and departmental

• Compliance Program

• Code of Conduct

• Regulatory standards (i.e., State Survey, OSHA)

• HIPAA and confidentiality requirements

• Patient’s/resident’s rights

• Patient safety standards

• Patient/resident care treatment, planning, and assessment with the scope of practice of a Hospice Health Aide


• Professional communication skills, both verbal and written

• Planning and organization

• Following instructions

• Effective time management

• Interpersonal skills necessary to interact with patients/residents, families and IDG

• Demonstrates the empathy and sensitivity necessary to elicit the patent/resident’s cooperation and trust

• CPR certified


• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

• Communicate clearly and effectively, both verbal and written

• Establish and maintain collaborative relationships

• Incorporate cultural and age-appropriate care into all aspects of communication and patient care

• Provide patient/resident care within the scope of practice for a Hospice Health Aide

• Follow instructions

• Visual and auditory ability to assess patients/residents’ conditions and report findings; communicate clearly and effectively, both verbal and written; read, write, speak and understand the English language

• Work independently, using time management principles to maximize efficiency

• Work with frequent interruptions

• Document flow sheet accurately

• Establish and maintain collaborative relationships with co-workers

• Frequently stand, sit, lift, bend, push, and move intermittently during performance of duties

• Lift 50 pounds and assist with lifting and transporting patients/residents

• React professionally when dealing with difficult or emergency situations.


Patience is needed in dealing with difficult situations with co-workers, patients, families, and visitors that may include contact with persons who are verbally inappropriate or physically combative. Resourcefulness in dealing with simple to moderate complexity tasks. Ability to prioritize duties with the assistance of licensed nursing personnel



• Formal Certified Nursing Assistant training and current Montana CNA certification

• Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills, and abilities will be considered



Normal patient/resident care environment in long term care, acute care and home settings. Required to work various times, including weekends and holidays.

Category I: Tasks that involve exposure to blood, body fluids, or tissues

Look through our website,, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call our HR Manager at 406.932.4603 for more information about the area and this role.

Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.'

Job Type: Full-time

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