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The Transfer Center Nurse is the first point of contact when a regional provider is seeking assistance for their patient through the Billings Clinic Transfer Center. The nurse coordinates conversations with providers to care for patients in their home community as well as coordinates the transfers when a patient is needing a higher level of care. The ability to manage competing priorities and technologies without compromising accuracy, efficiency, and safety is essential to the success of this position. The Nurse must possess outstanding customer service skills, proficient knowledge of pathophysiology and disease processes, and astute critical thinking and triage skills. Essential Job Functions • Performs nursing triage to identify the providers, clinicians, and staff necessary to support medical conversations and transfers Billings Clinic • Orchestrates patient movement in the Billings Clinic system with regard to balancing bed supply and demand and reducing or eliminating unnecessary delays • Engage ancillary partners, charge nurses, and others to identify and resolve barriers to throughput • Provides support to the Administrator on Duty (AOD) and Patient Placement roles • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. KNOWLEDGE: • Regulatory requirements and standards (DNV, OSHA, CMS, Magnet, etc.) • Patient placement procedures and practices • Policies and procedures related to patient throughput, capacity, and staffing • Infection control standards and guidelines • Billings Clinic physician specialties and service offerings SKILLS/ABILITIES: • Demonstrate behaviors that reflect principles of a highly reliable organization (HRO) • Demonstrate critical thinking skills with pathophysiology and disease process • Demonstrate problem solving skills related to access to medical or behavioral health resources that meet both the patient and organization’s needs. • Demonstrate professional communication skills, both verbal and written • Display tact and diplomacy in conflict resolution • Maintain attention to detail and gathering/assessing information; provide problem analysis and resolution • Prioritize and make decisions for timely transfers based on acuity, diagnosis, preference, bed availability, and staffing resources • Utilize Cerner applications, Microsoft Office, and other operating systems and software to support functions related to patient acuity and patient placement • Maintain data and reports related to safety, quality, and patient throughput • Closely monitor and assess bed availability to ensure timely placement • Demonstrate time management skills, the ability to manage frequent interruptions, prioritize workload, and quickly switch tasks with minimal delays in workflow • Maintain the highest degree of integrity and confidentiality due to the sensitive nature of information handled Minimum Qualifications Education • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. Experience • 5 Clinical experience in an acute care setting, recent experience preferred • Acute care experience preferred • Previous Call Center/Transfer Center experience preferred. Care Management experience considered • Excellent verbal skills including a telephone voice and speech pattern that is articulate and has a pleasant tone • Typing at 35 words per minute with accuracy Certifications and Licenses • Current Registered Nurse licensure in the state of Montana Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

RN (.9) - Pre/Post/PAT

May be eligible for $20,000 sign on incentive Ma be eligible for relocation assistance May be eligible for tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. Licensures and Certifications • Healthcare Provider CPR Certification required • Current Montana state license as a Registered Nurse required

RN (1.0) - Pre/Post/PAT

May be eligible for $20,000 sign on incentive Ma be eligible for relocation assistance May be eligible for tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. Licensures and Certifications • Healthcare Provider CPR Certification required • Current Montana state license as a Registered Nurse required

RN (per diem) - Pre/Post/PAT

May be eligible for $20,000 sign on incentive Ma be eligible for relocation assistance May be eligible for tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. Licensures and Certifications • Healthcare Provider CPR Certification required • Current Montana state license as a Registered Nurse required

RN (.75) - Pre/Post/PAT

May be eligible for $20,000 sign on incentive Ma be eligible for relocation assistance May be eligible for tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. Licensures and Certifications • Healthcare Provider CPR Certification required • Current Montana state license as a Registered Nurse required

