New Grad RN - Critical Care CVU, ICU, IMC (Fall 2025 Cohort)

Billings Clinic; Billings (MT); On-site; Full time

Job summary

Billings Clinic is seeking New Grad RNs for the Critical Care CVU, ICU, and IMC units. The Nurse Residency Program supports new nurses in their transition to professional practice, providing a holistic approach to patient care within a Magnet-designated organization. Join a team dedicated to high-quality patient experiences in a supportive environment.

Benefits

Medical, Dental, Vision benefits

403(b) Retirement Plan with employer matching

Defined Contribution Pension Plan

Paid Time Off

Employee wellness program

Qualifications

• Current Montana state license as a registered nurse upon hire.
• ACLS certification preferred or ability to complete ACLS training within two years.

Responsibilities

• Utilizes the nursing process of assessment, planning, implementation, and evaluation.
• Collaborates with the interdisciplinary care team to execute a plan of care.
• Ensures complete and accurate entry into patient medical records.

Skills

Customer service techniques

Interpersonal communication

Evidence-based nursing practices

Education

2 Year / Associates Degree (ASN)

4 Year / Bachelors Degree (BSN)

Job description

New Grad RN - Critical Care CVU, ICU, IMC (Fall 2025 Cohort)

Youcan make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.

We look forward to meeting you.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide .

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as aMagnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

New Grad RN - Critical Care CVU, ICU, IMC (Fall 2025 Cohort)

August 2025 Graduates

NURSE RESIDENCY (Billings Clinic Main Campus)

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Schedule: Varies

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 0.90 = 72 hours every two weeks (Non-Exempt)

Starting Wage: $37.41/hr

Come be an integral part of an organization where you can make a positive impact in the lives of our patients and their families!

Billings Clinic has carefully developed a nurse residency program which assists new registered nurses bridge the gap in the transition from student to a competent, professional nurse over their first year of practice.Our nurse residency program offers a supportive environment which allows our new nurses to gain the knowledge, skills, and confidence which are vital components in the care of our patients. All new grads or nurses with less than 1 year of RN experience that are offered a position are required to participate in a Nurse Residency Program and will be assigned to one of three Residency Cohorts (spring, summer, fall).

To learn more about our Nurse Residency program, deadlines, expectations, and application requirements, please click here .

New grad RNs will be considered for hire into the following departments:

• Inpatient Cardiovascular Unit (CVU)-The Inpatient Cardiovascular Unit (CVU) is a 29-bed Progressive Care Cardiac unit. Primary patient population has cardiac, vascular, and thoracic disease processes. Wide range of patients including post-op cardiac, acute coronary syndrome, chest pain, stroke, heart failure, arrhythmia diagnoses, and post-procedure cardiac patients.
• Intensive Care Unit (ICU)-The Inpatient Critical Care Unit (ICU ) is a 28-bed mixed medical-surgical ICU that opened in 2014. Our service lines include cardiovascular, neurosurgical, trauma, COVID, general surgical, and general medical.
• Intermediate Care Unit (IMC) -The Intermediate Care Unit (IMC) is a 28 monitored bed unit. The primary patient populations in this unit will have high acuity needs and the unit will serve as a bridge between the Intensive Care Unit and the Medical/Surgical Units. The IMC will care for a wide range of patient diagnoses including: sepsis, diabetic ketoacidosis, complex wounds, neurological patients requiring frequent monitoring, COVID patients or patients in respiratory distress requiring high levels of oxygen therapy, and patients with tracheostomies and chronic ventilator use.

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE, RELOCATION REIMBURSEMENT, NCLEX REIMBURSEMENT AND TUITION LOAN REPAYMENT.

Under general supervision, utilizes the nursingprocess of assessment, planning, implementation and evaluation, andtheoretical/clinical skills in the promotion/maintenance of health.Incorporates evidence-based nursing practices consistent with national standardsand which support quality outcomes. Assumes responsibility and accountabilityfor the quality of nursing care. Directs the plan of care while maintainingprofessionalism.

