Registered Nurse Operating Room

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Join a collaborative surgical team at a respected hospital in the heart of Billings. This role is ideal for nurses seeking hands‑on OR experience, strong teamwork, and a welcoming community with an exceptional quality of life. Benefits & Perks: Supportive operating room environment focused on safety and high‑quality patient care

Opportunity to work across a variety of surgical procedures and specialties

Modern OR suites designed for efficient workflows and strong patient outcomes

Close collaboration with surgeons, anesthesia, and interdisciplinary teams

Opportunities for continued learning, skill development, and career growth

Culture that values teamwork, communication, and work–life balance

Local Attractions Within 5 Minutes: Scenic riverfront paths and outdoor spaces perfect for fresh‑air breaks

Local cafés and dining options offering convenient and welcoming meals

Fitness centers and wellness studios supporting an active lifestyle

Shopping and everyday conveniences close to the hospital

Build a rewarding OR nursing career while enjoying Montana’s open landscapes, friendly community, and a lifestyle that balances meaningful work with room to explore.

Schedule: 4, 10-hour shifts per week following completion of orientation

6:45 AM – 5:15 PM, based on department needs

Call requirement: 30-minute response time

Call Shifts: Approximately 1 night per week

1–2 weekends per 8-week schedule period

Frequency dependent on staffing levels

Essential Functions: Assess:

Performs appropriate assessment of physical, social, and psychological status (including cognitive, communicative, and developmental skills as appropriate). Seeks and evaluates information acquired from other members of interdisciplinary team: patient, family, physician, non-nursing disciplines, support staff, others.

Plan:

Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. Actively seeks patient, family, team, and physician involvement to develop plan of care including needed education. Collaboratively plans and prepares patients for further support needs once the current episode of care outcomes are met (i.e., teaching, referrals, and follow-up).

Implement:

Directs the interdisciplinary care team via delegation, coordination, and collaboration as appropriate. Provides or delegates care consistent with plan of care, guidelines of care and professional licensure provisions. Demonstrates the ability to set priorities and to coordinate and organize patient care delivery through effectively managing time, supplies, and resources.

Evaluate:

Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient, and family satisfaction. Revises plan of care as indicated and reassesses changes as appropriate.

Professionalism:

Promotes nursing profession and participate in development of others. Integrates legal and ethical standards into practice, complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery.

Skills: Patient Care Delivery

Nursing Fundamentals

Interdisciplinary Teams

Documentations

Professional Etiquette

Accountability

Patient Care Coordination

Communication

Patient Evaluation

Critical Thinking

Minimum Qualifications: Current 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.

RNs with less than 12 months of experience must obtain their Bachelor of Science in Nursing (BSN) within four (4) years of their hire date.

Basic Life Support Certification (BLS) for healthcare providers.

Bachelor's degree in nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.

Bachelor of Science in Nursing (BSN) is required as of the job description's last update on 4/27/2025. Employees hired or promoted prior to this date will be held to the minimum requirements that were in place at the time of their promotion or hire.

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

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. $38.37 - $57.29

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

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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.