apartment Billings Clinic location_onBozeman, MT

RN - Pre/Post Op and 23 Hour Stay - Bozeman

The successful Pre/Post-Op and 23 Hour Stay Surgery Center RN will be an integral component in facilitating patient flow and throughput while maintaining high levels of quality care which are consistent with recognized national nursing standards, legal requirements and Surgery Center policies and procedures. The duties will encompass the pre-operative care area and post-operative care area, which include both phase I and phase II recovery as well as the 23-hour extended stay unit. Essential Job Functions Oversees and directs the care of the pre-surgical/post-procedural patient and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient's experience. Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records. Provides safe, therapeutic, and quality direct patient care to the pre-operative and post-surgery patient by utilizing the nursing process and nursing diagnosis in a timely manner, setting appropriate priorities. Recognizes and interprets symptoms indicative of changes in condition of patient and communicates appropriate information to co-workers, surgeons, and anesthesiologists concerning patient care. Safely carries out physician's orders correctly and promptly, documenting all activities. Communicates and interacts with patients and family in a positive and supportive manner. Assists in patient education during all phases of the patient's experience. Ensures informed signed consents are completed prior to administration of sedation. Prepares all records pertaining to the procedure. Maintains equipment and supplies to include cleaning and disinfection of equipment, operates and troubleshoots specialized equipment and patient monitoring equipment, anticipates and assists with maintaining adequate inventory of supplies and medications. Post procedure assists with inventory control by proper count of supplies/time used. Assists in crash cart maintenance and defibrillator checks. Accountable for administration of drugs, IV procedures and other therapeutic and diagnostic measures in a safe and accurate manner. Initiates orders and follows anesthesia protocol. Staffing working in the pre-op area and phase II area maintain ACLS. Staff working phase I maintain both ACLS and PALS. Label's specimen containers in front of the patient and prepares specimens for the laboratory. Completes discharge procedure safely, providing proper post-operative instruction and assists patient to vehicle. Initiates and participates in patient and family education. Complies with cost containment practices. Provides oversight and direction to other Surgery Center technical and ancillary personnel. Assists with orientation and training of new or existing staff members. Takes responsibility for identification of own professional growth and development needs; meets all system/departmental educational requirements. Participates with in-service opportunities and staff meetings. Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance. Adheres to national patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action to minimize or eliminate risks and maximize safety in the Surgery Center. Incorporates the 14 forces of Magnetism in transforming the work environments and for enhancing quality of nursing care. Performs other duties and works in various areas of pre-op, post-op, and 23 hour as assigned or as needed to meet the needs of the Surgery Center.

CMA

apartment Billings Clinic location_onMiles City, MT

Medical Assistant I (Full-time/Miles City)

Under general supervision, the Medical Assistant I is key in supporting patient care and treatment while providing administrative and clerical assistance. This role requires effective collaboration with Physicians, Advanced Practice Providers (APPs), Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and other healthcare team members to address the physical, psychosocial, educational, and spiritual needs of patients and their families. The Medical Assistant I is essential in ensuring smooth clinical operations and contributing to a high standard of patient care in various healthcare settings. Essential Job Functions • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. • Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Prepares room, equipment and supplies as dictated by a particular examination, patient’s needs, and Billings Clinic exam and procedure room cleaning guidelines. • Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays. • Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider. • Orders and maintains clinical and office supplies and equipment as directed. • Maintains patient files, records and other information. Adheres to confidentiality requirements. • Compiles statistical data for reports as directed. • Attends required meetings and participates in committees as requested. • Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Minimum Qualifications Education • High school diploma or GED equivalent • Completion of the MA residency or obtain certification within 12 months of hire (if applicable) • Medical Terminology, Medication History, and New Clinic Staff Class within 6 months and/or prior to testing Certifications and Licensure • Healthcare Provider CPR Certification POSITIONS ARE SIGN-ON INCENTIVE ELIGIGBLE!

apartment Billings Clinic location_onColumbus, MT

RN Endoscopy Coordinator (Full-time)

