Registered Nurse (RN)

About La Crosse County:
At La Crosse County, we are committed to creating a vibrant, safe, and inclusive community. Guided by our Strategic Plan, we focus on economic growth, environmental stewardship, affordable housing, and robust public services that enhance the quality of life for all residents.

Why Join La Crosse County?

• Wisconsin Retirement System (WRS): A top-rated pension program.
• Affordable Insurance Premiums: Comprehensive health, dental, and vision coverage.
• Generous Paid Time Off: Vacation, sick, and 10+ paid holidays annually.
• Work-Life Balance: Flexible schedules and wellness programs.

Diversity, Equity, Inclusion, and Belonging (DEIB):
At La Crosse County, we believe that diversity strengthens our community. We are committed to fostering an inclusive workplace where all employees feel valued.


Make a meaningful impact every day.
Hillview Health Care Center is seeking a compassionate and skilled Registered Nurse to join our dedicated team at our Long-Term Care Campus. This professional nursing position plays a key role in resident care, team leadership, and upholding the highest standards of clinical excellence.
Overview
FLSA: Non-Exempt. This is a professional nursing position at the Long-Term Care Campuses of La Crosse County. Employees are selected by, and work under the general supervision of the Director of Nursing Services. Employees in this class are responsible for implementation, supervision and evaluation of resident care and management of the Licensed Practical Nurses, Nurse Technicians and Nursing Assistants on a particular shift or living area.

Location: Hillview Health Care Center, La Crosse, WI
Shifts available:
• AM Shift | 6:30 AM to 3:00 PM | Every other weekend & holiday rotation
• PM Shift | 2:30 PM to 11:00 PM | Every other weekend & holiday rotation
Pay scale:
• $36.08 to $40.54 per hour (DOE)
• Shift & weekend differentials
• Annual step progression
Status: Irregular Part-Time (less than 40 hours per pay period)

Essential Leadership Functions
Act with Integrity and Build Trust
• Demonstrate mutual respect, humility, and honesty in all interactions
• Speak up appropriately, even when expressing unpopular viewpoints
• Actively listen and remain open-minded to diverse perspectives
Drive for Results
• Set clear goals and objectives to motivate self and others to achieve outcomes
• Seek new opportunities to improve processes and drive sustainable results
• Hold self and others accountable through consistent evaluation and monitoring
Develop Talent and Effective Teams
• Foster a collaborative environment that encourages knowledge sharing and growth
• Provide mentorship and support to help self and others reach full potential
• Recognize and leverage diverse strengths within self and team
Lead with Vision and Strategy
• Understand and communicate a compelling vision that aligns with organizational goals
• Develop and execute comprehensive strategies to achieve long-term objectives
• Connect daily work to the bigger picture, inspiring self and others to contribute meaningfully
Lead with Paradoxical, Critical, and Agile Thinking
• Navigate complex situations by considering multiple perspectives
• Adapt quickly to changes and uncertainties in the work environment
• Make critical decisions using analytical skills, experience, and input from others
Build and Maintain Effective Relationships
• Communicate and collaborate effectively with stakeholders across the organization
• Influence others through coaching, consulting, and team-minded thinking
• Develop and sustain partnerships that create positive outcomes for all stakeholders
Cultivate Community Engagement and Provide Excellent Service
• Understand and address the needs and concerns of the community
• Incorporate community perspectives into decision-making processes
• Drive initiatives that create positive impacts beyond the organization
Demonstrate Emotional Intelligence
• Show self-awareness and manage emotions effectively in challenging situations
• Seek and respond constructively to feedback, even in the face of setbacks
• Balance empathy with accountability when leading self and working with others
Essential Job Functions
Provides care within the provisions of the Nurse Practice Act. Provides direct nursing care including administering medications and treatments. [1]
Supervises all nursing activities on assigned living area. [1]
Evaluates and determines resident needs and initiates and revises the resident care plan. Contributes to the multidisciplinary resident care planning. [2]
Provides for implementation of all medical orders; assists physician, as needed; collaborates with the Nurse Managers to prepare information for physician's rounds. [1]
Makes clinical assessments of resident condition and behaviors. Determines appropriate action based on these assessments. Makes accurate and complete nursing notes of these observations and actions in the clinical records. [1]
Documents accurately and completely all observations, interventions and procedures relating to resident care. [3]

