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

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

Surgery Center RN - OR Circulator (.75 FTE)

Billings Clinic Billings, MT

The successful 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. Duties will encompass the operating room, pre -operative care or post-operative care to include both phase 1 and phase 2 recovery. Essential Job Functions • Directs all nursing activities relating to the procedures performed. Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records. Recognizes and interprets symptoms indicative of changes in condition of patient. Communicates pertinent information to co-workers and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient’s experience. • 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. Reconciles medication history, reviews and interprets a variety of diagnostic tests (i.e., EKG, O2 oximetry, radiology exams, etc.) and laboratory results accurately to identify any potential contraindications or implications. • 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. Directs and assists with the cleaning and restocking of operating rooms at the completion of assignments. Assists in crash cart maintenance and defibrillator checks • 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 as assigned or as needed to meet the needs of the Surgery Center • Pre Op/Post Op/ PAT Lab • 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. • Will maintain ACLS • Labels specimen containers in front of the patient and prepares specimens for the laboratory • Operating Room • Checks assignment for the day noting routine and special equipment/supplies needed for each procedure. Checks OR suite/procedure room for cleanliness and order damp dust rooms prior to usage. Assembles equipment and supplies needed for each procedure; checks equipment to ensure it is properly functioning. Arranges furniture and equipment in such a manner that all pieces are accessible for efficient work by the scrub tech, anesthesia and surgeon. Directs and assists with the cleaning and preparation of the operating/procedure room between cases. Assembles instruments, supplies and equipment for all cases. • Observes sterile techniques in preparing for and assists with surgical procedures. Assists scrub tech by opening sterile packs and delivering necessary packets of materials; operates autoclaves for sterilization of necessary accessory items. • Prepares the operative site by doing a surgical scrub to the operative area according to the surgeon’s preferences. • Assists with transfer of patients to the operating/procedure room from pre-op, giving assistance to anesthesia and surgeons and helps transfer patients to recovery following procedures • Assists scrub techs in dressing members of the operating team. Observes all members of the operating team for sterile practices, reports any breaks immediately and takes steps to correct any break in technique. • Observes progress of the procedure and provides additional instruments, supplies or equipment as necessary. • Labels specimen containers and prepares specimens for the laboratory. 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 will help support the cost through financial assistance Certifications and Licenses • Current Montana license as a Registered Nurse 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.

NP

Per Diem

1 month ago

NP or PA per diem - Hospitalist

Billings Clinic Billings, MT

Essential Job Functions • Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. • Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination. • Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests) • Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice) • Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan) • Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient) • Refers patients to other health care providers and appropriate sources of care as necessary. • Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition) • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities. • Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line. • 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. Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.

CNA

1 month ago

CNA, Hospital - Inpatient Surgical (0.9 FTE)

Billings Clinic Billings, MT

This position may be eligible for a $2000 sign-on bonus 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. • For level II: Completes yearly level II competency checklist.

RN

1 month ago

Cardiopulmonary Rehab RN

Billings Clinic Billings, MT

The Cardiac Rehab RN is responsible for providing monitoring and educational services to assist patients in reaching maximum performance for patients who have experienced an MI, Coronary Surgery, stable Angina and/or other specific cardiopulmonary conditions. 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. • Conducts nursing assessment utilizing a patient centered approach. • Develops exercise prescriptions, rehabilitation plans and behavior modification programs within accepted standards of care. • Prepares, administers and charts emergency medication and treatment and notifies the patients’ Physician of the arrhythmias or emergency events as soon as possible. • Completes clinical records and forms to ensure continuity and quality of patient care • Identifies abnormal diagnostic data and treats per standing orders and policies and procedures. • Involves the client and their family in developing goal setting with regards to integrating the medical care plan, setting realistic short-term and long-term goals, plans client care and education with other members of the health care team, reviews and up-dates exercise prescriptions and goal setting per established policies and procedures. • Evaluates rehabilitation plan through assessment of patient outcomes, exercise sessions, exercise tests and documentation in the client’s medical records. • Initiates appropriate discharge referrals and/or advancement through various programs. • Utilizes effective interviewing skills to elicit information from patient and family that is necessary for the nursing process. • Interacts effectively with other team members to keep them informed of changes in the client’s condition and/or rehabilitation plan. • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. • Performs other duties as assigned or needed to meet the needs of the department/organization.

