Billings Clinic

Nurse Manager of PAT, Preop, PACU and Post Op

The Manager of Surgical Services provides nursing leadership for the development, advancement, and delivery of perioperative nursing practice within Surgical Services. This role is responsible for planning, directing, and managing departmental operations and staff to ensure the delivery of high-quality patient care on a 24/7 basis. The Manager ensures compliance with AORN standards, corporate policies, and all applicable regulatory and accrediting requirements, while overseeing operational and fiscal management, resource utilization, supplies, and equipment. The Manager is accountable for the quality of services provided, as well as short- and long-term planning aligned with the organization’s strategic goals.

The Manager hires, orients, and supports the professional development of clinical staff through competency assessment, coaching, and performance feedback. This role promotes collaboration and effective communication with physicians, multidisciplinary teams, and key stakeholders to support safe, efficient perioperative care and continuous improvement. The Manager actively participates in departmental growth initiatives, supports the professional practice model through the Surgical Services Executive Committee, and fosters a respectful, customer-focused environment through effective leadership, conflict resolution, and change management.
Essential Job Functions

• Develops and oversees department cost centers to ensure adherence to organizational mission, vision, values, strategic goals, and business strategies. Interprets and supports the mission and philosophy of Billings Clinic. Responsible for promotion of, and adherence to, the elements of Billings Clinic’s Code of Business Conduct and corporate compliance program.
• In collaboration with physician leadership and other medical staff, administration, and other health care providers, develop and implement short and long range plans, and leads, develops and revises programs which enhance department services.
• Develops, implements and maintains Plan of Care for the areas of accountability
• Develop and maintains perioperative personnel and compliance with organizational policies and procedures and regulatory and accreditation standard.
• Participates in the development of patient care delivery models and/or care programs, nursing policies and procedures that describe how patient care needs and/or patient populations receiving nursing care are assessed, evaluated and met.
• Participates in the development and implementation of Billings Clinic’s plans for providing nursing care to patients. Participates in the implementation of an effective, ongoing program to measure, assess and improve the quality of nursing care. Monitors compliance to the plan.
• Promotes a learning environment that empowers nurses to provide safe, reliable, patient-centered nursing care that is effective, compassionate, and efficient in the surgical setting as applicable.
• Maintains appropriate skill/knowledge of application and patient relevance of commonly used equipment specific to area; pharmacological application; application of laboratory values with disease process or physiological status.
• Leads departments in the overall marketing, program development, and service priorities. Coordinates with nursing leaders in pursing service line/organizational goals and synergy in implementing plans and problem resolution.
• Develops, implements, and maintains a realistic, cost-effective annual budget.
• Enhances operational effectiveness, emphasizing cost containment and enhancing patient access without compromising quality of care or patient safety
• Monitors periodic financial statements by measuring the relevant business activity and financial position of the assigned areas and the organization to ensure appropriate financials management.
• Develops and presents financial analyses by employing a variety of techniques (modeling, forecasting, benchmarking, cost/benefit analysis, etc.) to enhance understanding and improve decision making
• Establishes a system of controls by designing and enforcing checks and balances to minimize the risk of financial loss
• Practices process improvement principles to assess and improve the quality of the service/care provided within the department. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance and ensures compliance of nursing department and staff.
• Adheres to patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action.
• Champions and shares the practice implications of nursing research and evidence-based practice.
• Leads assigned areas in compliance with all legal, regulatory and/or accreditation standards or guidelines and ensure quality of care standards are adhered to.
• Adheres to DNV requirements and Action Plans as written. Metrics are maintained and completed as agreed upon.
• Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policies and procedures relating to human resource management.
• Manages contract labor to acceptable levels and costs.
• Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic’s goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.
• Assures effective onboarding and general nursing orientation for all nursing and ancillary clinical staff.
• Leads nursing departments to employ effective positive learning and practice environment strategies.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

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

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.
Billings Clinic

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

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
Billings Clinic

RN - West End Primary Care (1.0 FTE)

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. Minimum Qualifications Education • Graduate of an accredited school of nursing • 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. Certifications and Licenses • Healthcare Provider CPR Certification required • Current Montana or Wyoming state license as a registered nurse required
Billings Clinic

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

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