RN Per Diem
Ernest Health

Registered Nurse Per Diem

Overview

Registered Nurse - Per Diem - Billings, Montana

 

Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!

 

ABig Sky Rehabilitation Hospital in Billings, Montana is a freestanding critical care and inpatient rehabilitation hospital providing advanced interdisciplinary care to patients with critical, complex, and recovery-focused medical needs. As the region’s leading specialty hospital, we care for individuals who have survived serious illness, trauma, or surgery but require extended recovery time and a higher level of medical attention than typically provided in a traditional hospital setting. Our dual mission includes both long-term acute care and comprehensive inpatient rehabilitation. We offer specialized services such as ventilator weaning and respiratory therapy, cardiac monitoring and recovery, complex wound and infection treatment, and intensive rehabilitation for patients regaining strength, mobility, and independence after prolonged ICU stays. Our rehabilitation program includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP), tailored to each patient’s unique goals for recovery. With all private rooms and a highly skilled team—including physicians, ICU/critical care nurses and respiratory therapists, —we deliver individualized, compassionate care that supports both medical stability and functional progress. Advanced Care Hospital of Montana is Joint Commission accredited and nationally recognized for quality care. We proudly serve patients and families from across Montana, Wyoming, and South Dakota, offering a healing environment where progress is measured not just in milestones—but in moments of regained independence.

 

Billings, Montana. Montana’s largest city, Billings is a gateway to Yellowstone and the Beartooth Mountains. With low unemployment, a growing downtown, and stunning natural beauty, Billings offers a high quality of life and wide-open opportunity.  Billings is growing into a vibrant community with a diverse mix of urban and rural activities and amenities to fit your lifestyle. Although Billings is the largest city in the state, it still has a smaller-town feel, offering quick commutes, good schools, friendly neighbors, and so much more. Billings has what you want, whether you want to be, grow, or play in the great state of Montana.

 

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs.  These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements.  We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”.  These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

 


Qualifications

Required Skills:

  • Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred.
  • Current state license as a Registered Nurse required.
  • Current CPR Certification required.
  • One (1) year recent experience preferred. Acute care setting preferred.
  • ACLS certification preferred in LTACH and Texas hospitals.

 

Additional Qualifications/Skills:

  • Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice.
  • Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS.
  • Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients.
  • Demonstrates critical thinking skills.
  • Demonstrates general computer skills including: data entry, word processing, email, and record management.
  • Effective organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to maintain proper levels of confidentiality.
  • Ability to work closely and professionally with others.
  • Ability to maintain quality, safety, and/or infection control standards.

 


Responsibilities

The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style.  Integrates the hospital’s mission and “Guiding Principles” into daily practice.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Dialysis Clinic, Inc.

Dialysis Registered Nurse (RN)

Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. A Dialysis Registered Nurse provides specialized nursing care at one of DCI’s in-center hemodialysis units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule : Full-time, four 10-hour shifts; Sundays off; no overnight shifts Compensation : Pay range depending on nursing and dialysis experience Benefits : Paid 12-week training with preceptor Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Prepare dialysis machine, its alarms, and treatment supplies and ensure quality standards are met Perform hemodialysis treatments per facility policies and procedures Ongoing patient education, training and health coaching Monitor patients during dialysis, assessing and communicating changes with physician and families Administer and chart all prescribed medications Follow CDC/CMS infection control regulations Participate in patient care conferences, rounds and chart reviews Document required patient education efforts Facilitate continuity of care with local hospitals Assist in medication inventory maintenance Lead a small patient care team Contribute to onboarding new staff members as directed Additional tasks as requested Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required Dialysis experience not required, job shadow opportunities available DCI provides 3-months of comprehensive training, including classroom group sessions and one-on-one skills training DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we’re hiring in a clinic near you! www.dciinc.jobs DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf; https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf; https://www.dol.gov/ofccp/pdf/pay-transp_formattedESQA508c.pdf; and https://www.nlrb.gov/sites/default/files/attachments/basic-page/node-3788/employeerightsposter-8-5x11.pdf. Security Roles and Responsibilities can be reviewed at: https://www.dciinc.org/security-roles
Dialysis Clinic, Inc.

