Critical Care Nurse Salary in Billings, MT

THIS POSITION MAY BE ELIGIBLE FOR A SIGN ON BONUS.***Please note, you will be considered for the following units and may receive offers for one or more of them: Critical Care Float PoolICUCardiovascular Unit (CVU)Intermediate Care Unit (IMC). Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family. Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • For level II: Completes yearly level II competency checklist. Knowledge, Skills and Abilities • Common policies and procedures, both organizational and departmental • Billings Clinic Corporate Compliance Program • Billings Clinic Code of Business Conduct • Regulatory standards ( e.g. JCAHO, OSHA.) • HIPAA and confidentiality requirements • Patient/resident care treatment, planning and assessment within scope of practice • Patient/resident rights • Infection control and safety practices, policies and procedures • Basic medical terminology • Basic anatomy and physiology • Customer service techniques and Personal Service Excellence (PSE) necessary to interact with patients/residents, families, and members of the interdisciplinary care team with a variety of developmental and sociocultural backgrounds • Performance of tasks and procedures as directed by the RN and/or LPN in accordance with established policies, procedures, and protocols • Operation of patient care equipment and electronic applications • Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant to geriatric • Demonstrate empathy and sensitivity necessary to elicit patients'/residents' cooperation and allay apprehensions • Provide/relay information to patients, residents, and/or families and report on patient/resident condition and/or unusual findings with members of the interdisciplinary care team as appropriate • Utilize time management concepts to maximize tasks effectively • Communicate clearly and effectively both verbally and in writing • Establish and maintain collaborative relationships • Work effectively in a team environment • Work with general supervision • Function in a chaotic work environment with changing priorities as it relates to patient care needs • Lift and move objects weighing up to 50 pounds unassisted • Professional conduct in dealing with difficult situations with co-workers, patients/residents, families and visitors. Requires ability to deal with patients with acute, chronic and complex diseases processes and those who are dying. • Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. Minimum Qualifications Education • High school diploma or equivalent Experience • Six months CNA experience in performing patient/resident care in a health care institution, preferred Certifications and Licenses • Certified Nursing Assistant • CPR Certification

Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient.• Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding.• Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care.• Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team.• Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution.• Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.Minimum QualificationsEducation• High school diploma or equivalentExperience• Six months clinical experience in a health care institution performing patient/resident care, preferredCertifications and Licenses• Certified Nursing Assistant• CPR Certification

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE, RELOCATION REIMBURSEMENT, AND TUITION LOAN REPAYMENT. The Intermediate Care Unit (IMC) is a 28-bed unit with cardiac monitoring available. This unit is currently under construction with plans to open in January 2022. The unit will provide progressive care to complex medical and surgical patients. The unit will care for a wide range of patients including patients with diabetic ketoacidosis, sepsis, multi-organ system failure, tracheostomies on home vents, disease processes requiring high flow and Bi-Pap oxygen delivery modalities, active gastrointestinal and esophageal bleeds, and patients requiring higher levels of nursing care related to complex wounds and frequent nursing interventions. The IMC is an inpatient status unit and cares for the more complex long-term patients. This unit may serve as overflow for ICU and patients may require continuous infusions of medications like norepinephrine, nicardipine, dexmedetomidine, and ketamine. The Cardiovascular Unit (CVU) will continue to manage the progressive care needs of cardiovascular patients. The IMC will be included in the Critical Care Services division. Nursing staff may float to other departments in critical care including the ICU and CVU. Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizing a holistic approach and evidence-based nursing practices, incorporates the nursing process into the goal-directed • plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures. • Adheres to Billings Clinic safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status. • Utilizes evidence based practice, supported by nursing research, within specialty area. • Utilize performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patient's families, visitors, and the interdisciplinary care team. • Consideration is given to the appropriateness of care based on the population specific needs of the patient. Knowledge, Skills, and Abilities • Customer service techniques and Personal Service Excellence (PSE) skills • Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.) • Computers and electronic applications • Nursing practices, planning and assessment within scope of practice • American Nurse's Association (ANA) Code of Ethics • Patient safety standards • Interpersonal communication • Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals. • Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric • Communicate clearly and effectively, both verbal and written • Utilize time management concepts and maximize time effectively • Work effectively