Pioneer Medical Center

Hospice RN-LPN

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 licensed RN/LPN to join our Hospice patient care team.


The On-Call Hospice Nurse is responsible for the holistic nursing care of the patient after hours. Maintains excellent relationships with all primary constituencies; patient and families, employees, Interdisciplinary Team (IDG) members, and providers. RN/LPN must provide hospice care within scope of practice and state regulations.




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. Provides skilled nursing care in response to patient/family calls after normal working hours.

3. Assesses the patient’s and/or family’s needs with particular attention to pain and symptom management.

4. Assists with the admission process as directed by the hospice manager.

5. Notifies and/or consults with patient’s attending provider, as appropriate and obtains/implements provider orders.

6. Implements nursing intervention based on nursing assessment of patient and assesses patient outcome.

7. Documents clearly and concisely in a timely manner, nursing care rendered, patient/family observations, teaching plans, consultations, etc.

8. Facilitates hospice transfer to inpatient setting, notifying hospital or skilled nursing facility admissions department/supervisor, and/or emergency room of hospice patient’s identity.

9. May accompany patient/family on transfer to inpatient setting, advocating patient’s desire for palliative care.

10. Answers patient/family questions and concerns relative to hospice care and services, condition changes, and plan of care.

11. May attend death, provides emotional support, postmortem care, and assists with the

12. Actively participates with the IDG in development of care plan as appropriate.

13. Teaches, supervises, and counsels patient/family regarding physical care, symptom management, and pain control.

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

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

16. 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

• Sensitivity of the dynamics of death, dying, and bereavement.

• Commitment to the hospice philosophy or care.

• Current Montana driver’s license and mechanism for transportation.

• Effective verbal, nonverbal, and written communication skills, and leadership qualities.

• Personal qualities enabling him/her to work effectively with patients, families, staff, and providers.

• Utilizes proper body mechanics while performing all physical care. Ability to lift fifty (50) pounds and perform personal care on a patient who weighs up to two hundred fifty (250) pounds.

• Physical and emotional health necessary for the accomplishment of the job.

• A desire for continued personal and professional growth and development.


• Professional communication skills, both verbal and written


• 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


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

• Professional knowledge of nursing theory and practice acquired through an accredited school of nursing.

• Current Montana state license to practice as a registered nurse or licensed practical nurse


• Patient care visits in home, nursing home, and hospital settings.

• Category I: Task that may involve exposure to blood, body fluids and/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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