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Immanuel Lutheran Communities RN Resident Care Manager- The Retreat in Kalispell, Montana

Job Description

Immanuel Living is currently hiring for RN Nurse Resident Care Managers (RCM) for its Skilled Care Center in the Retreat Rehab Unite. As a RCM, the position will also perform secondary duties and responsibilities according to Unit assignment as follows:

  • Retreat West/Nurse Educator

  • Retreat East/Wound Nurse


    Provide professional nursing leadership, professional nursing care and clinical oversight to the patient/resident direct care team on the unit. The leadership shall be rendered in an effective manner that is consistent and aligned with the (a) core values, mission, ethics and the Immanuel Spirit of Immanuel Living, (b) the policies and procedures of Immanuel Living and (c) standards of care and regulations per regulatory agencies

    Leadership Job Duties

    • Human Resources & Supervisory Responsibilities

    • Supervise staff assigned to the Unit.

    • Create a supportive department culture by fostering individual motivation, coaching and training for optimum job performance.

    • Collaborate with Human Resources to ensure each employee has the required and appropriate license and certification(s).

    • Give direction without conflict.

    • Anticipate staff problems and take preventive measures.

    • Analyze and respond to employee turnover taking appropriate steps to maintain high employee morale and satisfaction.

    • Educate employees on timekeeping policies and procedures to ensure accuracy.

    • Responsible for annual performance evaluations with employees on or before their due date for all employees supervised by the Resident Care Manager

    • Plan work schedules and assign work to staff to ensure adequate service and coverage.

    • Decision Making/Judgement

    • Analyze problems or procedures, evaluate alternatives and select best course of action; use of logic and commonly accepted practices in decision making to ensure timely effective solutions.

    • This position cannot authorize exceptions to corporate policy or procedure.

    • Documentation & Communication

    • Effectively share information, build relationships and influence positive outcomes.

    • Demonstrate good collaboration, listening skills and effective verbal and written communication skills.

    • Communicate clear and measurable expectations and participates in corrective actions as needed.

    • Assist the Director of Nursing in the follow through of annual departmental operations and budgets.

    • Monitor staffing levels and low census plans and make appropriate adjustments.

    • Demonstrate cost containment with all resources.

      Job Specific Duties

    • Exhibit a demonstrated commitment to the mission and Immanuel Spirit of Immanuel Living.

    • Provide oversight of the nursing staff and patient/resident care including staffing, orientation, education, policy/process compliance and overall quality of patient/resident interaction and care.

    • Create an environment of collaboration and mentorship. Manager is expected to adjust schedule to include periodic night shift presence. Manager will also support/assume nursing duties in extreme need situation or as operationally required.

    • Support customer service guidelines by developing patient/resident and family relations, supporting the care team to provide exemplary customer service and demonstrating proactive service recovery.

    • Initiate, coordinate and oversee the Resident Assessment Instrument (RAI) process on his/her unit. Completes the nursing elements of the Minimum Data Set (MDS) 3.0, provides staff orientation and education as needed, i.e. MDS system. Implement plans of care or assist other licensed personnel in implementing plan of care. Facilitate care conferences in LTC, attend when necessary care conferences in TCU. Coordinate and communicates with the interdisciplinary team.

    • Initiate and coordinate processes that will maximize reimbursement and assure compliance with federal and state guidelines. ARDs optimize the PDPM System. Facilitates and/or participates in weekly Utilization Review meetings and monthly triple check.

    • Adhere to State and Federal rules and regulations concerning delivery of resident care and assures that nursing services are provided and documented accordingly.

    • Evaluate nursing care delivery by administering resident care audits and perform focused rounds in the unit/facility to ensure that the safety, comfort and needs of patients/residents and families are provided in a timely, courteous and professional manner. Maintain a visible and participatory presence on the unit and address needs or concerns in a timely manner.

    • Participate in the development and concurrent review of policies and procedures.

    • Monitor unit productivity standards, low census needs

    • Maintain adherence of nursing practice on the unit according to the Montana State Nurse Practice Act, the State Board of Nursing regulations, the regulatory standards governing Immanuel Living and the application of the standards to the policies and procedures.

    • Participate in the safety, quality, and risk management programs to improve structure, process and outcomes of care. Participate in organizational committees/task forces as assigned

    • Assist Nursing Home Administrator with the preparation for and collaboration with other team members prior to and during the CMS and long-term care survey.

      Personal Interaction - This position may interact with:

    • Guests/residents, family members, and/or designees

    • General public

    • Immanuel administrators, directors, managers, supervisors, staff

    • Medical service providers, including physicians and pharmacists

    • Other service providers or representatives

    • Federal, State, Local government representatives

      Some Weekends Required and On Call Rotation


  • Current unencumbered Montana RN License.

  • Current Healthcare Provider CPR certification.

  • Bachelor degree in Nursing preferred, but is not required.

  • A minimum of 2 years of experience in a nursing leadership role. A minimum of 3 years long term care experience. Will consider combinations of experience and education.

  • Possess knowledge of the health care environment, long term care regulations, and care delivery systems as they apply to the clinical practices on the unit.

  • Ability to employ critical thinking skills, decision making and professional judgment.

  • Experience with nursing information systems, Medicare billing, and PDPM.