RN, Hospital - ICU (full-time)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

RN, Hospital - Emergency Department (full-time)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

RN

1 month ago

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

Billings Clinic Billings, MT

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

Per Diem

1 month ago

CNA, Hospital - Nursing Resources (Per Diem)

Billings Clinic Billings, MT

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. • For level II: Completes yearly level II competency checklist.

NP per diem - Psychiatric Hospitalist

Billings Clinic Billings, MT

Essential Job Functions • Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. • Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination. • Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests) • Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice) • Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan) • Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient) • Refers patients to other health care providers and appropriate sources of care as necessary. • Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition) • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities. • Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line. • 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. Additional Requirement for NP in Psychiatric Services and Behavioral Health • Psychiatric Mental Health Nurse Practitioner (PMHNP) required to be considered for the role.

RN

Full-time

1 month ago

RN, Hospital - Inpatient Pediatrics (full-time)

Billings Clinic Billings, MT

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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

Surgery Center RN - Per-Diem

Billings Clinic Billings, MT

The successful 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. Duties will encompass the operating room, pre -operative care or post-operative care to include both phase 1 and phase 2 recovery. Essential Job Functions • Directs all nursing activities relating to the procedures performed. Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records. Recognizes and interprets symptoms indicative of changes in condition of patient. Communicates pertinent information to co-workers and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient’s experience. • 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. Directs and assists with the cleaning and restocking of operating rooms at the completion of assignments. Assists in crash cart maintenance and defibrillator checks • 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 as assigned or as needed to meet the needs of the Surgery Center • Pre/Post Op • 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. • Will maintain ACLS • Labels specimen containers in front of the patient and prepares specimens for the laboratory • Operating Room • Checks assignment for the day noting routine and special equipment/supplies needed for each procedure. Checks OR suite/procedure room for cleanliness and order damp dust rooms prior to usage. Assembles equipment and supplies needed for each procedure; checks equipment to ensure it is properly functioning. Arranges furniture and equipment in such a manner that all pieces are accessible for efficient work by the scrub tech, anesthesia and surgeon. Directs and assists with the cleaning and preparation of the operating/procedure room between cases. Assembles instruments, supplies and equipment for all cases. • Observes sterile techniques in preparing for and assists with surgical procedures. Assists scrub tech by opening sterile packs and delivering necessary packets of materials; operates autoclaves for sterilization of necessary accessory items. • Prepares the operative site by doing a surgical scrub to the operative area according to the surgeon’s preferences. • Assists with transfer of patients to the operating/procedure room from pre-op, giving assistance to anesthesia and surgeons and helps transfer patients to recovery following procedures • Assists scrub techs in dressing members of the operating team. Observes all members of the operating team for sterile practices, reports any breaks immediately and takes steps to correct any break in technique. • Observes progress of the procedure and provides additional instruments, supplies or equipment as necessary. • Labels specimen containers and prepares specimens for the laboratory. • 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 • Graduate of an accredited school of nursing. Bachelors degree in nursing is preferred Experience • One year of operating room experience is desired in the OR • Critical care experience preferred for PACU phase 1 Certifications and Licenses • Current Montana state license as a registered nurse required • CNOR and/or AORN professional affiliation preferred for the OR • Healthcare Provider CPR Certification 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, Hospital - LDRP (full-time)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

RN, Hospital - NICU (full-time)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

RN, Hospital - NICU (full-time - 30 hours/week)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • BLS certification required

Clinician RN - Wound and Ostomy (per diem)

