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  1. Home
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  5. RN - Ambulatory
Billings Clinic logo

RN - Ambulatory

Not Disclosed•ContractorOn-site

location_on814, South 29th Street, Billings, Yellowstone County, Montana, 59101, United States

Apply Now

About the Role

This position is designed for an experienced Registered Nurse to provide high-acuity care within a combined Medical and Surgical/Trauma/Neurosurgical Intensive Care Unit. This is not an entry-level role; candidates must demonstrate independent, competent ability to manage complex medical, trauma, neuro, and surgical ICU patients. The unit operates as a Level 1 Trauma center, caring for patients with conditions ranging from ARDS, sepsis, and cardiac surgery to head injuries, strokes, and traumatic brain injuries.

The team supports a diverse patient population including adolescents, adults, pediatrics, and geriatrics across 38 beds. Nurses will float primarily within the Critical Care Division, with assignments dictated by census needs between the 28-bed Medical ICU and the 10-bed Surgical/Trauma/Neurosurgical ICU. The role involves managing advanced life support technologies, including ECMO, Impella, IABP, and CRRTECMO, alongside complex procedures such as chest tube management, EVD care, and titration of vasoactive drips.

Shift and Scheduling

The position is scheduled for the Night shift (19:00 - 07:30) on a 3x12-hour rotation. While the primary schedule is fixed, the unit prefers rotating shift availability to accommodate fluctuating census. Block schedules for day/night shifts may be considered. Weekend coverage requirements vary based on unit needs, and candidates must be willing to float to other units as necessary.

Application and Hiring Process

Candidates must submit a completed application including references. A background check is required, with license and background hits approved on a case-by-case basis. Candidates must be available to start immediately upon submission of required travel compliance documents and RTO (Return to Office) confirmation. A 36-hour orientation is provided prior to independent patient care.

Compliance and Requirements

A COVID-19 vaccine is required, with exemptions considered only for medical or religious reasons. Flu vaccination status is currently unknown. Candidates must have at least one year of experience in the specialty, with previous charge experience and Level 1 Trauma experience preferred. Travelers must be within a 75-mile local radius; local rules do not accept non-local candidates unless otherwise agreed upon during the interview or offer process.

Work location

Work model: On-site

location_on

814, South 29th Street, Billings, Yellowstone County, Montana, 59101, United States

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Frequently asked questions about RN - Ambulatory at Billings Clinic

What does a RN - Ambulatory at Billings Clinic do?expand_more
A RN - Ambulatory at Billings Clinic is responsible for the following: Assist with chest tube insertion/removal and manage external ventricular drains; Float within the Critical Care Division and other units based on census needs; Manage complex, high-acuity medical and trauma/neuro/surgical ICU patients; and Manage ventilated patients, including BiPAP/CPAP and ECMO support.
What are the requirements for this RN - Ambulatory role?expand_more
Billings Clinic is looking for candidates who meet the following requirements: MICU and/or SICU experience; Trauma Level I experience; ACLS certification; BLS certification; NIHSS certification; and PALS certification.
Where is the RN - Ambulatory role at Billings Clinic located?expand_more
RN - Ambulatory at Billings Clinic is based in 814, South 29th Street, Billings, Yellowstone County, Montana, 59101, United States. This is a on-site role.
Is this RN - Ambulatory job remote, hybrid, or on-site?expand_more
Billings Clinic has listed this RN - Ambulatory role as on-site.
How much experience is required for this RN - Ambulatory role?

Billings, Montana

Key Responsibilities

  • check_circleAssist with chest tube insertion/removal and manage external ventricular drains
  • check_circleFloat within the Critical Care Division and other units based on census needs
  • check_circleManage complex, high-acuity medical and trauma/neuro/surgical ICU patients
  • check_circleManage ventilated patients, including BiPAP/CPAP and ECMO support
  • check_circlePerform central line care, arterial line management, and blood product administration
  • check_circleMonitor and interpret arterial blood gases, dysrhythmias, and ICP readings
  • check_circleAdminister and titrate vasoactive drips, IV paralytics, and sedation

Requirements

  • verifiedMICU and/or SICU experience
  • verifiedTrauma Level I experience
  • verifiedACLS certification
  • verifiedBLS certification
  • verifiedNIHSS certification
  • verifiedPALS certification
  • verified1+ year in specialty
  • verifiedRN license
  • verifiedCOVID-19 vaccine (medical/religious exemptions only)

Nice to Have

Prefer rotating shift availability. Previous Charge Experience. Charting System Experience (Cerner). Trauma Level II Experience.