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence- based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care rendered. Essential Job Functions • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach and evidence-based nursing practices, incorporates the nursing process into the goal directed plan of care for the patient. Plan of care should include planning and scheduling of intervention/care and collaboration with other services/departments. • Prepares and administers various medications and injections; collects and analyzes specimens as directed. • Provides and/or assists with patient care, minor procedures and treatments within the scope of practice. • Communicates appointments, specialty procedures, and instructions by phone, in writing, and in person; coordinates patient information with other facilities, departments, and staff as appropriate. • Provides education, instructions, and advice to patients as directed by physician with consideration to age-appropriate care. • Responsible for documentation within clinical records (both electronic or written) of all patient care or treatments provided • Enters physician orders into clinical information systems. • Evaluates patient status via phone and in office setting. Advises patient appropriately (i.e., wound status, post-operative, etc.). • Plans and organizes the workday to meet the need of the designated area. • Provides office clerical and administrative services as directed or as needed to maximize workflow, patient through put and to maximize provider resources. • Assists with provider documentation, charge capture and billing code capture. • Delegates work assignments within the scope of practice to other team members (LPN, Medical Assistant or Patient Service Representative) to meet the needs of the facility. • Plans, organizes, implements, evaluates and documents safe patient care consistent with organizational values/goals, policies and procedures. • Adheres to patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action. • Maintains appropriate skill/knowledge in specialty area with application and patient relevance of commonly used equipment specific to area; pharmacological application; application of laboratory values with disease process and physiological status. • Analyzes and shares the practice implications of nursing research in specialty area. • Performs or assists with various procedures as competency and training permit (e.g., dobutamine stress tests, conscious sedation, spirometry, IVs, and patient recovery, etc.) • Utilizes performance improvement principles to assess, enhance, and/or improve the quality of care. Participates in the incorporation of evidence-based outcomes and core principles, state survey/accreditation readiness activities, quality audits, quality improvement and patient safety teams, peer review processes, etc. • Develops collaborative relationships with physicians and other health care providers to enhance quality practice. • Takes responsibility for identification of own professional growth and developmental needs; meets all system/departmental educational requirements. • Demonstrates positive, supportive, and caring behaviors in communication with patients, families, visitors, physicians, staff, and others. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Nursing practice is delivered with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes or the nature of health problems • Performs other duties as assigned or needed to meet the needs of the department/organization. Department or Level Specific Duties and Responsibilities • Triage RN Functions • Outreach Physician support • Float to other nursing areas within the hospital • Knowledge of nursing theory and practice to assess, evaluate and provide quality patient care. • Knowledge and skill in advanced nursing assessments and procedures, aseptic technique, hazardous drugs • Advanced knowledge and understanding of specialty services, treatments, and nursing practices • Analytical skills necessary to perform diverse clinical, regulatory, and clerical responsibilities requiring analysis, judgment, and knowledge of services/treatments • Work is performed independently in accordance with general directives • Assumes responsibility for initiating necessary follow-up to maintain compliance with all clinical research trials • Ability to resolve difficult or serious situations with input from others as needed • Interpersonal skills which enable incumbent to assist with training and respond to other nurses’ questions and conduct community and patient education. All interpersonal relationships reflect respect, concern, and courtesy for the other individual • Responsible to ensure timely and accurate capture of charges for services provided • Accountable to be fiscally responsible in selection and utilization of supplies with consideration to quality outcomes Minimum Qualifications Education • 2 Year / Associate's Degree in nursing - Bachelor’s degree in nursing within 4 years of hire Experience • Minimum of two (2) years of experience as an RN working in a hospital, physician clinic or other medical facility, preferred Certifications and Licenses • Current Healthcare Provider CPR Certification or become CPR certified prior to working in a patient care environment, typically accomplished during the first week of orientation. At hire • Current ACLS certification required for RN’s who perform procedures (e.g. dobutamine stress test, conscious sedation, etc.) and must be able to obtain within 9 months of employment at hire • Current Montana state license as a registered nurse required at hire

