Charge Nurse - Labor & Delivery

Intermountain Healthcare Inc.; United States; On-site; USD 57,000 - 86,000; Full time

Benefits offered by this job

PEAK program tuition coverage

Generous benefits package

Job summary

Intermountain Health in Billings, MT is seeking an RN Charge Nurse to lead on shift and coordinate staff and resources to deliver safe, high‑quality patient care. You'll work within the St.

Vincent Regional Hospital unit, guiding the team and ensuring adherence to care plans and regulatory standards. The role requires active supervision, scheduling insight, and clinical expertise with a focus on efficiency and patient outcomes.

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 start.
• Basic Life Support (BLS) certification for Healthcare Providers.
• Unit Specific Certification such as ACLS, PALS, etc.
• Experience in the assigned clinical area and mentoring experience.
• BSN from an accredited institution; BSN must be completed within four years if not already obtained.

Responsibilities

• Assess physical, social, and psychological status; inform plan of care with interdisciplinary team.
• Develop individualized care plans with patient, family, and team input.
• Direct and coordinate the care team; delegate tasks and manage resources.
• Ensure timely documentation, compliance with standards, and regulatory requirements.
• Plan staffing and scheduling, monitor outcomes, and ensure quality care.
• Coach staff, promote professionalism, and support ongoing education.

Skills

Leadership

Mentoring

Clinical assessment

Education

BSN from accredited program

BSN must be obtained within 4 years

Job description

Job Description

Working with the department manager, the RN Charge Nurse provides leadership and clinical expertise on their respective shift and department. They coordinate unit resources to ensure appropriate staffing levels based on the unique needs of patients on the unit, both clinically and financially. They function as clinical support for staff and are a role model of competency and professionalism.

Hours and Shifts - 3 (12) hour variable shifts.

Location: St. Vincent Regional Hospital

Essential Functions

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. Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. 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). Directs the interdisciplinary care team via delegation, coordination, and collaboration. 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 managing time, supplies, and resources. Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, and patient and family satisfaction. Revises plan of care as indicated and reassesses changes as appropriate. Demonstrates professional behavior. Ensures staff accountability to the same standards. Encourages nursing professionalism by coaching and developing 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. Estimates current and next shift staffing needs to deliver optimal patient care. Matches nurse skill levels with patient requirements. Manages premium pay and overtime efficiently for cost-effectiveness and allocates resources appropriately. Accountable for operational and clinical leadership of the unit or department including setting clear expectations and holding staff accountable for outcomes and behaviors. Mediates conflicts between staff, families, physicians, and other departments. Acts as a resource for setting clear expectations related to hourly rounds, communication boards, and joint bedside report. Guides others and initiates conversations using appropriate tools to resolve problems and to encourage accountability and professional growth. Supports and enforces Intermountain and unit policies and procedures to ensure safety, quality, compliance, and patient care. Activates chain of command, rapid response, or code alerts when appropriate to facilitate patient and staff safety. Actively participates in and facilitates continuous quality improvement in areas of clinical care, service experience, and operational effectiveness. Mandatory to complete Charge Nurse training.

Skills Assessment Planning Implementation Evaluation Collaboration Leadership Communication

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.
• Basic Life Support (BLS) certification for Healthcare Providers.
• Unit Specific Certification as required (i.e., ACLS, PALS, etc.).
• Experience in assigned clinical area.
• Mentoring experience.
• Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).
• Registered Nurses (RNs) hired or promoted into this role must obtain their Bachelor of Science in Nursing (BSN) within four years of their hire or promotion date. If there is an existing education agreement, that agreement will take precedence.

Preferred Qualifications

• One year of clinical nursing experience.

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.

Location: Intermountain Health St Vincent Regional Hospital Work City: Billings Work State: Montana Scheduled Weekly Hours: 36 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $41.20 - $62.17

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Thanks for your interest in continuing your career with our team!