Acute Care & Emergency Department Nurse Leader

Top Echelon LLC; Great Falls (MT); Hybrid; USD 105,000 - 135,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Retirement plan

PTO & holidays

Relocation assistance

Education support

Job summary

Keystone Distinction Group seeks an Acute Care & Emergency Department Clinical Supervisor for Great Falls, MT. You will lead operations across Med/Surg and ED, supervise staff education, and oversee performance evaluations in partnership with the Department Director.

You’ll balance administrative duties with hands-on bedside support during high census periods, ensuring high-quality patient care and compliance across departments.

Qualifications

• Bachelor of Science in Nursing (BSN) from an accredited nursing program.
• Active, unrestricted RN license in Montana (or eligibility to obtain).
• Minimum of 7 years RN clinical experience in Medical-Surgical, Acute Care, or ED.
• Leadership capability with strong nursing principles and emergency care proficiency.

Responsibilities

• Lead daily operations across Acute Care and ED in collaboration with the Department Director.
• Drive staff development, onboarding, evaluations, and quality initiatives.
• Manage scheduling, timecards, interviews, data collection, and daily huddles.
• Provide bedside support during peaks in Med/Surg, Pediatric, Geriatric, and ED.
• Direct Charge Nurses, RNs, LPNs, CNAs, Ward Clerks, Technicians; coordinate with House Supervisors and Physicians.

Skills

Leadership

Staff development

Clinical supervision

Communication

Education

BSN

Job description

Acute Care Clinical Manager

Job Type: Full-Time | On-Site

Department: Leadership Clinical / Medical-Surgical & Emergency Services

Location: Great Falls, Montana

We have partnered closely with a prominent healthcare system in Montana to secure a dynamic clinical leader for their acute care and emergency services division. We are currently seeking an experienced Acute Care Clinical Supervisor to foster an integrated nursing team approach and oversee staff development in Great Falls, Montana.

In this dual-impact leadership role, you will work directly with the Department Director to guide nursing staff through education, competencies, performance evaluations, and quality/safety initiatives. In addition to administrative oversight—such as scheduling, huddles, and compliance tracking—you will provide hands-on bedside support during peak census or acuity surges across Med/Surg, Pediatric, Geriatric, and Emergency settings.

Responsibilities:

• Partner with the Department Director to lead, organize, and direct daily operations across the department
• Drive staff development, departmental competencies, onboarding, educational events, and annual evaluations to help nursing and care teams reach their full professional potential.
• Manage departmental scheduling, timecard edits, interviewing, quality data collection, incident report tracking, sick call logs, and daily team huddles.
• Step in to assist with direct floor care across Med/Surg, Pediatric, Geriatric, and ED patient populations when patient volume or acuity exceeds scheduled staffing levels.
• Provide clear operational direction to Charge Nurses, RNs, LPNs, CNAs, Ward Clerks, and Technicians while collaborating closely with House Supervisors, Physicians, Mid-Level Providers, and C-Suite Leadership.

Qualifications:

• Education: Bachelor of Science in Nursing (BSN) from an accredited nursing program.
• Licensure & Certifications:
  • Active, unrestricted Registered Nurse (RN) license in the State of Montana (or immediate eligibility to obtain).
  • Basic Life Support (BLS) certification.
  • Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nursing Core Course (TNCC), and Emergency Nursing Pediatric Course (ENPC) certifications (required or must obtain within 6 months of hire).
• Clinical Experience: Minimum of 7 years of hands-on RN clinical experience within a Medical-Surgical, Acute Care, or Emergency Department setting.
• At least 1 year of management experience
• Core Competencies:
  • Demonstrated leadership capability with a strong foundation in basic and advanced nursing principles, acute clinical decision-making, and customary emergency/acute care medical equipment.
  • Exceptional interpersonal, communication, conflict resolution, and customer service skills.
  • Ability to balance administrative leadership with active, high-acuity bedside nursing support.

Benefits:

• Competitive base salary range commensurate with leadership and clinical experience.
• Comprehensive health and insurance benefits covering medical, dental, vision, life, and disability plans.
• Retirement savings program with employer matching contributions.
• Generous Paid Time Off (PTO) and paid holiday package to support work-life balance.
• Relocation assistance options for qualified out-of-state candidates.
• Professional growth and continuing education support to advance clinical leadership pathways.

Note on Compensation & Hiring Requirements: Final base salary and overall financial packages will be verified and determined by the organization based on your documented years of acute/emergency clinical practice, advanced certifications, and leadership history. All job offers are strictly contingent upon the successful completion of standard pre-employment screenings, including a criminal background check, drug screening, health/immunization verification, and full credentialing.

Note on Employment Status: The comprehensive benefits package and leadership structures detailed above are explicitly offered for full-time positions. Eligible benefits may vary or be prorated for alternative employment arrangements.