Dialysis Hospital Services Nurse (Acute RN)

$40 - $45 / hour
Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for hospitalized patients facing acute kidney injury and chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment caring for dialysis patients in an acute care environment. The Dialysis Hospital Services Nurse (Acute RN) provides specialized dialysis, renal nursing care, and if contractually required, plasmapheresis treatments in our Billings St. Vincent acute hemodialysis unit. The Acute RN collaborates with hospital and outpatient care team members to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Full-time, four 10-hour shifts starting at 6am. Some positions are on call 24/7, and rotating call may be required at some locations. This position will cross train in hemodialysis and the move to the acute program. Compensation: Pay range from $40-$45 per hour, depending on nursing and dialysis experience; experience preferred Benefits: Up to 12 weeks paid training with preceptor Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Prepare and monitor equipment used for intermittent or continuous dialysis and water treatment in the acute setting, including quality control checks Perform and document pre-, intra- and post-dialysis assessments Initiate, monitor and terminate dialysis treatments per established policies and procedures Dispense medication as ordered and document per policy and procedure in hospital medical record Administer blood and blood products per hospital policy and procedure Accurately receive, transcribe and implement written and verbal orders from physicians Access lab reports, interpret and report necessary information to nephrologist Provide renal education to patients and family members and document appropriately Serve as primary dialysis contact for nephrologists and hospital staff and liaison to outpatient dialysis center Adhere to DCI and hospital policies and procedures including proper completion of occurrence reports as necessary Additional tasks as necessary Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical proficiency Desire to collaborate with care teams Ability to problem solve Customer service mindset in communicating with patients, team members and partner hospital Education/Training: Current MT RN license required Six months’ dialysis and/or critical care nursing experience preferred, job shadow opportunities available Current CPR and BLS certifications DCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we’re hiring in a clinic near you! www.dciinc.jobs DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf; https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf; https://www.dol.gov/ofccp/pdf/pay-transp_formattedESQA508c.pdf; and https://www.nlrb.gov/sites/default/files/attachments/basic-page/node-3788/employeerightsposter-8-5x11.pdf. Security Roles and Responsibilities can be reviewed at: https://www.dciinc.org/security-roles
Granite Peak Home Health

Registered Nurse

Join Our Growing Team at Granite Peak Home Health! We’re thrilled that you’re considering Granite Peak Home Health! Your interest means a lot to us, and we’re excited about the possibility of welcoming talented Registered Nurses in Billings, MT. Let’s grow together and make a difference! Exciting perks and competitive pay await you! Qualifications: Graduate of an approved school of professional nursing and currently licensed in the state of Montana Two (2) years nursing experience 1 year experience in Home Health, is preferred. Must hold a BLS/CPR certificate Ability to exercise initiative and independent judgment. Familiarity with healthcare regulations, HIPAA compliance, and patient privacy requirements. Knowledge of the local healthcare market and community outreach strategies. Knowledge of appropriate software including Microsoft Word, Excel, Outlook, Wellsky (EHR). Clean driver’s license with a clean driving record and vehicle insurance (Preferred). Principal Responsibilities: This position reports to the Home Health Director Provides services by the plan of care. Makes the initial evaluation visit and regularly reevaluates the patient's nursing needs. Initiates the plan of care and necessary revisions. Provides those services requiring substantial specialized nursing skills. Initiates appropriate preventive and rehabilitative nursing procedures. Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients promptly as per Agency policy. Coordinates services. Informs personnel of changes in the condition and needs of the patient. Counsels the patient and family/significant others in meeting nursing and related needs. Participates in and presents in-service programs. Understands and adheres to established Agency policies and procedures. Processes orders and notifies physicians of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries. Determines the amount and type of nursing needed by each patient. Refers to Physical Therapists, Speech Language Pathologists, Occupational therapists, and Medical Social Workers those patients requiring their specialized skills. Supervises and teaches other nursing personnel. Conducts patient care conferences on patients assigned to his/her care. Participates in peer review Quality Assurance and Performance Improvement as assigned. Gives total patient care as needed. Takes on-call duty nights, weekends, and holidays, as assigned. Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharge, and significant changes in condition by agency defined time frames. Compensation and Benefits Competitive salary Mileage reimbursement. Flexible schedule. Schedule Monday to Friday Weekends as needed GRANITE PEAK HOME HEALTH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Skyline Heights Nursing and Rehabilitation