Billings Clinic Billings, MT

Responsible for applying in-depth knowledge, competencies, and skills in a clinical specialty. Assesses, plans, researches, develops, conducts, and evaluates services and continuing education programs in collaboration with management. Expertise is utilized in all settings for the organization. Establishes goals and priorities in accordance with patient care, staff needs and organizational objectives and in accordance with age appropriate care criteria for services ranging from infant to geriatric. 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. • Evaluates nursing practice and identifies opportunities for modification that would enhance professional practice, maintain/improve patient care while remaining fiscally sound. • Develops educational programs and collaborates with other health care providers to assure appropriateness of educational offerings for staff members and patients; maintenance of continuity of care; coordination of resources to facilitate patient’s plan of care; and may provide direct and/or indirect patient care. • Serves as a resource and role model in implementation of professional nursing practice in the clinical setting. • Facilitates empowered environment that recognizes and responds to staff’s developmental and professional practice issues through mentoring, team building, resource identification and networking. • Participates in the development or revision of policies and procedures and incorporates current research findings. • Demonstrates positive, supportive, and caring behaviors in communication with patients, families, visitors, physicians, staff and others. • Consideration will be given to the appropriateness of care based on the age of the patient. • Utilizes performance improvement principles to assess and improve quality. • Identifies need 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. Identifies and anticipates problems and safety issues and initiates appropriate action. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • 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.

CNA, Hospital - Critical Care Float Pool (full-time)

Billings Clinic Billings, MT

MAY BE ELIGIBLE FOR SIGN-ON INCENTIVE. 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. Minimum Qualifications Education • High school diploma or equivalent Experience • Six months clinical experience in a health care institution performing patient/resident care, preferred Certifications and Licenses • Certified Nursing Assistant • CPR Certification

CNA

Full-time

2 months ago

CNA, Hospital - Cardiovascular Unit (full-time)

Billings Clinic Billings, MT

MAY BE ELIGIBLE FOR SIGN-ON INCENTIVE. 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. Minimum Qualifications Education • High school diploma or equivalent Experience • Six months clinical experience in a health care institution performing patient/resident care, preferred Certifications and Licenses • Certified Nursing Assistant • CPR Certification

RN, Hospital - Critical Care Float Pool (full-time)

Billings Clinic Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR 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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

CNA PRN - Hospital Acute Care and Emergency Department (Per diem/Columbus)

Billings Clinic Columbus, MT

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 Function • Support and model 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 and facility 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. • 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. • For level II and level III: Completes yearly level II and level III competency checklist. • 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. • Department or Level Specific Duties and Responsibilities • Proficient in basic patient care and treatment, planning and observation within the scope of practice for a Certified Nursing Assistant • Competent to perform routine, non-complex aspects of patient care, treatments and procedures • Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care • Refers more difficult problems to a Level II or III staff person, LPN, RN, physician and/or non-physician provider • Practices within scope of practice as determined by state regulations and Billings Clinic guidelines • Work is performed under the clinical supervision of the RN or LPN • Work is performed independently in accordance with assigned schedules and operating procedures • Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with the LPN, RN, and/or physician • Expected to prioritize all aspects of job performance • Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient • Ability to utilize and apply PSE skills • Demonstrated personal accountability in all facets of role responsibilities • Adheres to patient safety goals and standards • Participates in QI/RM activities within the department • Participates in the financial viability of the organization by ensuring appropriate utilization of supplies and equipment and maximizing the flow of patient care to maximize effective utilization of the nursing staff’s time • Assists patient activities of daily living, such as baths, oral hygiene, grooming, toileting, ambulating and turning • Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.) • Basic hospital/ED patient quick registrations and full registrations assistance of nursing personnel. Minimum Qualifications Education • High School Diploma or GED Certification and Licensures • CPR • CNA

RN, Hospital - Emergency Department (full-time)

Billings Clinic Billings, MT

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 with less than 5 years of experience 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 60 days of hire date • ACLS certification preferred or ability to successfully complete ACLS training within two years of hire