Directly supervises the performance of nursing tasks assigned to Nurse Technicians. [1]
Determines and supervises work assignments to provide maximum utilization of Nursing Assistants and is responsible to see that assigned tasks are accomplished. [3]
Provides feedback to nursing assistants regarding job performance. [3]
Assists in the training and orientation of new staff. [1]
Ensures correct and appropriate diet for residents. [1]
Documents all observations and procedures relating to resident care accurately and completely. [1]
Prepares daily shift reports and keeps supervisory nurse informed. [3]
Employee is expected to report to work when scheduled, with minimum use of sick leave, to build up sick leave balance for income protection for unexpected illness. [3]
Works safely and follows safety practices and standards of the facility; responsible for reporting or correcting any existing or potential safety or accident hazard. [2]
In this public service position, employee is required to be courteous, cooperative and respectful at all times, with the public and clients. Also establishes and maintains a courteous, cooperative and respectful working relationship with other employees, supervisors and public officials. [3]
Maintains residents' rights and confidentiality of resident information; reports all suspected cases of resident abuse to the Administrator. [3]
Immediately reports all suspected cases of resident abuse, neglect or misappropriation of funds to the supervisor. [3]
Attends in-service education as provided or mandated. [3]
Supports all aspects of person-centered care. Respects and acknowledges individuality and uniqueness of residents. [3]
MDS ESSENTIAL JOB FUNCTIONS HILLVIEW
Responsible to assist the MDS Coordinator to provide for the timely and accurate completion of the MDS (Minimum Data Set) for nursing home resident assessment and caring planning. Will also assist with the Restorative Nursing program.

Demonstrates strong clinical nursing skills in assessment, planning, implementation and evaluation of nursing interventions for facility residents. Responsible for the accurate and timely completion of the MDS, as required by OBRA/Federal regulations and PPS.
Coordinates and/or participates in care planning process, especially for residents with complex care needs.
Demonstrates knowledge and clinical competence in area of resident care standards.
Thorough understanding and working knowledge of the current MDS and RUGS systems.
Thorough knowledge of application of the nursing process, assessment, planning, implementing and evaluating, completing accurate assessments and MDS entries that will result in correct resident assignment to the proper RUGS IV to ensure the appropriate payment to the facility.
Ability to maximize RUGS scores through accurate MDS coding by capturing restorative participation, skilled nursing interventions and therapy.
Physical demands: Up to 75% of time is spent standing and talking. Walking, hearing, and using near vision is used about 50% of the time. About 25% of time is spent sitting, bending, twisting, reaching. Reads and writes. Activities done about 10% of time include stooping crouching, low to very high lifting - up to 60 lbs. to transfer residents and pushing residents in wheelchairs. Uses nursing related equipment.
Related Job Functions
This job description is not intended to encompass every job duty or responsibility but is only illustrative. This position is required to perform other duties as may be assigned or required. [2]
Tasks assigned to this position involve potential and/or direct exposure to blood or bodily fluids.
Risk Exposure Categories:
1=Tasks may involve exposure to blood/body fluids.
2=Tasks do not involve contact with blood/body fluids but could result in performing Category 1 task.
3=Tasks do not involve any risk of exposure to blood/body fluid.

Knowledge, Skills and Abilities
Ability to supervise nursing staff.
Ability to cope with various nursing situations both mentally and physically. Ability to coordinate activities and determine work assignments of subordinate personnel and supervise their job performance.
Ability to record observations with accuracy and clarity.
Ability to communicate effectively and establish and maintain good working relationships with other staff members, other health care professionals and employees.
Comprehensive knowledge of nursing theories and skills. Thorough knowledge of application of a nursing process, assessment, planning, implementing and evaluating resident care; developing and updating care plans.
Basic skills in using computers to effectively enter documentation data in a computer.
Considerable knowledge of resident's needs in care of geriatric and/or mental health.
Training, Experience and Other Requirements
Requires graduation from an accredited nursing program with current Registered Nurse license in the State of Wisconsin.
Demonstrate leadership skills.
Those persons driving must have and maintain a valid Wisconsin driver license and good driving record.
May consider other relevant combinations of education and experience that provide equivalent knowledge, skills, and abilities.
CPR certification.
Preference for nursing experience in a long-term care facility. Must maintain a valid Wisconsin nursing license.
Must successfully pass a background check as required by the Wisconsin Caregiver Law.


Equal Opportunity Employer Statement:
La Crosse County is proud to be an Equal Opportunity Employer.

If you need accommodations for a disability during the selection or interview process, please get in touch with Human Resources at jobs@lacrossecounty.org.

Application Process:
All applications must be submitted through our career website. Please ensure your application is complete and accurate,our hiring process highly values attention to detail.