with interdisciplinary care team • Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems, and dealing with patients and their families, while working with frequent interruptions and competing priorities • Respond calmly and professionally when dealing with difficult or emergency situations • Maintain flexibility to adapt to a variety of workload assignments • Lift, push and pull 50 pounds unassisted • Resourcefulness in dealing with emergency situations • May be required to work on varied nursing units for varying periods of time • Practices within the scope of RN licensureMinimum QualificationsEducation• 2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance• Preferred - 4 Year / Bachelor's Degree (BSN)Experience• At least one year of RN experienceCertifications and Licenses• Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date• ACLS certification preferred or ability to successfully complete ACLS training within one year of hire

Under the direction and supervision of the physician and in accordance with the authorized scope of practice for the level, assists in the delivery of patient care. Works collaboratively with the health care team including nursing staff and other health care providers to meet the physical, psychosocial, educational and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department. Functions within the core competencies and "Minimum Specifications" set forth by the organization. • Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls. Adheres to confidentiality (HIPPA) and patient right requirements. • Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse. Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines. Collects laboratory specimens as needed. Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description. • Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN. • Assists patient's activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility. • Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer). • Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician. Works collaboratively within the ED patient care team • Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse. • Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines. • Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure. • Performs EKGs as required and places patients on cardiac monitors. • Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.) • Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US. • Assists in the safety search of designated patient(s) as needed. (Following safety search policy) • Institutes seizure precautions when applicable • Assists MD/RN with gastric lavage as directed (ED only). • Assists ED physician/RN as needed with tasks such as providing supplies and equipment. • Responds to patient call lights and reports patient requests to MD/RN caring for patient. • Completes documentation following patient disposition, i.e. admission and discharge and transfer. • Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN • Establishes peripheral IV line upon MD's request. Applicable to PCT II (with EMT) & III only. Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III. • May establish ultrasound IV's after class/competency completion (level II (with EMT) & Level III only.) • If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.) • Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit. Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort. • Knowledge and competence in all equipment cleaning • Utilizes appropriate personal protective equipment • Is versed in aseptic and sterile technique • Visual acuity's • Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens. • Applies and removes restraints according to Billings Clinic policy. • Assists with ambulance/helicopter/flight transfers into the ED. Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations. • Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook. Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains a safe, clean, and orderly environment for patient and visitors. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action • Has well developed computer skills with ability to document in The FirstNet CERNER program. Able to use Outlook for sending and receiving E-mail communication. ~it is the employees responsibility to document all cares (i.e. IVs, ambulation, vitals, etc) and patient contact they perform. As well as checking organizational email. • Utilizes performance improvement principles to assess and improve the quality of patient care. • Takes responsibility for identifying own development needs; meets all system and departmental educational requirements. Attends required meetings and participates in committees as requested. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Refers more difficult problems to the MD, RN, , PCT II and/or III• Active participant in keeping a safe work environment. • Able to perform all basic CNA and/or/EMT patient care requirements Competency in: • Performing basic phlebotomy procedures to include a variety of draw sites, specimen preparation • EKGs. • Wound care/dressings. • Splinting. • Vital signs • Patient safety search • Understanding and compliance of 1:1 policy • May be cross-trained to Unit Clerk job role Knowledge, Skills and Abilities • General knowledge of Billings Clinic policy and procedures, both departmental and organizational • Regulatory standards and requirements • Billings Clinic Corporate Compliance • Billings Clinic Code of Business Conduct • Customer service techniques and Personal Service Excellence (PSE) skills • Patient care treatment, planning and assessment within scope of practice • Interpersonal (PSE)skills necessary in order to interact with patients, families, and physicians • Demonstrates empathy and sensitivity necessary to elicit patient's cooperation and allay apprehensions • Phlebotomy techniques and utilization of vacutainer and other phlebotomy equipment • Performing EKG's • Performing basic patient care and treatments within scope of certification/license • Performing a safety search • Performing computerized documentation according to unit guidelines. • Critical thinking • Patient Care II (with EMT or CMA) & III • IV techniques • I/O insertion• Incorporate population specific needs into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric • Utilize time management concepts or maximize time effectively • Communicate clearly and effectively both verbally and in writing • Utilize critical thinking skills • Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members • Lift a minimum of 50 pounds• Professional conduct when dealing with co-workers, patients, and visitors. Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. • Practices within the scope and level of certification/licensure Minimum QualificationsEducation• High school graduate or equivalent • Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic Experience• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Certifications and Licenses• Current Montana license as Certified Nurse Assistant and/or EMT certification (or) • College training in a health-related field. • CPR Certification BLS for infant, child and adult upon hire (ACLS for Level III)• Must successfully pass Billings Clinic phlebotomy training upon of hire. Other Qualifications• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Required to

THIS POSITION MAY BE ELIGIBLE FOR A $20,000.00 EMPLOYMENT INCENTIVE, RELOCATION, AND TUITION LOAN REPAYMENTLooking for a change of pace or to try something new? Radiology nursing may be for you! What exactly does a radiology nurse do? Radiology nurses assist in a variety of procedures caring for patients from infancy to late adulthood. Modalities covered by radiology nurses include interventional radiology, CT, ultrasound, nuclear medicine, and MRI. Nursing assists physicians in providing moderate sedation for most procedures done in radiology. Common procedures include angiograms with intervention, port placements, mass biopsies, pediatric and adult anesthesia cases, and much more. Patient acuity varies from stable to ICU level of care patients making critical care experience preferred. What's the schedule like? In a typical week a nurse will work 4 10 hour shifts and cover a different modality each day creating a unique variety not easily found in other departments. Taking call is also a part of radiology nursing. A nurse is typically on call once a week, from the end of the shift until the beginning of the next morning, and one weekend every 4-6 weekends (depending on total number of nurses in the department). Nurses also divide up holidays to be on call, typically only 1-2 per year. Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism.Essential Job Functions• Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed• plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients.• Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.• Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status.• Utilizes evidence based practice, supported by nursing research, within specialty area.• Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.• Demonstrates collaborative, supportive, and caring behaviors in communication with patient's families, visitors, and the interdisciplinary care team.• Consideration is given to the appropriateness of care based on the population specific needs of the patient.RadiologyExperience in critical care, conscious sedation, interventional radiology, angiography and nuclear medicine experience desirable ACLS and PALS certification required

The incumbent in this position acts as an advocate for patients serving as the primary point of contact and is responsible for coordinating the care and services of the identified patient populations for an extended period of time across the continuum of care for outpatient services; promoting effective resource utilization; assuming a leadership role with the multidisciplinary team to achieve an optimal clinical outcome.Operational aspects include but are not limited to schedule coordination, follow-up communication with patients, outside care facilities, and referring providers, documentation and record maintenance for necessary records for accreditation and continued care needs.Supply an exceptional patient and family entry and journey through the healthcare system. Help providers by coordinating patient visits, provision of proper records as applicable, and aid in coordinating proper supplementary service visits as applicable. Navigation will ideally begin before the patient comes for their first visit, continue during the first phases of consultation and care plan generation, and often during a course of therapy. Navigation will often be a 'go to' when patients or family have question, concerns, or confusion. They will supply skills and knowledge to effectively arrange patient centered cancer care through leadership of the interdepartmental team.The oncology nurse navigator will provide effective communication to patient and families regarding disease process, treatment plan review, next steps in care. ONN will translate medical terminology into information that patients can use to improve their understanding of their cancer journey. Ancillary services offered in the cancer center -Social work, palliative care team, financial counseling, dietician, support groups will be discussed and encouraged with the patient and family. Coordination of care provides timely access to cancer care by addressing patient barriers and providing interventions.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow; includes coordinating care, treatment and communication among the medical team• Follows patient through the care continuum/experience, eliminating operational (such as scheduling, test results, etc.) barriers to services.