Registered Nurse Emergency Room (Charge Role) | $30K Sign-On
GoRural
Registered Nurse (RN) Emergency Room
Location: Harlowton, Montana
Job Type: Full-Time | Direct Hire
Vista Plains Health in Harlowton, Montana is seeking an experienced Registered Nurse (RN) with a strong Emergency Room/Trauma background to step into a highly independent, charge-level role within a Critical Access Hospital setting.
This position is primarily based in the Emergency Department, where you will often serve as the lead nurse on shift, working with a high level of autonomy and clinical responsibility. This is an ideal role for a seasoned ER nurse who is confident making decisions, managing patient flow, and functioning independently in a rural environment.
You will have the opportunity to practice at the top of your license, with occasional support on the inpatient/swing bed side as needed.
Key Highlights:
- Independent / Charge-Level ER Role
- Minimum 5 Years ER/Trauma Experience Required
- $30,000 Sign-On Bonus (3-year commitment)
- Relocation Reimbursement
- 3 Months Covered Housing
- Practice in a Brand New Facility
- High autonomy with strong provider collaboration
- Broad clinical exposure in a Critical Access Hospital
Responsibilities:
- Serve in a lead/charge nurse capacity during assigned shifts
- Provide high-quality emergency and trauma care across all age groups
- Perform rapid assessments, triage, stabilization, and interventions
- Independently manage patient care and prioritize in a fast-changing environment
- Coordinate care with providers, EMS, and interdisciplinary teams
- Maintain accurate and timely documentation
- Support a collaborative, team-oriented care environment
Qualifications:
- Associate Degree in Nursing (ADN) or higher
- Active Montana RN license (or ability to obtain)
- Minimum of 5 years of ER and/or Trauma nursing experience required
- Demonstrated ability to work independently and in a charge role
- ACLS required
- PALS, TNCC, and/or NRP strongly preferred
- Strong clinical judgment, leadership, and communication skills
Compensation & Benefits:
- $30,000 Sign-On Bonus (paid in installments over 3 years)
- Competitive pay based on experience
- Relocation reimbursement
- 3 months of covered housing
- Tuition assistance opportunities
- Generous PTO and sick leave
- Health insurance for qualifying employees
- Retirement plan with employer match
About Harlowton, Montana: Located in the heart of Central Montana, Harlowton offers a true rural lifestyle with easy access to some of the state's most beautiful landscapes.
Enjoy:
- Close proximity to Billings and Bozeman
- Outdoor recreation including hunting, fishing, hiking, and wide-open spaces
- A welcoming, tight-knit community where your work truly matters
About the Facility: Vista Plains Health (Wheatland Memorial) is a Critical Access Hospital committed to delivering high-quality care in a modern, patient-centered environment. The brand new facility reflects a strong investment in rural healthcare, offering updated equipment and a collaborative care model.
This is an opportunity for an experienced nurse to step into a role where they are trusted, relied upon, and able to truly lead from the floor.
GoRural$1,969.6 per week
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