Transfer Center RN

The Transfer Center Nurse is the first point of contact when a regional provider is seeking assistance for their patient through the Billings Clinic Transfer Center. The nurse coordinates conversations with providers to care for patients in their home community as well as coordinates the transfers when a patient is needing a higher level of care. The ability to manage competing priorities and technologies without compromising accuracy, efficiency, and safety is essential to the success of this position. The Nurse must possess outstanding customer service skills, proficient knowledge of pathophysiology and disease processes, and astute critical thinking and triage skills. Essential Job Functions • Performs nursing triage to identify the providers, clinicians, and staff necessary to support medical conversations and transfers Billings Clinic • Orchestrates patient movement in the Billings Clinic system with regard to balancing bed supply and demand and reducing or eliminating unnecessary delays • Engage ancillary partners, charge nurses, and others to identify and resolve barriers to throughput • Provides support to the Administrator on Duty (AOD) and Patient Placement roles • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. KNOWLEDGE: • Regulatory requirements and standards (DNV, OSHA, CMS, Magnet, etc.) • Patient placement procedures and practices • Policies and procedures related to patient throughput, capacity, and staffing • Infection control standards and guidelines • Billings Clinic physician specialties and service offerings SKILLS/ABILITIES: • Demonstrate behaviors that reflect principles of a highly reliable organization (HRO) • Demonstrate critical thinking skills with pathophysiology and disease process • Demonstrate problem solving skills related to access to medical or behavioral health resources that meet both the patient and organization’s needs. • Demonstrate professional communication skills, both verbal and written • Display tact and diplomacy in conflict resolution • Maintain attention to detail and gathering/assessing information; provide problem analysis and resolution • Prioritize and make decisions for timely transfers based on acuity, diagnosis, preference, bed availability, and staffing resources • Utilize Cerner applications, Microsoft Office, and other operating systems and software to support functions related to patient acuity and patient placement • Maintain data and reports related to safety, quality, and patient throughput • Closely monitor and assess bed availability to ensure timely placement • Demonstrate time management skills, the ability to manage frequent interruptions, prioritize workload, and quickly switch tasks with minimal delays in workflow • Maintain the highest degree of integrity and confidentiality due to the sensitive nature of information handled Performs all other duties as assigned or as needed to meet the needs of the department/organization. Minimum Qualifications Education • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic may help support the cost through financial assistance. Experience • 5 years of clinical experience in an acute care setting, recent experience preferred • Acute care experience preferred • Previous Call Center/Transfer Center experience preferred. Care Management experience considered • Excellent verbal skills including a telephone voice and speech pattern that is articulate and has a pleasant tone • Typing at 35 words per minute with accuracy Certifications and Licenses • Current Registered Nurse licensure in the state of Montana

RN Cardiology (1.0)

The nurses in the Cardiology Department will be responsible for applying evidence-based nursing practice to the care of patients over the course of their lifespan. This involves the integration of education and research into the practice through the application of standards and guidelines. Data collection and assessment are used to establish goals and priorities in accordance with patient care, staff needs, and organizational objectives. Nurses are accountable for the quality of care rendered. Essential Job Functions • Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. Demonstrates positive, supportive, caring behaviors in communication with patients, families, visitors, physicians, and others both internal and external to Billings Clinic. • Utilizing a holistic approach incorporates the nursing process into the plan of care for the patient. Plan of care should include biophysical, psychosocial, environmental, self-care, educational, and discharge planning. • Plans, organizes, implements, evaluates and documents family-centered cardiac care by promoting a safe and therapeutic environment for patient, family, significant others, and care providers. Care is consistent with Billings Clinic values/goals and Billings Clinic organizational and departmental policies and procedures. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate corrective action. • Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the Cardiology Department and other areas as appropriate; pharmacological application; application of laboratory values and radiologic findings with disease process or physiological status. • Utilizes performance improvement principles to assess and improve the quality of patient care. Evaluates current nursing practices within the Cardiology Department to identify opportunities for modification that would enhance professional practice, maintain or improve patient care while remaining fiscally sound. • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains proficiency and knowledge within a rapidly changing environment. • Performs other duties as assigned or needed to meet the needs of the Cardiology department or organization.

RN Care Manager - Inpatient (Part-Time)

Under the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care. Essential Job Functions Assessment • Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs. • Proactively screens and assesses the acuity and transitional needs of each assigned patient. • Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient. Interventions and Care Coordination • Demonstrates the ability to interpret clinical information and understand health care treatment and systems. • Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management. • Participates in the patient’s plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information. • Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings. • Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement. • Coordinates care conferences to support effective communication as needed. • Helps navigate the patient throughout the continuum of care. • Effectively collaborates and coordinates care with the Social Services Care Manager. • Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers. • Provides information about available resources to patients and their support systems. • Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate. • Acts as a clinical resource to the Social Services Care Manager. • Understands consultative disciplines and their role in patient care. • Maintains respectful and professional communication skills. Insurance and Utilization Management •Maintains working knowledge of CMS requirements and readmission penalties. •Maintains working knowledge of insurance/payer benefits. Evaluation •Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs. •Monitors, evaluates and documents patient progress related to plan of care. Documentation • Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines. • Utilizes standards of professional practice in all documentation and communication c consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession. • Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines. Safety/Quality Assurance/Risk Management • Identifies service gaps and participates in hospital and department programs to address and improve quality of care. • Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies Professional Accountabilities •Participates in continuing education, department planning, work teams and process improvement activities. •Maintains current Licensure. •Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety. •Demonstrates the ability to be flexible, open minded and adaptable to change. •Maintains competency in organizational and departmental policies/processes relevant to job performance. •Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession. Minimum Qualifications Education • 2 Year / Associate Degree Associate Degree in Nursing considered with commitment to complete BSN. • 4 Year / Bachelors Degree BSN required for candidates with fewer then 5 years of registered nursing experience Experience • 2 - 4 years of successful professional nursing experience. • 1 Successful inpatient nursing experience, preferred. • 1 Experience working in Billings Clinic, preferred. License and Certification • Current Registered Nurse license in the state of Montana, at hire

