Registered Nurse Emergency Department

Job Description:

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Our Emergency Department is a 26-bed, Level I Trauma Center and an  Accredited Chest Pain and Stroke Center . We are a high-volume department serving Billings and surrounding communities, extending east into the Dakotas and south into Wyoming. Our region is supported by a dedicated air medical transport team and EMS ground crews, providing care for a diverse and complex patient population.

With a typical nurse-to-patient ratio of 4:1 , we are committed to delivering exceptional patient care while fostering a supportive and collaborative work environment. Our nurses work closely with emergency providers, ancillary departments, and specialty teams to provide the highest quality care possible. We pride ourselves on our unique culture where team members feel welcomed, valued, and supported. Many describe our department as an "ED family" where teamwork, mentorship, and professional growth are encouraged every day.

Beyond a rewarding career,  Billings, Montana offers an exceptional quality of life. Known as Montana's Trailhead, Billings provides easy access to endless outdoor adventures including hiking, trail running, mountain biking, fishing, hunting, skiing, snowboarding, camping, rock climbing, and boating. With over 300 days of sunshine annually, residents enjoy four distinct seasons and breathtaking scenery year-round. The city combines the amenities of a regional healthcare hub with a friendly, family-oriented atmosphere, excellent schools, and a strong sense of community. Whether you're exploring the Rimrocks, the Yellowstone River, Red Lodge, or Yellowstone National Park, adventure is never far from home.

Position Details

· Benefits Eligible:  Yes

· Shift Details:  Full time, 36 hours/week, mid shift (1300 - 0100)

· Department:  Emergency Department

· Primary Location:  St Vincent Regional Hospital

· Additional Details:  Licensed RN experience in an Emergency Department and/or high acuity setting preferred. One year of licensed RN experience required.

Essential Functions

• Assess: Performs appropriate assessment of physical, social, and psychological status (including cognitive, communicative, and developmental skills as appropriate). Seeks and evaluates information acquired from other members of interdisciplinary team: patient, family, physician, non-nursing disciplines, support staff, others.
• Plan: Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. Actively seeks patient, family, team, and physician involvement to develop plan of care including needed education. Collaboratively plans and prepares patients for further support needs once the current episode of care outcomes are met (i.e., teaching, referrals, and follow-up).
• Implement: Directs the interdisciplinary care team via delegation, coordination, and collaboration as appropriate. Provides or delegates care consistent with plan of care, guidelines of care and professional licensure provisions. Demonstrates the ability to set priorities and to coordinate and organize patient care delivery through effectively managing time, supplies, and resources.
• Evaluate: Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient, and family satisfaction. Revises plan of care as indicated and reassesses changes as appropriate.
• Professionalism: Promotes nursing profession and participate in development of others.
  Integrates legal and ethical standards into practice, complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery.

Skills

• Patient Care Delivery
• Nursing Fundamentals
• Interdisciplinary Teams
• Documentations
• Professional Etiquette
• Accountability
• Patient Care Coordination
• Communication
• Patient Evaluation
• Critical Thinking

Minimum Qualifications

• Current license to practice as a Registered Nurse in state of practice. Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
• RNs with less than 12 months of experience must obtain their Bachelor of Science in Nursing (BSN) within four (4) years of their hire date.
• Basic Life Support Certification (BLS) for healthcare providers.

Preferred Qualifications

• Bachelor's degree in nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.

* Bachelor of Science in Nursing (BSN) is required as of the job description's last update on 4/27/2025. Employees hired or promoted prior to this date will be held to the minimum requirements that were in place at the time of their promotion or hire.

Physical Requirements

• Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
• Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
• Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)
• May be expected to stand in a stationary position for an extended period of time.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

36

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.  

$38.37 - $57.29

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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