CVICU RN - Days

Top Echelon LLC; Great Falls (MT); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Retention bonus $25,000

Three 12-hour shifts per week

Health, dental, vision insurance

Retirement plan with employer match

Malpractice insurance provided

Clinical ladder advancement

Job summary

Top Echelon LLC is seeking a dedicated Registered Nurse (RN) for the Cardiovascular Intensive Care Unit (CVICU) in Great Falls, MT. This full-time, on-site role requires expertise in cardiovascular surgery patients and advanced monitoring with a strong emphasis on teamwork and safety.

Qualifying candidates hold ADN with MT licensure (BSN preferred), BLS/ACLS, and ICU experience. Compensation includes a retention bonus, comprehensive benefits, and opportunities for clinical advancement within a

Qualifications

• Graduate of an accredited nursing program (ADN required; BSN preferred).
• Active, unrestricted RN license in Montana or endorsement.
• BLS and ACLS; PALS within 6 months; EPNC/TNCC preferred.
• 1–2 years CVICU or cardiac surgical ICU experience preferred.

Responsibilities

• Provide direct clinical care to medical, surgical, and CVICU patients.
• Operate advanced cardiac/life-support equipment including CRRT, ventilators, lines.
• Monitor patients with devices like IABP and Impella; document outcomes.
• Lead on the floor and support RNs, LPNs, CNAs, and staff.
• Collaborate with Providers and nurse leadership on care plans and discharge.
• Maintain timely electronic documentation of patient status.

Skills

Critical care

Cardiac ICU

Team leadership

Communication

Education

ADN required

BSN preferred

Tools

Mechanical ventilators

IABP/Impella devices

CRRT equipment

Central/arterial lines

Job description

Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU)

Job Type: Full-Time | On-Site | 3x12s | Days

Location: Great Falls, Montana

We have partnered closely with a premier hospital organization dedicated to becoming Montana's healthcare provider of choice, serving over 250,000 residents across 17 regional counties. We are currently seeking a full-time, dedicated Registered Nurse (RN) for the Cardiovascular Intensive Care Unit (CVICU) to join their team. Boasting exceptional nurse-to-patient ratios that allow for deeply personalized care, this facility fosters a tight-knit culture of teamwork, safety, and modern medical technology.

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. Pediatric Advanced Life Support (PALS) must be obtained within 6 months of hire. EPNC and TNCC certifications are highly preferred.
• 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 highly desired.
• Soft Skills: Strong clinical judgment, excellent communication skills, and a team-oriented mindset.

Benefits:

• $25,000.00 Retention Bonus to support your long-term transition and 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.
• Abundant long-term professional growth and clinical ladder advancement opportunities within an innovative healthcare system.

Note on Compensation & Hiring Requirements:

Final hourly compensation will be verified and determined by the organization based on your documented years of nursing 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.