• Works closely with other healthcare disciplines to ensure timely appointments, results reporting, financial need referrals, communication, patient care and follow-up• Coordination of care: The oncology nurse navigator will receive referral for cancer patients from outside providers, departments in the Billings Clinic and faxed referrals.• The nurse navigator will then start the process of obtaining records if applicable. This includes but not limited to provider notes, labs, pathology report, imaging report and imaging.• After patient records are obtained in a prompt matter; the nurse will start the process of scheduling the patient with proper provider and multidisciplinary team in the clinic. The nurse will notify cancer research team of patient.• The nurse navigator will contact the patient/caregiver within one business day of scheduling patient. • The navigator will supply education on the rationale of the multidisciplinary team/appointments and need for further imaging or testing. Location, date, and time will be provided to the patient. • Appointment notification will be mailed to home address, along with navigator business card. The navigator will explain the role and supply contact information to the patient/caregivers.• The nurse navigators will attend patient first consult in medical and radiation oncology. Navigation may be present in multidisciplinary appointments inside the Billings Clinic.• Nurse navigation schedule further appointments, imaging, lab draw, etc. as directed by providers. • These appointments will be communicated to the patient/caregiver's day of and or within one business day.• Nurse navigation will notify/schedule patient with supplementary appointments, such as symptom management team, oncology social workers, physical therapists, dietician, breast boutique, financial counselors, oral oncology pharmacist, site specific and/or general tumor board.• When patient presents for the first consults the nurse navigator will provide patient/family with Billings Clinic Cancer Center resources, contact numbers for staff, education resources on cancer, staging, treatment from reputable sources. (NCCN, ACOS, ACS)• The nurse navigator will supply education to the patient. Navigation will assess patient education needs by assessing barriers to care (literacy, language, cultural influences, and comorbidities). Resources will be offered such as web, printed materials, and verbal education.• The nurse navigator will supply and reinforce education to the patient, families, and caregivers about diagnosis, treatment, post treatment care and survivorship. (Treatment summary when applicable.)• The nurse navigator will schedule patient for their first treatment, they will provide calendars to the patient and review times, dates, and providers with them to expedite the plan of care and continuity of care.• The nurse navigator will schedule patients for follow up in the cancer center when actively navigating patient.• The nurse navigator will provide anticipatory guidance and manage expectations to aid patient/caregivers/families in coping with cancer diagnosis, potential or expected outcomes.• The nurse navigator will support a smooth transition of patients from active/initial treatment into survivorship, chronic cancer management or end of life care.• Facilitates the development, implementation and adherence to clinical and evidenced based guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.) Ensures follow up has occurred regarding patient clinical and non clinical care to include adherence to plans of care, resource utilization, and general progress utilizing care conferences as necessary.• Works in collaboration with the medical team to develop and implement clinical guidelines. Facilitates the adherence of the guidelines through regular evaluation and auditing of clinical practice.• Ensures follow-up in the outpatient setting on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.)• Demonstrates expertise in educational and resourcing services• Participates in educational activities related to patient/community, clinical operation and process issues on an ongoing basis• Collaborates with other health care providers in developing, implementing and evaluating educational materials for patients and their families• Facilitates intra-departmental relationships in an effort to provide necessary resources to and for the patient.• Interfaces with other members/disciplines within the healthcare teams for appropriate referrals/services• Aware of and assists with financial needs of the patients.• Identify and access appropriate social services, including resources to assist caregivers to support treatment• Contributes to an environment of quality and process improvement• Ensures accurate and timely data collection and entry into patient database as indicated by department guidelines• Directs and coordinates identified quality assessment and improvement activities to assure quality patient services are monthly provided through audits and reviews other identified evaluation tools• Ensures patient care activities for the department services are monitored monthly through audits and reviews• Ensures and enhances facility, safety, and regulatory outcomes• Complies with all applicable laws, regulations and accrediting agencies• Complies with all Billings Clinic policies• Works in collaboration with Leadership team to ensure departmental goals and objectives are met.• Contributes to community activities sponsored by the Cancer Center• Develops patient referral services by relationship-building strategies with physicians not related to the department.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Works as an active team member and effective communicator• Demonstrates effective internal and external communication strategies, written and verbal, to assure a collaborative environment• Ensures appropriate and timely documentation in the EHR• Demonstrates a productive work ethic• Works consistently as an active team player, inter-and intra-departmentally• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Assists Mammography provider throughout imaging guidance breast biopsy procedures.Remove this line.