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Emergency Room RN, PRN-Additional $9/HR Specialty Pay!

Confidential

Libby, Montana permanent

Posted: January 30, 2026

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Quick Summary

The ER RN provides direct and indirect patient care in the emergency setting, assessing and organizing care and flow of patients, and coordinating care planning with other disciplines.

Job Description

Cabinet Peaks Medical Center is looking to have an ER RN to join our Emergency Department as a PRN! $9/HR Specialty Diff!

The ER RN provides direct and indirect patient care in the emergency setting.  This position has a leadership role in assessing and organizing the care and flow of the patients and coordinates care planning with other disciplines.  The nurse provides care that reflects initiative, flexibility and responsibility with a minimum of supervision. This position is able to triage safely, rapidly and accurately, every patient that enters the emergency care system and determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. The RN communicates with Emergency Department physicians about changes in patient’s status and clinical condition, symptomatology and results of diagnostic studies.  Responds quickly and accurately to changes in condition or response to treatment. 

Skills, Knowledge, & Abilities

Strong analytical, problem solving, interpersonal and social skills.

Possess excellent prioritization, organization and time management skills.

Exhibit very good computer skills requiring order entry and patient registration applications.

Demonstrates flexibility and availability in scheduling to accommodate needs and demands of the department.

Functions independently with self-confidence in a highly stressful environment while practicing within scope of practice.

Operates with ample verbal and written communication skills.

Practices with honesty and moral vigor and accepts full responsibility for actions.

Advocates for patients and families and exhibits professional and therapeutic customer service skills.

Major Job Duties and Responsibilities 

Demonstrates the communication by clearly conveying information and ideas through appropriate mechanisms in a way that engages people and helps them understand and retain the message.

Demonstrates ability to make patients and their needs a primary focus of one’s actions, developing and sustaining productive patient relationships.

Demonstrates safety by familiarizing him or herself with policies and procedures, practicing personal and patient and equipment safety consistently and reporting any and all safety hazards/unusual patient or administrative occurrences that may have effect on patient and/or staff’s wellbeing.

Demonstrates ability to set high standards of performance for self and others; assumes responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.

Performs head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general population considering needs specific to the standard of care for patient’s age.

Adequately assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.

Actively seeks opportunities to offer task assistance to all CPMC Team Members as appropriate.

Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes and care plan to ensure optimal patient care and documents per policy.

Administers medications and their correct administration based on age of the patient and their clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors.

Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.

Assists providers with procedures and performs services requiring technical and manual skills.

Participates in meetings, committees, and continuing education to improve individual, departmental, and organization performance.

Performs waived testing (point of care) per Clinical Laboratory’s and unit’s policies and procedures. Interprets results of waived tests: taking appropriate action on waived tests results.

Coordinates and supervises patient care as necessary.

Demonstrates an ability to be flexible, organized and function under stressful situations.

Education Requirements

High school diploma or equivalent. 

Graduate of Accredited school of nursing.

Current licensure to practice as a Registered Nurse in the State of Montana.

Current certifications in BCLS and ACLS.

PALS and NRP within six (6) months of employment.

TNCC certification within twelve (12) months of employment preferred.

ENPC within twelve (12) months of employment preferred.

Experience

A minimum of two (2) years of clinical experience as a Registered Nurse in the Emergency Department setting. 

Successful completion of an orientation program.

Schedule

PRN (as needed basis)

Varies shifts, depending on the needs of the department including weekends, nights and/or holidays.

Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.

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