Essential Job Functions

• Utilizing a holistic approach and evidence basednursing practices, incorporates the nursing process into the goal-directed
• plan of care for the patient. Collaborateswith the interdisciplinary care team to execute a plan of care appropriate tothe needs of the patients.
• Ensures complete, accurate and timely entryinto patient medical record as indicated by patient condition and documentationguidelines, consistent with departmental policies and procedures.
• Adheres to Billings Clinic safety standards,policies and practices. Anticipates and identifies problems and safety issues,then initiates appropriate action.
• Maintains appropriate skill/knowledge andapplication of relevant and commonly used equipment specific to area,pharmacology and laboratory values based on disease process or physiologicalstatus.
• Utilizes evidence based practice, supported bynursing research, within specialty area.
• Utilizes performance improvement principles toassess and improve the quality of patient/resident care. Incorporates theMagnet Model in transforming the work environment and quality of nursing care.
• Takes responsibility for own professionalgrowth and development needs; meets all system/departmental educationalrequirements.
• Demonstrates collaborative, supportive, andcaring behaviors in communication with patient’s families, visitors, and theinterdisciplinary care team.
• Consideration is given to the appropriatenessof care based on the population specific needs of the patient.

Knowledge, Skills and Abilities

• Customer service techniques and PersonalService Excellence (PSE) skills
• Regulatory standards (i.e., Joint Commission,OSHA, Patient Safety Standards, etc.)
• Computers and electronic applications
• Nursing practices, planning and assessmentwithin scope of practice
• American Nurse’s Association (ANA) Code ofEthics
• Patient safety standards
• Interpersonal communication
• Collection and analysis of information todevelop evidence-based plans of care related to specific interventions andgoals.
• Incorporate population specific needs into allaspects of communication and patient care; scope of services provided willencompass age groups ranging from infant through geriatric
• Communicate clearly and effectively, bothverbal and written
• Utilize time management concepts and maximizetime effectively
• Work effectively with interdisciplinary careteam
• Give attention to detail when planning andperforming professional nursing care, resolving patient/resident care problemsand dealing with patients and their families, while working with frequentinterruptions and competing priorities
• Respond calmly and professionally when dealingwith difficult or emergency situations
• Maintain flexibility to adapt to a variety ofworkload assignments
• Lift, push and pull 50 pounds unassisted
• Resourcefulness in dealing with emergencysituations
• May be required to work on varied nursingunits for varying periods of time
• Practices within the scope of RN licensure

Minimum Qualifications
Education
• 2 Year / AssociatesDegree (ASN) - Associate (or Diploma) RNs hiredinto this position must commit to completing their Bachelor of Nursing degreewithin4 years of their date of hire. Billings Clinic will help supportthe cost through financial assistance
• Preferred - 4 Year/ Bachelors Degree (BSN)

Certifications andLicenses
• Current Montanastate license as a registered nurse upon hire, or compact nursing license with ability toobtain a MT RN license within 90 days of hire date
• ACLS certificationpreferred or ability to successfully complete ACLS training within two years ofhire

HOW TO APPLY:

Complete the online application and submit prior to the due date as listed on the nurse residency site .

Please upload a resume and answer the following questions in the application:

• Please include a short 2-3 sentence paragraph introducing you to our managers.
• What interests you about joining (or continuing to work on) our team at Billings Clinic and what expectations and/or reservations do you have being part of the Nurse Residency Program?
• Leadership is very important at Billings Clinic; Please provide examples of how you have demonstrated leadership.
• What quality or skill do you feel separates you from other applicants?
• What are your 2-5 year goals in nursing?

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to being an inclusive andwelcoming employer, that strives to be kind, safe, and courageous in all we do.As an equal opportunity employer, our policies and processes are designed toachieve fair and equitable treatment of all employees and job applicants. Allemployees and job applicants will be provided the same treatment in all aspectsof the employment relationship, regardless of race, color, religion, sex,gender identity and expression, sexual orientation, pregnancy and familystatus, national origin, spoken language, neurodiversity, age, and/or disability.To ensure we provide an accessible candidate experience for prospectiveemployees, please let us know if you need any accommodations during therecruitment process.

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Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.