Job Description:
This job description applies to Nurse Manager and Nurse Manager-Complex. The difference is the scope level below. This role involves managing and supervising nursing departments. Collaborating with nursing leaders and other facility managers and departments, the nurse manager is key in ensuring excellent patient care, achieving financial objectives, and fostering leadership development. The position is accountable for developing departmental structure, processes, and outcome standards, typically for one unit. The job duties are distributed as follows: 50% Tactical (day-to-day activities like staffing and equipment availability), 40% Operational (budget management, supply acquisition, and employee performance evaluations), and 10% Strategic (developing goals to meet the Intermountain/Regional Strategic Plan and holding employees accountable to these goals).
Scope:
Level 1 Nurse Manager:
- Manages <50 headcount or manages a department operating Monday through Friday.
Level 2 Nurse Manager-Complex:
- Manages >50 headcount or more than 2 departments and manages a department operating 24/7.
Lead a high‑performing perioperative team at a respected regional hospital in the heart of Billings. This role is ideal for candidates seeking leadership growth, meaningful impact, and a balanced lifestyle.
Benefits & Perks:
Leadership role overseeing perioperative operations, staff, and patient care quality
Collaborative environment with surgeons, anesthesia, and interdisciplinary teams
Opportunity to mentor, develop, and support a strong clinical team
Modern surgical suites designed for efficiency and high‑quality outcomes
Ongoing leadership development and professional growth opportunities
Culture that values teamwork, communication, and work–life balance
Local Attractions Within 5 Minutes:
Scenic riverfront walking paths and outdoor green spaces
Local cafés and restaurants offering convenient, welcoming dining options
Fitness centers and wellness studios supporting an active lifestyle
Shopping and everyday conveniences close to the hospital
Advance your nursing leadership career while enjoying Montana’s wide‑open landscapes, welcoming community, and a lifestyle that supports both professional success and personal fulfillment.
This role encompasses a range of responsibilities that report to a Nurse Director. The responsibilities include overseeing the clinical nursing environment, contributing to strategic planning, day-to-day operations, and standards of care. The role involves facilitating collaborative problem-solving, advocating for resources, promoting shared decision-making, and implementing the organization's vision and values. Additionally, the responsibilities encompass managing budgets, ensuring employee engagement, recruitment, retention, and competency verification.
Champions the use of available resources to ensure nursing care is efficient, effective, safe, and delivered with compassion, in line with current practice standards.
Facilitates collaborative decision-making and upholds professional independence by contributing departmental perspectives to executive decisions and ensuring staff are updated on activities at the executive level.
Assists with development, implementation and management of annual capital/operating and personnel (FTE) budget for unit. Uses resources effectively and manages expenses to meet financial goals of department.
Models and fosters an environment of professionalism and employee engagement on the unit.
Ensures competent and sufficient number of staff to meet patient care needs, which includes hiring, orientation, retention, and employee satisfaction.
As delegated, ensures that new skill training and ongoing competency verification is completed annually by providing mentorship and professional educational opportunities.
Evaluates staff competency through use of performance reviews and peer reviews.
Coordinates performance and compliance with patient safety initiatives, federal, state and other regulatory bodies such as Joint Commission, OSHA, CMS, DOPL, and other unit specific accrediting and certifying bodies.
Facilitates use of resources by nursing staff such as nurse practitioners, other expanded role RNs, and other specialty roles.
Serves as an exemplary figure for employees, promoting the integration of Healing Commitments and Healing Connections within all facets of providing patient care.
Monitors and improves patient satisfaction utilizing available service metrics and national benchmarks to develop and implement action plans to achieve desired outcomes.
Partners with physicians at the unit level to achieve clinical, operational, and service goals.
Supports the Nurse Director in overseeing, organizing, and facilitating the activities of student nurses.
Supports staff participation in outside community organizations such as volunteer health clinics, health fairs and advisory boards for not-for-profit organizations.
Skills:
Leadership
Communication
Problem-solving
Financial acumen
Clinical knowledge
Resource management
Patient safety
Mentorship
Community outreach
Minimum Qualifications:
Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).
Current Nursing License to practice as a Registered Nurse in state of practice. Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
Basic Life Support (BLS) certification for Healthcare Providers.
Leadership/supervisory experience.
Must complete Intermountain Health’s required leadership training and development courses within one year of accepting this leadership position.
2 years clinical experience.
Preferred Qualifications:
Physical Requirements
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Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
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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.
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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.
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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.
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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.)
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May be expected to stand in a stationary position for an extended period of time.
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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
Work City:
Billings
Work State:
Montana
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$51.73 - $79.87
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.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
