New Grad RN - Emergency Department (Summer 2025 Cohort)

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 is a three-time Magnet recognized organization of over 4000 employees strong where physicians, advanced practice providers, and clinical staff work as a cohesive unit to provide the best possible care for our patients and their families.  We are a not-for-profit and physician led integrated multispecialty group practice with over 400 physicians and advanced practitioners caring alongside our nursing staff for patients in our 304-bed hospital and clinic with over 50 specialties.

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 department:

• Psychiatric Services – The psychiatric center is a 49-bed unit serving both adult and youth populations. We have both inpatient and observation levels of care based on the patient’s needs. We serve patients from across Montana, North Dakota, and parts of Wyoming assisting them through any mental health concerns. Our nurses rotate between all three of our units (Adult, Youth, and Psychiatric Stabilization Unit) allowing for variation from day to day as well as gaining knowledge of a wide variety of all psychiatric diagnoses.

Position postings may remain open as needs within the Psychiatric Services division dictate beyond the deadline 

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

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. 

Essential Job Functions

• Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the goal-directed
• plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients.
• Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, 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 and application of relevant and commonly used equipment specific to area, pharmacology and laboratory values based on disease process or physiological status.
• Utilizes evidence based practice, supported by nursing research, within specialty area.
• Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.
• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.
• Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team.
• Consideration is given to the appropriateness of care based on the population specific needs of the patient.

Knowledge, Skills and Abilities 

• Customer service techniques and Personal Service Excellence (PSE) skills
• Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.)
• Computers and electronic applications
• Nursing practices, planning and assessment within scope of practice
• American Nurse’s Association (ANA) Code of Ethics
• Patient safety standards
• Interpersonal communication
• Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals.
• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric
• Communicate clearly and effectively, both verbal and written
• Utilize time management concepts and maximize time effectively
• Work effectively with interdisciplinary care team
• Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families, while working with frequent interruptions and competing priorities
• Respond calmly and professionally when dealing with difficult or emergency situations
• Maintain flexibility to adapt to a variety of workload assignments
• Lift, push and pull 50 pounds unassisted
• Resourcefulness in dealing with emergency situations
• May be required to work on varied nursing units for varying periods of time
• Practices within the scope of RN licensure

Minimum Qualifications
Education
•  2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance
•  Preferred - 4 Year / Bachelors Degree (BSN)

Certifications and Licenses
•  Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date
•  ACLS certification preferred or ability to successfully complete ACLS training within two years of hire

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:

1. Please include a short 2-3 sentence paragraph introducing you to our managers.
2. 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?
3. Leadership is very important at Billings Clinic; Please provide examples of how you have demonstrated leadership.
4. What quality or skill do you feel separates you from other applicants?
5. What are your 2-5 year goals in nursing?