RN Full-time
Billings Clinic

Transfer Center RN

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

RN (.75) - Pre/Post/PAT

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

RN (.9) - Pre/Post/PAT

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

RN (1.0) - Pre/Post/PAT

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

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

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

RN (per diem) - Pre/Post/PAT

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

Medical Assistant I (Full-time/Miles City)

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

RN Endoscopy Coordinator (Full-time)

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

Transfer Center RN

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

RN Cardiology (1.0)

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