LPN

PCU

LPN Hospital - Intermediate Care Unit

Under general supervision of the, Manager, Clinical Coordinator, Director and/or as delegated by the Registered Nurse, assists in the delivery of patient/resident care. Utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Works collaboratively with the RN to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the plan of care while maintaining professionalism. ESSENTIAL JOB FUNCTIONS • Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching. • Provides nursing care by performing basic to semi-complex treatments as delegated by the RN. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Observes patients for physical and emotional reactions to medications and treatments, reporting any irregularities to appropriate medical and/or other nursing personnel. • Adheres to Billings Clinic safety standards, policies and practices. • Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance Takes responsibility for own professional growth and development needs; meets all system and departmental educational requirements. • Consideration is given to the appropriateness of care based on the population specific needs of the patient including age appropriate and cultural needs. • Utilizes performance improvement principles to assess and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Demonstrates collaborative, supportive and caring behaviors in communication with patients/ families, visitors, and the interdisciplinary team Performs all other tasks as assigned or as needed to meet the needs of the department/organization. MINIMUM QUALIFICATIONS Education • Graduate of an approved program for licensed practical nurses, which must include an IV Therapy course of study Licenses • Current state license as a practical nurse required • CPR/ACLS/PALS • BLS/Healthcare Provider

Labor and Delivery

RN, Hospital - LDRP (per diem)

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE, RELOCATION REIMBURSEMENT, AND TUITION LOAN REPAYMENT. Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Knowledge, Skills and Abilities • Customer service techniques and Personal Service Excellence (PSE) skills • Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.) • Computers and electronic applications • Nursing practices, planning and assessment within scope of practice • American Nurse’s Association (ANA) Code of Ethics • Patient safety standards • Interpersonal communication • Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals. • Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric • Communicate clearly and effectively, both verbal and written • Utilize time management concepts and maximize time effectively • Work effectively with interdisciplinary care team • Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families, while working with frequent interruptions and competing priorities • Respond calmly and professionally when dealing with difficult or emergency situations • Maintain flexibility to adapt to a variety of workload assignments • Lift, push and pull 50 pounds unassisted • Resourcefulness in dealing with emergency situations • May be required to work on varied nursing units for varying periods of time • Practices within the scope of RN licensure Minimum Qualifications Education • 2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance • Preferred - 4 Year / Bachelors Degree (BSN) Experience • At least one year of RN experience Certifications and Licenses • Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

apartment Billings Clinic location_onTownsend, MT

RN - Acute/ER Night Shift ~ $5.75 Hourly Diff. (NOC/Full-time/Townsend)

