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Nurses

Charge Nurse - Labor & Delivery

Intermountain Health logoIntermountain Health$41.20–$62.17/hrIntermountain Health St Vincent Regional Hospital (Billings, MT)Full timePosted 2w agoStill open, checked every night
  • BLS
  • ACLS
  • PALS
  • BSN

How this pay compares

This posting states $41.20–$62.17 an hour. Charge nurses employed in Montana earn a median of $41 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Charge nurses in Montana: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

Visa sponsorship record

From 1 October 2025 to 30 June 2026, the US Labor Department certified 1 H-1B application from Intermountain Health for registered nurses. That is the employer's record, not a promise for this job: ask its recruiter whether this one sponsors a visa. Green cards for registered nurses are on the Labor Department's Schedule A and are filed with USCIS directly, so this record holds almost none of any employer's. Every employer that sponsors registered nurses.

Medicare rating of Intermountain Health St Vincent Regional Hospital

Medicare gives Intermountain Health St Vincent Regional Hospital 4 of 5 stars (Jul 2026; Montana's hospitals average 3.2). 78% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · Montana hospitals by rating.

Nurse Corps loan repayment

Intermountain Health St Vincent Regional Hospital is in a county HRSA designates a mental health HPSA (score 12) as a whole. A hospital located in a HPSA can count as a Critical Shortage Facility, where a registered nurse can apply for HRSA's Nurse Corps Loan Repayment Program: 60% of qualifying nursing loans repaid for two years of full-time service, 25% more for a third. Awards are competitive and HRSA decides each one. Every hospital hiring in a Nurse Corps shortage area.

Public Service Loan Forgiveness

Medicare lists Intermountain Health St Vincent Regional Hospital as owned by a non-profit body, and Intermountain Health also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.

Registered nurse and LPN jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 81.0%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 134
  • How often these jobs state their pay: Jobs stating any pay 54.7% · Stating an hourly rate 33.9%

From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

Job Description

Working with the department manager, the RN Charge Nurse provides leadership and clinical expertise on their respective shift and department. They coordinate unit resources to ensure appropriate staffing levels based on the unique needs of patients on the unit, both clinically and financially. They function as clinical support for staff and are a role model of competency and professionalism.

Hours and Shifts – 3 (12) hour variable shifts.

Location: St. Vincent Regional Hospital

Essential Functions

  • 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.
  • 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).
  • Directs the interdisciplinary care team via delegation, coordination, and collaboration. 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 managing time, supplies, and resources.
  • Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, and patient and family satisfaction. Revises plan of care as indicated and reassesses changes as appropriate.
  • Demonstrates professional behavior. Ensures staff accountability to the same standards. Encourages nursing professionalism by coaching and developing 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.
  • Estimates current and next shift staffing needs to deliver optimal patient care. Matches nurse skill levels with patient requirements.
  • Manages premium pay and overtime efficiently for cost-effectiveness and allocates resources appropriately.
  • Accountable for operational and clinical leadership of the unit or department including setting clear expectations and holding staff accountable for outcomes and behaviors.
  • Mediates conflicts between staff, families, physicians, and other departments.
  • Acts as a resource for setting clear expectations related to hourly rounds, communication boards, and joint bedside report.
  • Guides others and initiates conversations using appropriate tools to resolve problems and to encourage accountability and professional growth.
  • Supports and enforces Intermountain and unit policies and procedures to ensure safety, quality, compliance, and patient care.
  • Activates chain of command, rapid response, or code alerts when appropriate to facilitate patient and staff safety.
  • Actively participates in and facilitates continuous quality improvement in areas of clinical care, service experience, and operational effectiveness.
  • Required to complete Charge Nurse training.

Skills

  • Assessment
  • Planning
  • Implementation
  • Evaluation
  • Collaboration
  • Leadership
  • Communication

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.
  • Basic Life Support (BLS) certification for Healthcare Providers.
  • Unit Specific Certification as required (i.e., ACLS, PALS, etc.).
  • Experience in assigned clinical area.
  • Mentoring experience.
  • Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified). Registered Nurses (RNs) hired or promoted into this role must obtain their Bachelor of Science in Nursing (BSN) within four years of their hire or promotion date. If there is an existing education agreement, that agreement will take precedence.

Preferred Qualifications

  • One year of clinical nursing 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

Work City

Billings

Work State

Montana

Scheduled Weekly Hours

36

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

$41.20 - $62.17

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.

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.

From Intermountain Health's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Intermountain Health

Intermountain Health is a nonprofit health system with 34 (source: Intermountain Health, Careers at Intermountain Health) hospitals, about 400 (source: Intermountain Health, Careers at Intermountain Health) clinics and more than 68,000 (source: Intermountain Health, Careers at Intermountain Health) caregivers across Utah, Idaho, Nevada, Colorado, Montana and Wyoming. Source: Intermountain Health, Careers at Intermountain Health

Based in Salt Lake City, UTHires in Utah, Colorado, Montana, Nevada, Idaho, Wyoming, KansasPay on its listings: 81.5% of its open jobs state an hourly rate

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