New Grad RN - Critical Care CVU, ICU, IMC (Fall 2026 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 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 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. 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 upon hire, 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: 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?