• Identification and assistance for patients in potential benefit for genetic testing evaluation.• Organization and record maintenance of appropriate record needs required for accreditation purposes.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Additional Duties for Breast Diagnostics• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow.• Follows patient from abnormal mammogram through diagnosis.• Provides seamless patient flow from abnormal mammogram to diagnosis and referral to breast Patient Care Navigator• Facilitates breast biopsy scheduling• Facilitates breast biopsy education• Facilitates the development, implementation and adherence to clinical and research guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures that each patient scheduled for a screening mammogram has had a clinical breast exam within acceptable time frame.• Demonstrates expertise in educational and resourcing services• Facilitates relationship between physicians, vendors, departments and the breast multidisciplinary program• Interfaces with finance and breast imaging services to meet the financial needs of the patients• Additional Duties for Regional Navigator• Collaborate with local individuals, agencies and organizations to facilitate the increased availability of community-based care services.• Facilitates research participation opportunities.• Facilitates increased utilization of telemedicine in connecting rural patients and providers to Billings Clinic resources.• Coordinate opportunities to increase prevention awareness and offer early-detection screening programs in outreach areas.• Develop and implement regional care protocols, resulting in reduced time to problem resolution and improved quality of care.• Interfaces with local and outreach providers in addressing care navigation concerns.• Identifies community support services in underserved and frontier areas and facilitates utilization of these services.• Advocates for the individual and collective needs of patients in rural and frontier areas.• Facilitates relationship-building between physicians, agencies, and organizations.• Interfaces with physicians, agencies, and organizations to meet the medical, social, and financial needs of patients.

This position may be eligible for a $20,000 sign-on bonus, relocation assistance, and tuition loan repaymentThe successful Surgery Center RN will be an integral component in facilitating patient flow and throughput while maintaining high levels of quality care which are consistent with recognized national nursing standards, legal requirements and Surgery Center policies and procedures. Duties will encompass the operating room, pre -operative care or post-operative care to include both phase 1 and phase 2 recovery.Essential Job Functions• Directs all nursing activities relating to the procedures performed. Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records. Recognizes and interprets symptoms indicative of changes in condition of patient. Communicates pertinent information to co-workers and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient's experience.• Assists in patient education during all phases of the patient's experience. Ensures informed signed consents are completed prior to administration of sedation.• Prepares all records pertaining to the procedure• Maintains equipment and supplies to include cleaning and disinfection of equipment, operates and troubleshoots specialized equipment and patient monitoring equipment, anticipates and assists with maintaining adequate inventory of supplies and medications. Post procedure, assists with inventory control by proper count of supplies/time used. Directs and assists with the cleaning and restocking of operating rooms at the completion of assignments. Assists in crash cart maintenance and defibrillator checks• Provides oversight and direction to other Surgery Center technical and ancillary personnel. Assists with orientation and training of new or existing staff members. Takes responsibility for identification of own professional growth and development needs; meets all system/departmental educational requirements. Participates with in-service opportunities and staff meetings.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Adheres to national patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action to minimize or eliminate risks and maximize safety in the Surgery Center.• Incorporates the 14 forces of Magnetism in transforming the work environments and for enhancing quality of nursing care.• Performs other duties as assigned or as needed to meet the needs of the Surgery Center• Pre/Post Op• Accountable for administration of drugs, IV procedures and other therapeutic and diagnostic measures in a safe and accurate manner. Initiates orders, and follows anesthesia protocol.• Will maintain ACLS• Labels specimen containers in front of the patient and prepares specimens for the laboratory• Operating Room• Checks assignment for the day noting routine and special equipment/supplies needed for each procedure. Checks OR suite/procedure room for cleanliness and order damp dust rooms prior to usage. Assembles equipment and supplies needed for each procedure; checks equipment to ensure it is properly functioning. Arranges furniture and equipment in such a manner that all pieces are accessible for efficient work by the scrub tech, anesthesia and surgeon. Directs and assists with the cleaning and preparation of the operating/procedure room between cases. Assembles instruments, supplies and equipment for all cases.• Observes sterile techniques in preparing for and assists with surgical procedures. Assists scrub tech by opening sterile packs and delivering necessary packets of materials; operates autoclaves for sterilization of necessary accessory items.