Working under general supervision, the RN employs the full nursing process—assessment, planning, implementation, and evaluation—while utilizing both theoretical knowledge and clinical skills to promote and maintain patient health. Requires integrating evidence-based nursing practices aligned with national standards to achieve quality outcomes. Accountable for the quality of nursing care provided, overseeing the care plan with a focus on maintaining professionalism. Involved in delivering exceptional nursing care to patients in acute, swing bed, and emergency care settings, in close collaboration with physicians, nurse practitioners, and other healthcare professionals. The ideal candidate will exhibit clinical expertise, a strong dedication to patient-centered care, and the ability to excel in a fast-paced, rural healthcare setting. Essential Job Functions • Meet all mandatory organizational and departmental requirements, maintaining competency in standards related to environment, employee and patient safety, and job performance. • Utilize a holistic approach and evidence-based nursing practices to integrate the nursing process—assessment, planning, implementation, and evaluation—into a goal-directed plan of care for each patient. • Collaborate with the interdisciplinary care team to deliver patient-centered care that meets specific needs. • Ensure timely and accurate documentation in patient medical records, adhering to departmental policies and procedures. • Adhere to safety standards, proactively identifying and addressing potential safety issues with appropriate actions. • Maintain proficiency in using relevant equipment, understanding pharmacology, and interpreting laboratory values pertinent to patient care. • Integrate evidence-based practices supported by nursing research into specialty areas to enhance patient outcomes. • Apply performance improvement principles to continually assess and improve the quality of patient care. • Take responsibility for personal and professional growth, meeting all system and departmental educational requirements. • Demonstrate supportive and caring behaviors in communication with patients, families, visitors, and the interdisciplinary care team. • Provide care that is appropriate and sensitive to the population-specific needs of each patient. • Delegate assignments and tasks to CNA with supervision to ensure patient care is completed according to Billings Clinic Policy. • Attend department trainings and meetings to stay informed on policies, procedures, and best practices. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. Minimum Qualifications Education • Two (2) Year / Associate’s Degree in Nursing • Four (4) Year / Bachelor’s Degree in Nursing preferred Experience • Preferable experience in acute care or critical access hospital setting Certifications and Licenses • ACLS - Within 6 months of hire - Must obtain prior to working independently on the unit. • PALS - Within 6 months of hire - Must obtain prior to working independently on the unit. • TNCC - Within 1 year of hire • Current Montana license as a Registered Nurse - At hire • BLS/Healthcare Provider

Clinic RN - Pediatrics - Bozeman

apartment Billings Clinic location_onBozeman, MT

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. Utilizes a holistic approach and evidence based nursing practices, supported by nursing research. Incorporates the nursing process into the goal-directed plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. Plans, organizes, implements, evaluates/triages and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies and procedures. Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status. Utilizes performance improvement principles to assess and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team. Performs other duties as assigned or needed to meet the needs of the department/organization.

apartment Billings Clinic location_onBozeman, MT

Patient Care Navigator RN (0.5 FTE) - Surgery Center - Bozeman

The incumbent in this position acts as an advocate for patients serving as the primary point of contact and is responsible for coordinating the care and services of the identified patient populations for an extended period of time across the continuum of care for both inpatient and outpatient services; promoting effective resource utilization; assuming a leadership role with the multidisciplinary team to achieve an optimal clinical outcome. Essential Job Functions Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. Facilitates the coordination of patient care services to assure excellence in patient care and patient flow; includes coordinating care, treatment and communication among the medical team Follows patient through the care continuum/experience, eliminating operational (such as scheduling, test results, etc.) barriers to services. Works closely with other healthcare disciplines to ensure timely appointments, results reporting, financial need referrals, communication, patient care and follow-up Facilitates the development, implementation and adherence to clinical and evidenced based guidelines, as appropriate, to ensure optimal clinical outcomes Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.) Ensures follow up has occurred regarding patient clinical and non clinical care to include adherence to plans of care, resource utilization, and general progress utilizing care conferences as necessary. Works in collaboration with the medical team to develop and implement clinical guidelines. Facilitates the adherence of the guidelines through regular evaluation and auditing of clinical practice. Works with care team to assure direct care needs are met, assisting as needed or assigned Ensures follow-up in the inpatient and/or outpatient setting on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.) Demonstrates expertise in educational and resourcing services Participates in educational activities related to patient/community, clinical operation and process issues on an ongoing basis Collaborates with other health care providers in developing, implementing and evaluating educational materials for patients and their families Facilitates intra-departmental relationships in an effort to provide necessary resources to and for the patient. Interfaces with other members/disciplines within the healthcare teams for appropriate referrals/services Aware of and assists with financial needs of the patients. Identify and access appropriate social services, including resources to assist caregivers to support treatment Develop options for complementary and integrative care – IM would not necessarily support this. Contributes to an environment of quality and process improvement Ensures accurate and timely data collection and entry into patient database as indicated by department guidelines Directs and coordinates identified quality assessment and improvement activities to assure quality patient services are monthly provided through audits and reviews other identified evaluation tools Ensures patient care activities for the department services are monitored monthly through audits and reviews Ensures and enhances facility, safety, and regulatory outcomes Complies with all applicable laws, regulations and accrediting agencies Complies with all Billings Clinic policies Works in collaboration with Leadership team to ensure hospital and clinic departmental goals and objectives are met. Supports the hospital and clinic departmental goals Contributes to community activities sponsored by the department Develops patient referral services by relationship-building strategies with physicians not related to the department. Performs other duties as assigned or needed to meet the needs of the department/organization. Works as an active team member and effective communicator Demonstrates effective internal and external communication strategies, written and verbal, to assure a collaborative environment Ensures appropriate and timely documentation Demonstrates a productive work ethic while on duty Works consistently as an active team player, inter-and intra-departmentally Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Performs other duties as assigned or needed to meet the needs of the department/organization.

