Registered Nurse New Graduate Winter 2026 Cohort St James Hospital

Job Description:

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating 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.

Nurse Residency Program – Winter 2026 Cohort

Are you a recent RN graduate—or graduating by the middle of September 2026—ready to launch your nursing career and make a meaningful impact? Join our Nurse Residency Program and begin your journey with the training, mentorship, and support you need to succeed.

Cohort & Hiring Timeline

• Cohort Start Date: September 28th, 2026
• Manager Interviews: Begin immediately as qualified applications are received

Applications are reviewed on a rolling basis—early submission is encouraged for best consideration.

Position Details

• Status: Full-Time (36 hours/week), Night Shift
• Location: St. James Hospital – Butte, MT
• Pay: Starting at $33.38/hour
• Benefits Eligible: Yes

Available Units

New graduate RNs will have the opportunity to work in the following areas:

• Medical/Surgical Telemetry
• Medical/Surgical Pediatrics

What is the Nurse Residency Program?

Designed for new graduate RNs (less than one year of RN experience) , this program bridges the gap between academic learning and confident clinical practice. Participants receive:

• Paid clinical training hours
• Interactive webinars and simulations
• Case-based learning experiences
• Weekly in-person sessions (transitioning to monthly after 6 months)
• Dedicated support from experienced nurse mentors

Learn more about the program here:

Why Butte, Montana?

More than a place to work—Butte is a place to belong. Nestled in the Rocky Mountains, Butte offers a unique combination of history, outdoor adventure, and a strong sense of community.

Meaningful Work
St. James Hospital is the largest hospital in Southwestern Montana, serving a seven-county region. With 98 beds, a Level III Trauma Center, and a Level II NICU , you’ll gain valuable experience in a dynamic, community-focused setting.

Outdoor Adventure
Hiking, biking, fishing, skiing, and more—right outside your door.

Affordable Living
One of Montana’s most accessible housing markets with strong, welcoming neighborhoods.

Rich History & Culture
A National Historic Landmark District with museums, architecture, and local charm.

‍‍ Community & Lifestyle
Family-friendly attractions, events, and a close-knit community atmosphere.

Start Your Career with Confidence

If you’re ready to grow your skills, build strong clinical foundations, and make an impact in a supportive environment—we encourage you to apply.

Apply early for best consideration—interviews are filling quickly.

#NewGradRN

Scope

As a Registered Nurse you know that every day is different, which is why you need to know how to
Assess, recognize and address patients psychological and physical needs- Foster quality of care with the best interests of patients and their families in mind- Communicate compassionately and effectively- Assist in developing individualized treatment plans- Comply with evaluation, treatment and documentation guidelines- Oversee care delivered by LPNs and/or CNAs- Participate in clinical team conferences- Follow hospital, regulatory and professional guidelines, policies and procedures

Minimum Qualifications

Required: 

BSN Degree* from an accredited program required within 4 years unless 15 years of acute care service.

* Failure to obtain a BSN degree within this time frame may result in suspension or termination of employment. Nurses employed by the Hospital on or before September 1, 2014 with only an ASN/ADN, will be exempt from the requirement to obtain a BSN. Any nurse hired by the hospital from September 2, 2014 through April 15, 2019 will have 5 years / 60 months from date of hire to obtain a BSN. Any nurse who takes legally protected leave during any of the completion periods may have the period extended by a comparable amount of time.

Current State of Montana Registered Nurse License

BLS Certification upon hire.

ACLS required within 9 months of hire for all ICU/ED RN’s

Oncology RN's-OCN certification or 12 credits of cancer related education per year. 

For all RN's working in the ICU / ED / 5th main, PALS required within 9 months of hire / transfer.

TNCC within 12 months of transfer or hire for all ICU/ED/RNs. Must maintain TNCC/ATCN or an equivalent that is recognized by the American College of Surgeons.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to work as part of an interdisciplinary team to achieve patient-focused outcomes.

2. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyze, interpret periodicals, professional journals, technical procedures, or government regulations. Ability to write reports. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Ability to respond to common inquiries or complaints from customers, or regulatory agencies.

3. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

4. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.

5. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required.

Preferred: 

National Certification in area of practice

Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -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.- and -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.- and -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.- and -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).- and -May be expected to stand in a stationary position for an extended period of time.

Location:

St James Hospital

Work City:

Butte

Work State:

Montana

Scheduled Weekly Hours:

36

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

$32.73 - $78.17

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 .

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.