• Prepares the operative site by doing a surgical scrub to the operative area according to the surgeon's preferences.• Assists with transfer of patients to the operating/procedure room from pre-op, giving assistance to anesthesia and surgeons and helps transfer patients to recovery following procedures• Assists scrub techs in dressing members of the operating team. Observes all members of the operating team for sterile practices, reports any breaks immediately and takes steps to correct any break in technique.• Observes progress of the procedure and provides additional instruments, supplies or equipment as necessary.• Labels specimen containers and prepares specimens for the laboratory.Minimum QualificationsEducation• Graduate of an accredited school of nursing• Bachelors degree in nursing is preferred. Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance.Experience• One (1) year of operating room experience is desired in the OR• Critical care experience preferred for PACU phase 1Certifications and Licenses• Current Montana state license as a registered nurse required• CNOR and/or AORN professional affiliation preferred for the OR• Healthcare Provider CPR Certification

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE, RELOCATION REIMBURSEMENT, AND TUITION LOAN REPAYMENT.Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions• Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed• plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients.• Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.• Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status.• Utilizes evidence based practice, supported by nursing research, within specialty area.• Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.• Demonstrates collaborative, supportive, and caring behaviors in communication with patient's families, visitors, and the interdisciplinary care team.• Consideration is given to the appropriateness of care based on the population specific needs of the patient.Knowledge, Skills and Abilities • Customer service techniques and Personal Service Excellence (PSE) skills• Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.)• Computers and electronic applications• Nursing practices, planning and assessment within scope of practice• American Nurse's Association (ANA) Code of Ethics• Patient safety standards• Interpersonal communication• Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals.• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric• Communicate clearly and effectively, both verbal and written• Utilize time management concepts and maximize time effectively• Work effectively with interdisciplinary care team• Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families, while working with frequent interruptions and competing priorities• Respond calmly and professionally when dealing with difficult or emergency situations• Maintain flexibility to adapt to a variety of workload assignments• Lift, push and pull 50 pounds unassisted• Resourcefulness in dealing with emergency situations• May be required to work on varied nursing units for varying periods of time• Practices within the scope of RN licensureMinimum QualificationsEducation• 2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance• Preferred - 4 Year / Bachelors Degree (BSN)Experience• At least one year of RN experienceCertifications and Licenses• Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date• ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE, RELOCATION REIMBURSEMENT, AND TUITION LOAN REPAYMENT.Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions• Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed• plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients.• Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.• Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Maintains appropriate skill/knowledge and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status.• Utilizes evidence based practice, supported by nursing research, within specialty area.• Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.• Demonstrates collaborative, supportive, and caring behaviors in communication with patient's families, visitors, and the interdisciplinary care team.• Consideration is given to the appropriateness of care based on the population specific needs of the patient.Knowledge, Skills and Abilities • Customer service techniques and Personal Service Excellence (PSE) skills• Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.)• Computers and electronic applications• Nursing practices, planning and assessment within scope of practice• American Nurse's Association (ANA) Code of Ethics• Patient safety standards• Interpersonal communication• Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals.• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric• Communicate clearly and effectively, both verbal and written• Utilize time management concepts and maximize time effectively• Work effectively with interdisciplinary care team• Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families, while working with frequent interruptions and competing priorities• Respond calmly and professionally when dealing with difficult or emergency situations• Maintain flexibility to adapt to a variety of workload assignments• Lift, push and pull 50 pounds unassisted• Resourcefulness in dealing with emergency situations• May be required to work on varied nursing units for varying periods of time• Practices within the scope of RN licensureMinimum QualificationsEducation• 2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance• Preferred - 4 Year / Bachelors Degree (BSN)Experience• At least one year of RN experienceCertifications and Licenses• Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date• ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Performs other duties as assigned or needed to meet the needs of the department/organization.