Registered Nurse Cath Lab CV Invasive Specialist I

Intermountain Health; Billings (MT); On-site; USD 54,000 - 83,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Job summary

Intermountain Health St Vincent Regional Hospital in Billings, Montana, seeks a CV Invasive Specialist I (RN) to support cardiac cath lab procedures. The role involves scrub, circulate, and monitor duties, patient education, and imaging documentation. On-site, full-time, with 4 ten-hour shifts per week.

Qualified candidates hold a BS in Health Science or related nursing/tech degree and appropriate licenses, with BLS required and PALS/ACLS within 3 months. Sign-on bonus and relocation may apply.

Qualifications

• BLS for healthcare providers.
• PALS or ACLS required within 3 months of start; certifications vary by role.
• Bachelor's degree in health science with clinical healthcare experience or related degree.
• Graduate of Radiologic Technology, Cardiovascular Technology, Respiratory Therapy, or Nursing program.
• Graduate of a non-programmatic program with 800 clinical hours in invasive cardiovascular tech.

Responsibilities

• Scrub, circulate, and monitor in diagnostic and interventional Cath Lab procedures.
• Document procedures and hemodynamic data.
• Assist in equipment setup, calibration, and troubleshooting.
• Provide patient education and emotional support.
• Ensure patient safety and apply imaging and cath lab safety standards.

Skills

Patient Assessment

Monitoring

Procedural Support

Patient Education

Equipment Operation

Analytical Thinking

Initiative

Relationship Building

Health Language Fluency

Communication

Education

BS in Health Science

RN License

Radiologic Technology/Nursing Ed.

Job description

Intermountain Health St Vincent Regional Hospital

Full time

Posted 5 Days Ago

End Date: December 21, 2026 (30+ days left to apply)

Job requisition id R151838

Job Description

The CV Invasive Specialist I performs duties necessary for cardiac catheterization procedures at a technical and professional level requiring some proctoring and supervision of technical detail. The Specialist I performs a variety of technical procedures that require some independent judgment. The CV Invasive Specialist I assumes responsibility and initiative for designated areas and procedures as required. Follows Alliance of Cardiovascular Professionals (ACVP) Scope of Practice or for Electrophysiology the NASPE Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology.

To show our commitment to you and to assist with your transition into our organization, we may offer 20,000 sign on bonus and/or relocation when applicable.

Essential Functions

• Participate in procedure room preparation and post procedure turn around.
• Develop specific knowledge with regard to invasive, diagnostic, and interventional supplies which includes assisting in inventory control. Develops specific knowledge of applications, proper use and deployment techniques including documenting hemodynamic recordings, calculations, and interpretations.
• Provide patient education and emotional support for patients and their family members; ensure patient comfort. Foster teamwork and cohesiveness with team members and physicians.
• Develop knowledge specific to cardiopulmonary pathophysiology, pharmacology, anatomic anomalies, and treatment options. Assess the condition of the patient, document, and inform physician of deviations from normal criteria throughout the procedure.
• Understand and apply principles of x-ray generation and safety. Understand and demonstrate the correct operation of imaging equipment.
• May mix and administer medications under the direction and supervision of the physician (RCIS or RCES is required to pass medications). Pursuant to state laws.
• At the end of the procedure, may apply closure device, suture the sheath in place, or remove the sheath and apply pressure to obtain hemostasis.
• Provide thorough and accurate documentation of each procedure and associated events.
• Develop skills in operating, calibrating, and troubleshooting equipment in the Cardiac Catheterization Laboratory. Perform point of care testing and QA.
• Accountabilities: Scrub, circulate, and monitor in diagnostic, interventional, and CRM procedures according to scope of practice documents. Complete procedure data entry; acquire and process imaging studies, hemodynamic assessment and calculations, intra-procedure CathPCI registry requirements, and prepare procedural reports.

Skills

• Patient Assessment and Monitoring
• Sound Decision Making
• Procedural Assistance
• Patient Education
• Equipment Operation and Troubleshooting
• Analytical and Critical Thinking
• Taking Initiative
• Relationship building
• Health Language Fluency
• Communication and Collaboration

Registered Nurse Cath Lab- Intermountain Health St. Vincent Hospital

Shift Details

• 40 hours a week; 4 10-hour shifts
• Share on call obligations (requires 30-minute response time)
• Regular Lab hours are 7:30am-6:00pm Monday- Friday (open to shift negotiations).
• Call hours 6:00pm-7:30am with 24-hour coverage Saturday, Sunday and holidays

Unit Details

• Facilities include 2 Cath Labs, 1 Electrophysiology (EP) Lab, 1 Vascular Suite, and 1 Hybrid Operating Room.
• We perform approximately 350 procedures per month, covering a wide range of interventions such as:
• Cardiac procedures: Diagnostic and interventional catheterizations, Impella support.
• Electrophysiology: Arrhythmia ablations, SVT, atrial fibrillation, Aflutter, Farapulse technology, Watchman device implantation.
• Structural heart interventions: TAVR, Triclip, MitraClip, ASD and PFO closures.
• Vascular procedures: Endovascular, peripheral interventions, EVAR, TAVAR, TEVAR.
• All laboratories are equipped with Philips imaging systems and GE Mac-Lab hemodynamic monitoring systems, along with an Acist contrast injection device.
• Our team is highly proficient with advanced equipment, including Pnumbra, Shockwave, Rotablator, Volcano systems, IVUS, Boston Scientific devices, Impella, balloon pumps, and 3D ICE technology.
• We foster a collaborative and respectful culture comprising Cardiologists, Electrophysiologists, Vascular Surgeons, and Cardiac Surgeons.
• Procedures are typically performed by three-person teams consisting of registered nurses and invasive technologists.
• Documentation is managed using Epic and Mac-Lab systems.
• The team utilizes a combination of RN-led conscious sedation and anesthesia as appropriate.

Minimum Qualifications

• Basic Life Support Certification (BLS) for healthcare providers.
• PALS certification for children's hospitals or ACLS certification for adults. New employees must obtain within 3 months of start.
• Bachelor's degree in health science with six months of health care experience (e.g., Cath Lab, EP, EMT, Paramedic, CNA, Surgical tech)
• Graduate of a Radiologic Technology, Cardiovascular Technology, Respiratory Therapy, or Nursing program
• Graduate of a diploma or associate program in health science with one year of health care experience (e.g., Cath Lab, EP, EMT, Paramedic, Surgical tech, RN/LPN)
• Graduate of a non-programmatically accredited program in invasive cardiovascular technology which has a minimum of one year of specialty training and includes a minimum of 800 clinical hours. Education must be obtained from an accredited institution. Degree will be verified.
• Intermediate computer skills.
• Current license, where applicable.
• Surgical Tech/Assistant Certification per state requirements
• Fluoroscopy Operator Certification as required in the state of Colorado
• Preferred Qualifications
• 2 years of CV Invasive Training 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.

For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Intermountain Health St Vincent Regional Hospital

Billings

Montana

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$39.16 - $60.42

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.

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