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Therapy & rehab

Rehab Aide (Overnight Shift)

Rimrock Foundation logoRimrock FoundationBillings, MTPosted 3w ago
  • Nights
  • Driver's license

How this pay compares

This posting does not state an hourly rate. Rehab aides employed in Montana earn a median of $18.73 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

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About the job

JOB SUMMARY

The Rehabilitation Aide, with documented training and under the supervision of the Licensed Addiction Counselor or Mental Health Professional Staff the Rehabilitation Aide, will provide psychosocial rehabilitation services as noted in the Administrative Rules of Montana 37.106.1413. Will provide direct services and support to clients after program hours in addition to any delegated assistance to Medical Unit staff and Counselors. Assure adherence to state statutes and rules, CARF standards, and federal regulations including HIPAA and 42 CFR Part 2. Positively represents the organization and promotes Rimrock’s Mission to the community.

ESSENTIAL FUNCTIONS

  • Provide observation and therapeutic support to assigned patients, to include rounds at the assigned residential sites to assure security and maintenance of program schedules.
  • Report all incidents, unusual events and emergencies immediately to the Supervisor and nurse on duty, according to Rimrock’s policies and procedures.
  • Intervene and de-escalate situations when necessary.
  • Monitor and facilitate client phone calls.
  • Document patient care or behavioral issues to the clinical care team through AM/PM comm logs.
  • Monitor all visitors and assure that no contraband is brought into the facility by visitors or patients.
  • Perform client luggage searches at the time of admission and transport any luggage to storage area. Additional searches as needed.
  • Provide necessary assistance to any client while they self-administer medication, which includes removing medication from secured storage, handling and opening medication, providing verbal, visual, or written instruction, holding and assisting the client when drinking oral medications.
  • Attend all scheduled staff meetings and in-services to ensure compliance with all mandatory training requirements noted in the Administrative Rules of Montana 37.106.1434 and by CARF standards.
  • Follow guidelines under code of conduct section in employee handbook.
  • Assist with food service and patient supervision in dining room.
  • Monitor and accompany client on any breaks.
  • Complies with regular, predictable, and reliable attendance.
  • Guide clients through self-advocacy and problem solving when situations present themselves.
  • Trains new employees after completion of RA II requirements.
  • Other duties as assigned.

Safety-Related Duties

  • Transport patients to outside activities in a safe and prudent manner observing all driving laws and Rimrock’s policies and maintain driving logs. Immediately report any mechanical problems to the Supervisor.
  • Provide regular rounds to assure the security of facilities ensuring doors are locked and alarms set after hours.
  • Assure all incident report forms are completed according to Rimrock’s policies.
  • Be familiar with emergency procedures and assist in an actual event or drill situation.

ORGANIZATIONAL COMPETENCIES

  • Accountability – Takes ownership for resolving problems, reaching goals, and serving patients, team, and organization. Accepts responsibility for own behavior. Assures that resources are allocated in accordance with the priorities of the strategic plan. Performs self-quality monitoring in order to develop and execute plans to meet established goals.
  • Time Management – Maximizes the use of time and resources and effectively prioritizes tasks. Completes paperwork, evaluations, and other required documentation accurately and timely.
  • Teamwork – Works cooperatively and capably with a wide variety of people. Actively promotes teamwork and information sharing within and across departments. Works in a spirit of teamwork and trust and maintains professional boundaries in working with others.
  • Flexibility – Adapts rapidly to changing work demands and priorities.
  • Confidentiality – Complies with all HIPAA and 42 C.F.R. Part 2 regulations relating to privacy, security, and confidentiality. Safeguards confidential information of patients, employees, and business operations
  • Safety – Knows and understands emergency procedures and completes incident reports within 24 hours of event with detailed information.
  • Communication – Consistently uses positive communication skills to promote effective interpersonal relationships. Provides timely and thorough follow-up with internal and external customers. Models professionalism by addressing others with appropriate actions, appearance, and communication. Models and promotes effective written and verbal communication.
  • Customer Service – Supports the organization’s customer service initiative. Strives for service excellence by seeking challenges and turning them into opportunities. Anticipates and meets needs of patients while maintaining appropriate boundaries. Displays a friendly, helpful, and approachable demeanor. Obtains feedback from patients regarding their perceptions of the service provided to them and utilizes this information to improve service delivery.
  • Respect – Establishes compassionate and supportive rapport with patients. Communicates tactfully and respectfully with patients, coworkers, and others.
  • Quality Improvement – Assures that information is collected, organized, reported and used to improve the quality of systems and services. Recognizes and appropriately reports to supervisor areas within scope of responsibility that fall outside the quality parameters. Serves on committees or process improvement teams to assist in improving quality/customer satisfaction, as assigned.

EXPERINCE/EDUCATION/TRAINING: High school diploma or GED required. Knowledge, skills, and abilities necessary to communicate and work with patients with addictions. Attend monthly departmental sessions and in-services. View non-violent crisis intervention tapes/videos and attend related training. Needs to attend 4 hours of CEU training annually, specifically Trauma Informed Care, De-escalation, Motivational Interviewing, and Suicide Awareness.

This position has a career ladder. In order to advance in the career ladder, the following must be met:

  • Rehabilitation Technician I for one year
  • No Disciplinary action within the last twelve months
  • Complete required 4 CEUs for calendar year
  • Cross Trained at Main Facility and one Residential Facility
  • Score 90% percent on Safety RA Quiz
  • Complete Skills Assessment

CERTIFICATE OR LICENSE

  • A valid driver’s license required.
  • Must be insurable under Rimrock’s driving policy. May not have more than 2 violations/accidents or suspensions/reinstatements within 3 years. May not have any DUI/Reckless/Felony driving convictions within 5 years.
  • CPR and First Aid training certification must be obtained within 6 months.

SKILLS: Communication; ability to take direction and work adjunctively with therapeutic team; provide empathy and possess a knowledge and compassion of patients with addiction and implement positive reinforcement of patients. Computer skills and proficiency with Microsoft software including Word, Excel and Outlook.

PHYSICAL DEMANDS: Work is indoors in an office environment with moderate noise. Intermittent physical effort involving lifting of up to 25 pounds, walking and stooping is required. A typical workday involves walking, standing, reaching with hands and arms, and talking and hearing, approximately 70% of the time. Approximately 30% or less of the time is spent sitting. Normal vision abilities required, including close vision and ability to adjust focus.

WORK ENVIRONMENT/JOB LOCATIONS : Involves everyday risk or discomfort requiring normal safety precautions in an office setting, meeting room and patient care areas. Work may involve mental and emotional stress. Some driving required. Will work primarily in main facility, although may be required to work at another facility with adult or adolescent patients.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Requirements

Must have a valid Driver's License

CPE & First Aid training certification must be obtained within 6 months of employment

From Rimrock Foundation's job posting, checked 4 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Rimrock Foundation

Rimrock Foundation hires mental health staff, therapists and advanced practice providers in Billings, Montana.

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