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Registered Nurse Med Ortho

Intermountain Healthcare logo

Intermountain Healthcare

Billings, Montana

Health system employer

RN · Med surg · Orthopedics

Posted Jun 23

Unit
Med-Surg

What the listing says

Role

Term
Permanent
Setting
Hospital
Accepts
RN

Ratio not posted. Ask in the interview.

Pay

Against the board
$7/hr below the median
This role$48/hr
Medical-Surgical in Montana$55/hr

The median for Medical-Surgical in Montana is $55/hr, across 6 postings.

About this role

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.

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.

Read the full posting

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 requi

Sourced from a public job board.

Requirements

  • 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.
  • Preferred Qualifications: 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.

Place

City
Billings, Montana
Median rent
$1,138/mo

rent and tenant-paid utilities

Local household income
$73,712/yr

all local households, not nurse pay

Metro price level
6% below the national average

Billings area index 93.5, where 100 is the national average.

Billings, Montana's largest city, sits along the Yellowstone River beneath the dramatic Rimrocks—sandstone cliffs that rim the city's north edge. A regional medical hub for the Northern Plains, it blends outdoor access, frontier heritage, and urban conveniences that appeal to RNs seeking big-sky living without sacrificing professional opportunity.

Map showing the location of Billings, MT
Approximate location in Billings, MT. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis.

How this role fits you

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About the employer

Intermountain Healthcare logo
Intermountain Healthcare
Health system employer

Intermountain Healthcare is a large nonprofit health system headquartered in Salt Lake City, Utah, with 83 offices and approximately 19,912 employees. Founded in 1975, the system has expanded its footprint across the Mountain West region, including a presence in Billings,…

Intermountain Healthcare photo

On your path

Med surg is open from year one. A broad first base while you learn which path pulls harder.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load and floating handled day to day?
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