RN - Ambulatory
Not Disclosed•ContractorOn-site
location_on814, South 29th Street, Billings, Yellowstone County, Montana, 59101, United States
About the Role
This is a specialized Registered Nurse position within a Level 1 Trauma Center, designed for experienced professionals rather than novices. The role demands independent, competent management of complex, high-acuity medical and trauma/neuro/surgical ICU patients. You will serve as a critical member of the Critical Care Division, providing comprehensive care for patients ranging from adolescents to geriatrics.
The unit operates as a hybrid department comprising a 28-bed Medical ICU (MICU) and a 10-bed Surgical/Trauma/Neurosurgical ICU (SICU). Assignments are dynamically allocated between these units based on census and specific patient needs. The MICU manages complex medical cases including ARDS, AHRF, COPD, sepsis, cardiac surgery, and ECMO. The SICU focuses on head injuries, trauma, stroke, traumatic brain injury (TBI), and general surgery, with some pediatric cases.
Day-to-Day Experience
You will work a Day shift on a 3x12-hour schedule (07:00 - 19:30). While the primary assignment is day shift, the role requires flexibility to meet fluctuating census needs. Rotating shift availability is preferred, though block schedules for day or night shifts may be considered. You will primarily float within the Critical Care Division but may be assigned to other units as census dictates.
The environment is supported by a robust interdisciplinary team including IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, and Unit Secretaries. You will utilize advanced equipment such as CRRT, ECMO, Impella, IABP, Camino ICP monitors, and various ventilators to manage patients with multisystem organ dysfunction, spinal cord injuries, and post-cardiac or neurosurgical needs.
Hiring & Application Process
Candidates must submit references and comply with Tier 2 Travel Compliance requirements. A start date and Return to Office (RTO) confirmation are required at the time of submission. The facility accepts license and background hits on a case-by-case basis, provided they are noted prior to submission. Local candidates must reside within a 75-mile radius; local rules are not accepted for this position.
Modules are completed pre-start and vary by specialty; the first 8 hours are non-billable, with any additional time being billable. A 36-hour orientation is provided. The contract spans 91 weeks with guaranteed hours.
Equal Opportunity & Compliance
This position requires compliance with specific health mandates. The COVID-19 vaccine is required, with exemptions available only for medical or religious reasons. Flu vaccine status is currently listed as unknown. The facility maintains a Return Staff Policy of 1 year for previous employees.
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Frequently asked questions about RN - Ambulatory at Billings Clinic
What does a RN - Ambulatory at Billings Clinic do?expand_more
In this RN - Ambulatory at Billings Clinic role, you will float to other critical care units as needed to meet patient demand; manage complex, high-acuity medical and trauma/neuro/surgical icu patients; administer and titrate vasoactive drips, iv sedation, and paralytics; and coordinate patient care across micu and sicu units based on census needs.
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; 1+ year in specialty; ACLS certification; BLS certification; and NIHSS 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.