Billings Clinic cover image
Billings Clinic logo
Company

Billings Clinic

Industry

Hospitals and Health Care

Headquarters

Billings, MT

Open Roles

1

Billings Clinic is a physician-led, not-for-profit, regional health system based in Billings, Montana.

Billings Clinic operates as a comprehensive health care system based in Billings, Montana. As the largest provider in the state, it houses the first and only Level I Trauma Center serving Montana, Wyoming, and the western Dakotas. The organization functions as a not-for-profit entity governed by a board of community members, nurses, and physicians, with leadership provided by a physician CEO. The core facility is an integrated multi-specialty group practice featuring a 304-bed hospital and advanced trauma services. The system employs over 4,600 individuals, including more than 480 physicians and advanced practitioners who deliver care across 80 specialties. Through 14 regional partnerships, the clinic manages 13 Critical Access Hospitals and one outpatient clinic. It also conducts approximately 110 specialty care clinics monthly at 21 locations to serve rural residents in Montana, Wyoming, and North Dakota. The organization holds the distinction of being Montana's first Magnet-designated facility since 2006 and participates in the Mayo Clinic Care Network. Located in a college community near the Rocky Mountains, Billings offers a safe environment with accessible outdoor recreation and a high quality of life for staff and patients alike.
View company profilearrow_forwardlanguageWebsitelinkLinkedIn
Quick Overview

Experience

1+ yrs (Mid Level)

Job Type

Contractor

Skills Required

MicuSicuAclsBLSNihssPals
expand_more
RN - Ambulatory at Billings Clinic typically requires 1+ years of relevant experience at the mid level level.
What skills do you need for the RN - Ambulatory role at Billings Clinic?expand_more
Key skills for RN - Ambulatory at Billings Clinic include Micu; Sicu; Acls; BLS; Nihss; Pals; Accessing/managing Ports; and Activated Clotting Time (act).
What category does the RN - Ambulatory role belong to?expand_more
RN - Ambulatory at Billings Clinic is part of the healthcare & nursing job category on Recrutus.

About Billings Clinic

Billings Clinic operates as a comprehensive health care system based in Billings, Montana. As the largest provider in the state, it houses the first and only Level I Trauma Center serving Montana, Wyoming, and the western Dakotas. The organization functions as a not-for-profit entity governed by a board of community members, nurses, and physicians, with leadership provided by a physician CEO. The core facility is an integrated multi-specialty group practice featuring a 304-bed hospital and advanced trauma services.

The system employs over 4,600 individuals, including more than 480 physicians and advanced practitioners who deliver care across 80 specialties. Through 14 regional partnerships, the clinic manages 13 Critical Access Hospitals and one outpatient clinic. It also conducts approximately 110 specialty care clinics monthly at 21 locations to serve rural residents in Montana, Wyoming, and North Dakota. The organization holds the distinction of being Montana's first Magnet-designated facility since 2006 and participates in the Mayo Clinic Care Network.

Located in a college community near the Rocky Mountains, Billings offers a safe environment with accessible outdoor recreation and a high quality of life for staff and patients alike.

Browse more roles: All Billings Clinic jobs, healthcare & nursing jobs on Recrutus.

Recrutus

Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

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Recrutus helps candidates discover roles that match their skills and helps teams reach qualified applicants faster. Browse by metro, discipline, or work style — from internships to senior leadership.

© 2026 Recrutus. All rights reserved.
Terms of serviceCookie policyAcceptable useDMCA policyEmployer termsCandidate terms
Accessing/managing Ports
Activated Clotting Time (act)
Acute Kidney Injury
Arterial Line Management
Accessibility