Registered Nurse Emergency Room (Charge Role) | $30K Sign-On

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.