Registered Nurse RN

$46 / hour
*NOC Shift* Registered Nurse (RN) Skyline Heights Nursing and Rehabilitation is looking for an experienced Registered Nurse (RN) to join the long-term care unit at our beautiful skilled nursing facility. Skyline Heights Nursing and Rehabilitation is committed to providing high quality services so that every resident receives the care and attention that they need. We also recognize that our services would not be possible without our valued Registered Nurses (RNs). To help you foster a long and successful career with us, we offer a generous benefits package and ample professional development opportunities to support your continued growth as a Registered Nurse (RN). The primary purpose of the position is to ensure the highest quality of resident care available, support staff, and establish a positive reputation in the community while delivering on the Eduro Healthcare values. Benefits 401(k) Medical, dental, vision, and life insurance Disability coverage Flexible spending account Health savings account PTO and holidays Daily pay available Eduro discount program Duties and Responsibilities Provide comprehensive Registered Nurse (RN) care for residents Perform comprehensive nursing assessments of residents and evaluate changes in condition to ensure appropriate interventions and care planning Administer medications and treatments as prescribed by the attending physician and in accordance with facility policies and professional nursing standards Provide skilled nursing care including wound care, IV therapy (as permitted by state practice), tube feedings, suctioning, catheter care, and other complex nursing procedures Supervise, delegate, and provide clinical guidance to LPNs, CNAs, and other nursing personnel in accordance with state nurse practice acts Ensure care plans are developed, implemented, and updated based on resident assessments and interdisciplinary team input Collaborate with physicians, therapists, and the interdisciplinary team to ensure coordinated and effective resident care Accurately complete all required documentation, assessments, and clinical records in a timely manner and in accordance with regulatory standards Compensation and Schedule Pay range: $46.00/hour Schedule: NOC shift Location: Billings, MT Skills and Qualifications BSN from an accredited school of nursing required Active Registered Nurse (RN) license issued by Montana required BLS certification from the AHA required Eduro Healthcare, LLC is an Equal Opportunity Employer and does not discriminate on the basis of any protected status under federal, state, or local law. The essential functions of this position describe the general nature of the work and may be performed with or without reasonable accommodation. Eduro Healthcare, LLC complies with the Americans with Disabilities Act (ADA) and applicable state disability laws. If you require a reasonable accommodation to apply for or perform this role, please contact benefits@edurohc.com . In accordance with the Montana Wrongful Discharge from Employment Act, employment may be terminated during any applicable probationary period at the discretion of either party. After completion of the probationary period, termination of employment will occur only for good cause or legitimate business reasons, consistent with applicable law and Company policy. This job description does not constitute a contract of employment and may be modified at any time to meet business needs. Employment may be contingent upon successful completion of background checks, licensure verification, or other pre‑employment requirements, as permitted by law. IND456
Granite Peak Home Health

Clinical Manager Registered Nurse

Thank you for your interest in Granite Peak Home Health! We are looking to grow with excellent Clinical Managers like you. We are committed to delivering high-quality, patient-centered home health care services , supporting both our patients and our clinical teams through strong leadership and operational excellence. Position Summary The Clinical Manager (Registered Nurse) oversees all home health patient care within the Clinical Manager's designated region, including assessments, staff supervision, and care coordination. This role ensures appropriate patient assignments, manages referrals, and maintains individualized care plans to meet ongoing patient needs. Principal Responsibilities Reporting: Reports to the Home Health Director and Executive Director Oversight: Provides oversight of all patient care services and personnel, directing clinical activities Clinical Supervision: Provides direct oversight of assessment, planning, implementation, and evaluation of patient and caregiver care Staff Management: Leads, manages, and holds clinical staff accountable for compliance, quality, and timely care delivery Meetings: Schedules and conducts weekly IDT meetings and routine leadership meetings in alignment with CMS and PDGM guidelines Development: Develops and implements processes, policies, and procedures for patient care services Budget Assistance: Assists in preparing and administering the agency budget Operational Monitoring: Monitors census trends and adjusts staffing, revenue, and expenses accordingly Compliance: Ensures adherence to company policies, employee handbook, and regulatory standards HR Functions: Participates in hiring, evaluating, and terminating personnel Orientation & Training: Oversees onboarding, in-service training, and continuing education programs Performance Evaluation: Conducts quarterly check-ins and annual performance reviews Record Maintenance: Ensures accurate patient documentation and reporting Supply Management: Maintains adequate clinical supplies and equipment Quality Assurance: Supports QAPI initiatives to ensure safe, high-quality patient care Goal Development: Assists in developing organizational and clinical goals Regulatory Compliance: Ensures compliance with all local, state, and federal home health regulations Industry Awareness: Stays current on changes in home health and nursing practices Regulatory Knowledge: Maintains knowledge of CMS, third-party payors, and state licensure requirements Qualifications Bachelor’s Degree in Nursing ( Required ) Current Montana RN License Minimum of 2 years of nursing experience in Home Health (preferred) Demonstrated proficiency in OASIS-E assessment Management experience preferred Knowledge of Montana Home Health (DPHHS), CMS guidelines, PDGM, and reimbursement programs Ability to exercise initiative and independent judgment Proficiency with electronic health records (WellSky) and web-based systems Must pass background check and not be listed on the OIG exclusions list Must have a cellular phone for work-related use Valid driver’s license, reliable transportation, and motor vehicle insurance Work Schedule Full-time, salaried position Compensation & Benefits Competitive salary (DOE) Mileage reimbursement Flexible schedule / work-life balance Supportive clinical leadership Location: Billings, Montana Why Join Granite Peak Home Health? Leadership role with impact on patient care and clinical teams Supportive and collaborative work environment Strong focus on quality, compliance, and patient outcomes Opportunity to grow within a reputable home health organization GRANITE PEAK HOME HEALTH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.