Missoula Bone & Joint and Surgery Center
Ambulatory · Missoula, MT
- 1
- open role, live count
- 4.5
- Google rating
On the floor
What the day-to-day looks like
- Setting
- Ambulatory
Benefits
Medical, dental, vision, 401(k), life insurance, HSA, FSA, PTO, short- and long-term disability, snack/drink room, employee discounts, continuing education allowance; OR postings mention a sign-on bonus (amount unstated).
What stands out
Experienced nurses
You circulate across four orthopedic ORs in an ambulatory surgery center doing outpatient and 23-hour stay cases on a Monday–Friday 40-hour schedule.
Experienced nurses
Full-time OR Circulator and PACU/Surgery Center RN postings state base ranges of $36–$52/hr and $37–$52/hr depending on certifications and experience.
Moving here
Employees voted this place #3 Top Work Place in Montana in 2025, after #1 large employer in 2022 and #2 large company in 2021.
As of 2025 · 2022 · 2021-07Source: missoulaboneandjoint.com
Experienced nurses
Long-tenured nurses describe coworkers who encourage growth, open communication with management and surgeons, and a family feel.
As of 2026-07-27Source 1: indeed.comSource 2: indeed.com
More about working here
New graduates
A continuing education allowance is part of the package if you want to keep building skills after you start.
As of 2026Source: missoulaboneandjoint.com
Experienced nurses
PACU RN work is posted at 36 hours/week with flex up to 40 and variable onsite shifts; OR Circulator is weekday days in a flexible atmosphere.
Moving here
It has been named one of Becker's 150 Great Places to Work in Healthcare for seven years—the only Montana physician group and ASC on that list.
As of 2026Source: missoulaboneandjoint.com
Experienced nurses
OR RN Circulator postings advertise a sign-on bonus (amount not stated) alongside medical, dental, vision, 401(k), PTO, HSA/FSA, and disability coverage.
As of 2026Source 1: talents.vaia.comSource 2: missoulaboneandjoint.com
Working conditions
- Scheduling
- PACU RN: 36 hrs/wk flex up to 40 as needed, variable shifts/times onsite. OR RN Circulator: Mon-Fri 40 hrs/wk, fun flexible atmosphere.
- Pay and benefits
- Full-time OR RN Circulator $36-$52/hr depending on certifications and experience
As of 2026Source: talents.vaia.com
- Pay and benefits
- Registered Nurse average estimated from 5 past/present Indeed postings
As of 2026-05-21Source: indeed.com
- Pay and benefits
- OR RN Circulator posting advertises SIGN ON BONUS; amount not stated
As of 2026Source: talents.vaia.com
- Pay and benefits
- 57% of employees satisfied with pay (based on 42 reviews)
As of 2026Source: simplyhired.com
Starting out and growing here
The city
Living in Missoula, MT
Nestled in a Montana valley where the Clark Fork River winds through town, Missoula blends outdoor adventure with university-town energy. RNs relocating here find a close-knit medical community, easy access to hiking and fly fishing, and a downtown anchored by the historic Hip Strip district. Four distinct seasons and a relaxed pace define this western Montana city.
Browse roles in Missoula
- Metro price level · Missoula area
- 4% below the national average
- BEA index 96.4 (100 = national)
- Median gross rent
- $1,189/mo
- rent and tenant-paid utilities
- Median household income
- $70,392/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Who they are
You would step into Missoula Bone & Joint and Surgery Center as a PACU or OR nurse in a focused orthopedic ambulatory setting at 2360 Mullan Rd in Missoula.
- Ambulatory · Missoula
More about Missoula Bone & Joint and Surgery Center
The surgery center runs outpatient and 23-hour stay cases across four operating rooms; PACU work centers on post-anesthesia monitoring, vitals, pain, and tight collaboration with the surgical team. Scheduling is concrete: OR Circulator roles are posted Monday–Friday at 40 hours in a flexible atmosphere; PACU RN roles are posted at 36 hours per week with flex up to 40 and variable onsite shifts. Posted ranges land around $36–$52/hr for OR Circulator and $37–$52/hr for PACU/Surgery Center RN, with a sign-on bonus mentioned on the OR side (amount not listed). Benefits called out include medical, dental, vision, 401(k), life insurance, HSA, FSA, PTO, short- and long-term disability, a snack/drink room, and employee discounts, plus a continuing education allowance. Employees have voted the organization a Top Work Place in Montana (#3 in 2025; earlier #1 and #2 finishes), and it has appeared on Becker's 150 Great Places to Work in Healthcare for seven years. Nurses on review sites often describe supportive teammates and open communication with surgeons and management. Pay satisfaction is softer—about 57% in one sample—and at least one RN review said experience was not rewarded and breaks were hard to take.
Working here
Culture and working life
Themes from public reviews
Summaries of published reviews, with the original sources.
- Supportive teamwork and family culture
- Long-tenured RN says coworkers encourage growth; management and surgeons keep open communication; feels like family.
As of 2026-07-27Source 1: indeed.comSource 2: indeed.com
- Positive clinic environment
- Orthopedic assistant described friendly supportive staff and teamwork; left only to return to prior nursing field.
As of 2022-06-26Source: indeed.com
- Staff undervalued; retention and pay concerns
- RN review alleged admin prioritizes parties over retention/pay, experience not rewarded, clinic staff often work without breaks.
As of 2020-03-11Source: indeed.com
More review themes
- Overall ratings strong across categories
- Indeed overall 4.3/5 from ~33 reviews; work-life 4.4, culture 4.3, management ~4.1-4.2, pay/benefits 4.1.
As of 2026-07-27Source 1: indeed.comSource 2: simplyhired.com
What to weigh
Only 57% of employees report being satisfied with pay, and at least one RN review said experience was not rewarded and clinic staff often worked without breaks.
As of 2026 · 2020-03-11Source 1: simplyhired.comSource 2: indeed.com
The reality check
Before you decide
Quick facts
- Relationship
- Direct employer
- Roles last seen active
- Aug 10, 2026
- Website
- missoulaboneandjoint.com ↗
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A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- PACU1 open
Full-time RN in PACU monitors post-anesthesia patients, assesses vitals, manages pain, collaborates with surgical teams.
Source location unconfirmedSource: linkedin.com
OR / Surgery Center
OR RN Circulator oversees four operating rooms in Orthopedic Surgery Center for outpatient and 23-hour stay surgeries.
Source location unconfirmedSource: talents.vaia.com
Open roles
Current openings at Missoula Bone & Joint and Surgery Center
Refreshed throughout the day.
- RN
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