RN, Medflight - Billings (full-time)

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence- based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. ESSENTIAL JOB FUNCTIONS • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. • Performs other duties as assigned or needed to meet the needs of the department/organization. The following requirements apply to fixed wing flights, but do not apply to maternity fixed wing flights. • Ability to maintain a body weight of 230 pounds or less, as the combined weight of the flight crew, patient and equipment cannot exceed 1220 pounds. • Ability to work safely and effectively in cramped and confined areas in emergency situations on emergency flights. • Ability to operate safely and effectively all equipment used on emergency flights (i.e., transport monitor w/defib/pacing/pressure lines/ETCO2/SaO2, transport ventilator, IVAC minimed IV pump, loading systems, etc.) KNOWLEDGE, SKILLS AND ABILITIES • Computers and electronic applications • Nursing practices, planning and assessment within scope of practice • American Nurse’s Association (ANA) Code of Ethics • Patient safety standards • Interpersonal communication • Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals. • Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric • Communicate clearly and effectively, both verbal and written • Utilize time management concepts and maximize time effectively • Work effectively with interdisciplinary care team • Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families, while working with frequent interruptions and competing priorities • Respond calmly and professionally when dealing with difficult or emergency situations • Maintain flexibility to adapt to a variety of workload assignments • Lift, push and pull 50 pounds unassisted • Resourcefulness in dealing with emergency situations • May be required to work on varied nursing units for varying periods of time • Practices within the scope of RN licensure MINIMUM QUALIFICATIONS Education • Graduate of an accredited school of nursing • 4 Year / Bachelors Degree preferred, must obtain Bachelor’s degree in nursing within 4 years of hire Experience • Three years (3) years of ICU/ED/Trauma experience within the last ten (10) years • Previous flight experience preferred. • Flight experience can be substituted year for year for the ICU/ED/Trauma requirement. Certifications • BLS At hire • Healthcare Provider CPR Certification required • ACLS At hire • PALS At hire • Certified Emergency Nurse (CEN) or Critical Care Registered Nurse (CCRN) within 6 months of hire • Emergency Nurse Pediatric Course (ENPC) or Pediatric Fundamental Critical Care Support (PFCCS) within 6 months of hire • Transport Professional Advanced Trauma Course (TPATC) within 6 months of hire • Advanced Trauma Certified Nurse (ATCN) within 1 year of hire • Advanced Trauma Life Support (ATLS) within 1 year of hire • Trauma Nurse Core Course (TNCC) within 6 months of hire • Sugar, Temperature, Airway, Blood Pressure, Lab work and Emotional Support (STABLE) within 6 months of hire • Neonatal Resuscitation Program (NRP) within 6 months of hire • Certified Flight Registered Nurse (CFRN) within 2 years of hire • Advanced Burn Life Support (ABLS) within 2 years of hire

PACU

PACU RN (.9) - Recovery Room

*Position may be eligible for $20,000 sign on incentive* *Position may be eligible for relocation assistance* *Position may be eligible for tuition loan repayment* Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree •Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance. Experience • Two (2) years Med Surg experience required if no previous experience in Recovery Room or Critical Care ACLS certification required PALS preferred or to obtained within one year of employment Certifications and Licensures • RN licensure at hire Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

RN - Surgical Services (per diem)

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance Certifications & Licenses • RN license at hire • ACLS & PALS Preferred Experience • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

RN - Surgical Services (per diem)

May be eligible for $20,000 sign on incentive May be eligible for relocation assistance May be eligible for tuition loan reimbursement Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Minimum Qualifications Education • Minimum 2 Year / Associate Degree • •Associate (or Diploma) RNs with less than 5 years of RN experience hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance Certifications & Licenses • RN license at hire Experience • Required to complete 4 hours of annual training per year for advanced orthopedic and spine certification requirements. ACLS & PALS Preferred Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

RN, Hospital - Nursing Resources/Float Pool (0.9 FTE)

May be eligible for $20,000 sign on bonus May be eligible for relocation assistance May be eligible for tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient.

