Cardiac ICU Registered Nurse

Sterling St James Inc.; Great Falls (MT); On-site; USD 115,000 - 125,000; Full time

Benefits offered by this job

Retention bonus

3x12s schedule

Health, dental and vision insurance

Retirement plan with employer matching

Malpractice insurance

Generous PTO

Job summary

Sterling St James Inc. in Great Falls, MT seeks an experienced CVICU RN for nights to join a hospital-based critical care team. This role emphasizes excellent nurse-to-patient ratios and a supportive clinical environment.

Responsibilities include advanced cardiovascular care, leadership on the floor, and collaboration with providers and leadership to implement evidence-based plans. A retention bonus and robust benefits are offered.

Qualifications

• Graduate of an accredited nursing program with RN licensure in Montana or ready for compact/endorsement.
• Current BLS and ACLS are required; PALS within 6 months of hire.
• 1–2 years of Cardiac Surgical ICU or equivalent cardiovascular ICU experience preferred.

Responsibilities

• Provide direct clinical care for CVICU patients from admission to discharge.
• Operate advanced cardiac/life-support equipment including CRRT and CRRT-related devices.
• Lead floor teams and coordinate with Providers, Charge Nurses and staff.
• Ensure accurate electronic documentation and discharge planning.

Skills

Cardiac ICU experience

Critical care nursing

Leadership on the floor

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (preferred)

Job description

Registered Nurse (RN) – Cardiovascular Intensive Care Unit (CVICU) – Nights

Compensation: $115k – $125k

Job Type: Full-Time | On-Site | Shift: 3x12s | Nights (7:00 PM – 7:30 AM)

Setting: Inpatient CVICU / Critical Care

Location: Great Falls, Montana

We have partnered closely with a prominent regional healthcare system to secure a full-time, dedicated nursing professional for their inpatient critical care services division. We are currently seeking an experienced CVICU Registered Nurse (RN) to join a specialized clinical team on the night shift. This hospital-based position is ideal for an RN looking for a supportive environment that emphasizes excellent nurse-to-patient ratios, robust administrative backing, and a strong culture of teamwork and compassion.

Tucked into a scenic Montana community known for an exceptional quality of life and outdoor recreation, this role provides an ideal balance of professional clinical development and personal lifestyle stability.

Responsibilities:

• Provide high-quality, direct clinical care to medical, surgical, and cardiovascular patients requiring advanced physiological monitoring from admission through discharge.
• Manage and operate advanced cardiac and life-support equipment, including mechanical ventilators, central lines, arterial lines, multiple titration IV pumps, and Continuous Renal Replacement Therapy (CRRT).
• Monitor and manage patients utilizing advanced cardiac assist devices, such as intra-aortic balloon pumps (IABP) and Impella pumps.
• Serve as a clinical leader on the floor, providing direction and collaborative support to RNs, LPNs, CNAs, and ancillary hospital staff.
• Collaborate closely with Providers, Charge Nurses, and nurse leadership to implement evidence-based care plans and thorough discharge planning.
• Maintain meticulous, timely electronic documentation of patient status, interventions, and clinical outcomes.

Qualifications:

• Education: Graduate of an accredited nursing program (Associate Degree in Nursing required; Bachelor of Science in Nursing preferred).
• Licensure: Active, unrestricted Registered Nurse (RN) licensure in the State of Montana (or immediate compact/endorsement eligibility).
• Certifications: Core certifications in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) are required. Must complete PALS courses within 6 months of hire. EPNC and TNCC certifications are preferred; Pediatric Advanced Life Support (PALS) is also noted as preferred on qualifications.
• Required Experience: Proven post-graduate clinical practice in an advanced Medical/Surgical unit coupled with recent Critical Care/ICU nursing experience specifically involving cardiovascular surgery patients.
• Preferred Experience: 1 to 2 years of dedicated Cardiac Surgical ICU experience is strongly preferred. Hands-on clinical familiarity with Impella pumps, cardiac balloon pumps, and CRRT equipment is preferred.
• Core Skills: Advanced nursing principles and procedures, proficiency with basic office equipment, use of multiple IV pumps, and ability to operate advanced medical equipment.

Benefits

• $25,000.00 Retention Bonus to support your transition and long-term commitment to the team. (Please note: This incentive is available for external candidates only).
• Highly desirable schedule consisting of three 12-hour shifts per week (3x12s), allowing for 4 days off weekly.
• Strong, industry-leading nurse-to-patient ratios designed to prevent burnout and maximize patient safety.
• Full health, dental, and vision insurance packages.
• Robust retirement savings plan with a generous employer matching contribution.
• Fully covered medical malpractice insurance.
• Generous paid time off (PTO) allocation to support a healthy work-life balance.

Note on Compensation & Hiring Requirements: Final hourly compensation will be verified and determined by the organization based on your documented years of critical care experience. All job offers are contingent upon the successful completion of standard pre-employment screenings, including a criminal background check, drug screening, and health/immunization verification.

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