RN Clinic - Columbus, Montana (.8 FTE)

This position may be eligible for a $3,000 sign-on bonus, relocation assistance, and tuition loan repayment

The Clinic Registered Nurse (RN) provides patient-centered, evidence-based nursing care in a rural clinic environment. Working both independently and as part of an interdisciplinary team, the RN utilizes the nursing process to assess, plan, implement, and evaluate care across a range of patient needs and acuity levels. The Clinic RN supports patient access to care through in-clinic and telephone triage, care coordination, medication administration, clinical procedures, and patient education. This role requires adaptability, clinical judgment, and strong collaboration to support patients and families in a setting where specialty and ancillary services may be limited on-site. The RN promotes safe and quality care, contributing to a positive patient experience and the overall functioning of the clinic.

Essential Job Functions

• Supports and models behaviors consistent with the organization’s Mission, Vision, Values, Code of Business Conduct, and Service Excellence Standards.
• Meets all mandatory organizational and departmental requirements; maintains competency in all organizational, departmental, and regulatory standards related to safety and job performance.
• Utilizes a holistic, evidence-based approach to assess, plan, implement, and evaluate nursing care to meet patient health needs across the continuum of care.
• Performs patient assessments, administers medications, provides treatments and procedures, and collects diagnostic specimens within the scope of practice.
• Provides age-appropriate patient education and instructions regarding health conditions, treatment plans, medications, and follow-up care.
• Performs telephone and in-person triage, evaluates symptoms, and provides patient guidance using clinical protocols, critical thinking, and provider input.
• Coordinates patient care, appointments, referrals, specialty consultations, and follow-up needs to support continuity of care.
• Documents all clinical care, patient interactions, orders, and communications accurately in the electronic health record (EHR).
• Assists with provider workflow, including rooming patients, preparing for exams/procedures, supporting documentation, and managing care transitions.
• Utilizes independent clinical judgment and problem-solving skills in settings where support resources may vary.
• Works collaboratively with external partners, including local hospitals, EMS, specialty clinics, community services, and public health agencies, to support patient care needs.
• Demonstrates adaptability to changing patient volumes, varied acuity levels, and dynamic clinic priorities; may float across clinical service areas as needed.
• Delegates tasks appropriately to LPNs, Medical Assistants, and support staff in alignment with licensure, competency, and scope of practice.
• Participates in quality improvement activities, safety rounding, accreditation readiness, and workflow and process improvement efforts.
• Maintains clinical competencies and pursues continuing education relevant to primary and specialty patient needs.
• Demonstrates respectful, compassionate, and effective communication with patients, families, staff, and providers.
• Provides care that reflects cultural humility, age-appropriate approaches, and respect for individual patient preferences and situations.
• 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 of Science in Nursing
• Four (4) Year / Bachelor’s Degree of Science in Nursing – Preferred

Experience
• One (1) year of nursing experience in a clinic, hospital, or ambulatory care setting, preferred.
• Experience in a rural healthcare environment, primary care, or family practice setting is beneficial, but not required.

Certifications and Licenses
• Current Montana state license as a Registered Nurse, in good standing at time of hire.
• 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
• BLS/Healthcare Provider

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.

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