CNA

Oncology

CNA, Hospital - Inpatient Cancer Care (0.6 FTE)

Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family. Essential Job Functions • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization.

CRNA

Certified Registered Nurse Anesthetist (CRNA) - 7-On / 7-Off Schedule

Seeking full-time CRNAs to join our new hospital-based Anesthesia Care Team working at Montana’s largest Level I Trauma Center and independent tertiary health system serving Montana, Wyoming, and the western Dakotas. Enjoy big city medicine with a Rocky Mountain lifestyle. • Live & work in beautiful Billings, MT (not locums) • Signing bonus & Competitive base salaries, plus extra pay for extra shifts • Plus relocation stipend, loan assistance, CME and more • 7-On / 7-Off Schedule • New grads welcome • Practice to full scope of license on a medically-supervised care team • Diverse and exciting cases • Montana-based, not-for-profit organization • #1 Hospital in Montana (US News & World Report, 2023-24) • Magnet® recognized for nursing excellence since 2006 • Member of the Mayo Clinic Care Network • Nationally recognized for patient safety and quality (CMS and Leapfrog, 2024) • Billings is one of the Top 100 Places to Live in the US (Livability, 2024) Nestled in the beautiful Yellowstone Valley, Billings, Montana is a friendly college community of 169,000 in the magnificent Rocky Mountains. Amazing outdoor recreation – hiking, biking, fly fishing, skiing/riding -- is in your backyard. Montana’s largest city offers an ideal mix of urban and rural, with an average 15-minute commute, international airport near hospital, robust restaurant scene, great schools, and abundant activities for all ages. Four seasons of sunshine! In our CRNA role, you will be a critical team member to administer general, regional and monitored anesthesia care for scheduled and emergency surgical, obstetrical, and trauma procedures and perform anesthesia-related procedures at the discretion of and under the supervision of an attending anesthesiologist. The CRNA will evaluate patients preoperatively and, in consultation with the attending anesthesiologist, formulate and carry out an anesthesia care plan including monitoring and recording patient reaction to anesthesia and modifying the anesthetic plan accordingly. Safely transport patients and provide report to and from an anesthetizing location, ensuring appropriate care during the postoperative period. Finally, be an effective team member and interact with staff and patients in a way that shows respect and consideration for the individual and those around you. Essential Job Functions • At all times works under the medical direction of an Anesthesiologist. • Provides quality patient care considering age specific, developmental and cultural needs through competent anesthesia practice. • Manages patients airway or pulmonary status using techniques such as endotracheal intubation and extubation, mechanical ventilation, pharmacological support, and respiratory therapy. • Selects, prepares, or uses equipment, monitors, supplies, or drugs for the administration of anesthetics. • Selects, orders, and administers anesthetics, adjuvant drugs, accessory drugs, fluids or blood products. • Performs pre-anesthetic screenings including physical evaluations and patient interviews, and documents results. Monitors patients responses including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output using invasive and noninvasive techniques. • Responds to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques. • Develops anesthesia care plans. • Obtains informed consent from patients for anesthesia procedures. • Assesses patients medical histories to predict anesthesia response. • Performs and evaluates the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs). • Performs or manages regional anesthetic techniques such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks. • Evaluates patients post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur. Administers post-anesthesia medications or fluids to support patients cardiovascular systems. • Discharges patients from post-anesthesia care. • Reads literature, talks with colleagues, and participates in professional organizations or conferences to keep abreast of developments in nursing. • Performs any other related duties as requested or required. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

RN Hospital - PAT Lab (.9)

May be eligible for $20,000 sign on incentive May be eligible for relocation assistance May be eligible for tuition loan reimbursement Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient.

Psych

RN (.6) - Inpatient Psychiatric Services