Registered Nurse IMC/PCU/Stepdown
Location: Great Falls, MT
Profession: Registered Nurse
Posted: 7/14/2026
Salary: $1966.00/weekly
Weekly Hours: 36
Shift: Days
Job Details
Job Title
Progressive Care Unit RN (PCU / Step-Down)
Location
Great Falls, MT
Schedule / Job Type
Contract | Night Shift | Onsite
Key Responsibilities
- Provide direct nursing care to hemodynamically stable or predictably unstable patients who do not require ICU-level care, from admission through discharge including discharge planning
- Care for patient populations including post-op surgical, pre/post PCI, pacemaker placement, revascularization, carotid endarterectomy, thoracotomy, CHF, COPD, DKA, renal failure, DVT, PE, and sepsis
- Operate advanced medical equipment and manage patients with central lines, chest tubes, nasogastric tubes, continuous bladder irrigation, multiple IVs, long-term stable ventilation, and CPAP/BiPAP support
- Perform skilled patient assessment and intervention, recognizing and responding to potentially deteriorating conditions
- Collaborate with interdisciplinary teams to ensure effective care delivery and achievement of desired patient outcomes
- Act as a clinical leader, assist with precepting staff, and provide direction to LPNs, CNAs, and ancillary staff as needed; complement the Medical Surgical unit when staffing needs arise
Required Qualifications
- Current State of Montana RN Licensure (or ability to obtain)
- BLS, ACLS, and PALS certification required or obtained within 6 months of hire
- Ability to operate advanced medical equipment including A-lines, invasive lines, chest tubes, and ventilatory support devices
- Proficiency in basic cardiac telemetry and EKG interpretation
- Ability to manage common IV medications including Heparin, Diltiazem, Dobutamine (non-titrated), Lasix/Bumex, Amiodarone, and Dopamine (non-titrated)
Preferred Experience / Skills
- ENPC and/or TNCC certification
- Pediatric nursing experience
- Experience with post-heart catheterization care and post-operative vascular surgery patients
Why Join Us
- Opportunity to work in a dynamic progressive care environment managing a broad and complex patient population with advanced clinical skills
- Supportive interdisciplinary team setting with opportunities for clinical leadership and professional development
Apply Now
Career Consultation
Didn't find the job you were looking for? Schedule a free career consultation with one of our recruiters.
Earn When You Refer to iDEAL
In school? Not in the field? Not looking? No problem. You can still earn a bonus by referring the Education + Healthcare professionals in your network. Help others find their dream job & get rewarded for the connection.
Share this job
The iDEAL Experience
At iDEAL Hire, we’re educators, clinicians, and industry experts who understand the work because we’ve lived it. Some of us have taught in classrooms or cared for patients; others bring decades of experience shaping the healthcare and education staffing world.
That blend of real-world perspective and deep industry insight drives how we serve — connecting mission-driven professionals with schools and facilities nationwide to improve outcomes and strengthen communities.
Proudly 100% Women-Owned (WBENC) and Minority Business Enterprise (MBE) certified, iDEAL Personnel Services is built on diversity, integrity, and the belief that connecting people and creating a path to thrive together is at the heart of all we do.