Advanced Registered Nurse

This position assists a nurse manager in managing daily nursing activities within a nursing department. The role involves providing leadership and performing management functions delegated by the nurse manager, such as resource allocation, ensuring a safe working environment, and optimizing patient care. The position is accountable for developing departmental structure, processes, and outcome standards, typically for one unit. 60% Tactical (day‑to‑day activities e.g. staffing and equipment availability), 35% Operational (budget management, supply acquisition, and employee performance evaluations), and 5% Strategic (developing goals to meet the Intermountain/Regional Strategic Plan and holding employees accountable to these goals). Nurse Managers must receive approval if circumstances warrant an assistant manager, but do not meet defined criteria. Span of control may vary for leaders responsible for complex nursing programs with multi‑center or enterprise‑wide reach. Vincent Regional Hospital

Located in Billings, Montana, Intermountain Health St. Vincent Regional Hospital has served the region for more than 125 years and is one of Montana's largest comprehensive hospitals. The organization serves patients across Montana, Wyoming, and the western Dakotas through a 286‑bed regional medical center, multiple specialty services, and a network of primary and specialty care clinics. Vincent is recognized for its commitment to compassionate care, clinical excellence, innovation, and community service. With more than 1,700 caregivers and over 500 physicians and advanced practice providers, St. Vincent provides a collaborative environment focused on helping people live the healthiest lives possible.

Intermountain Health is hiring a Resource Pool Assistant Nurse Manager

Intermountain Health is hiring a Resource Pool Assistant Nurse Manager to support clinical operations and help lead a dynamic nursing team. This leadership role partners closely with the Nurse Manager to ensure safe, efficient, and compassionate patient care while supporting caregivers, managing resources, and driving operational excellence.

About the Role – Resource Pool Assistant Nurse Manager

As a Resource Pool Assistant Nurse Manager, you will report to the Nurse Manager and assist in overseeing nursing operations within the department. This role is responsible for supporting staffing and resource allocation, budget oversight, performance management, regulatory compliance, and caregiver development while helping achieve organizational goals.

Daily operations, staffing, scheduling, and resource management.

Budget oversight, supply management, employee performance evaluations, and workforce planning.

Clinical Leadership: Assist the Nurse Manager in maintaining a professional nursing practice environment.

Promote safe, effective, and compassionate patient care based on current standards of practice. Serve as a role model in patient care delivery and professional conduct.

Operational & Resource Management: Allocate staffing and resources to meet patient care demands.

Monitor resource utilization and manage expenses to meet departmental financial goals.

Team Leadership & Engagement: Foster a culture of professionalism, accountability, and employee engagement.

Participate in employee coaching, performance reviews, and competency assessments.

Education & Professional Development: Help ensure annual competency verification and ongoing skills development.

Provide mentorship and support professional growth opportunities for caregivers. Assist with oversight and coordination of student nurse experiences.

Quality & Regulatory Compliance: Support patient safety initiatives and quality improvement efforts.

Ensure compliance with Joint Commission, OSHA, CMS, DOPL, and other regulatory requirements. Assist with action plans and performance improvement initiatives to achieve department goals.

Partner with physicians and interdisciplinary teams to achieve clinical, operational, and service objectives.

Utilize service benchmarks and available data to enhance patient experience outcomes.

Community Engagement: Encourage participation in community outreach efforts, volunteer events, health fairs, and professional organizations.

Financial Acumen

Clinical Nursing Knowledge

Mentorship & Coaching

Regulatory Compliance

Community Engagement

Bachelor's degree in Nursing (BSN) from an accredited institution (degree verification required).

Current Registered Nurse (RN) license in the state of practice.

Current Basic Life Support (BLS) certification for Healthcare Providers.

Minimum of 2 years of clinical nursing experience.

Completion of Intermountain Health leadership development coursework within one year of accepting the position.

Specialty nursing certification.

Previous leadership, management, or oversight experience within a healthcare setting.

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. Will also bend to retrieve, lift, and carry supplies and equipment. 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.) Intermountain Health St Vincent Regional Hospital

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

$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.

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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