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Nurses

Registered Nurse Clinical Nurse Leader Post Procedure

Intermountain Health logoIntermountain Health$45.31–$67.01/hrIntermountain Health St Vincent Regional Hospital (Billings, MT)Full timePosted 2w agoStill open, checked every night

How this pay compares

This posting states $45.31–$67.01 an hour. Open registered nurse jobs in Montana post a median of $42.50 an hour, the middle half $41.22–$47.83, across 171 jobs that state their pay, so this one is above the middle half of what they post. Registered 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).

Registered 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

The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique needs of patients on the unit, both clinically and financially. They serve as clinical support for staff and exemplify competency and professionalism.

As a part of line management, this role will have significant leadership responsibilities, including several of the following: leading change, scheduling, maintenance of staff competencies, new employee selection / orientation, constructive discipline, and completion of annual employee performance reviews. The Nurse Clinical Leader provides leadership support for professional governance.

The Nurse Clinical Leader also works in a regularly scheduled bedside RN shift with the responsibility and accountability for assessing, planning, implementing and evaluating the care of patients. The RN utilizes the nursing process with technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Lead clinical excellence by mentoring caregivers, supporting quality initiatives, and partnering with interdisciplinary teams to enhance patient care and operational outcomes. Enjoy leadership development opportunities, comprehensive benefits, a collaborative culture, and the opportunity to call a region of extraordinary scenery and outdoor adventure home.

Schedule

  • Five 8-hour shifts or four 10-hour shifts
  • Rotating day off
  • Hours: Vary between 7:00 a.m. and 8:30 p.m.

Essential Functions

  • Conducts thorough evaluations of physical, social, and psychological status, including cognitive, communication, and developmental skills when necessary. Gathers and assesses information from the interdisciplinary team: patient, family, physician, non-nursing professionals, support staff, and others.
  • Models and fosters an environment of professionalism and employee engagement on the unit. Advocates for nursing teams in respective practice areas. Supports other members of nursing management with key messaging and priority initiatives.
  • Demonstrates the ability to set priorities and to coordinate and organize the department’s patient care delivery through effectively managing time, supplies, and resources, including by scheduling caregivers and approving/denying time off requests based on department and patient care needs.
  • Forecasts, develops, and communicates accurate information on admission, discharge, and transfer to ensure appropriate patient placement while communicating with appropriate caregivers on difficult/challenging patients to facilitate appropriate care needs.
  • Evaluates and promotes staff competency, performance, and compliance with policies and procedures through performance reviews, peer reviews, caregiver recognition (e.g., recommendations for promotion and/or other rewards/incentives), and corrective action.
  • Evaluates department needs and develops and implements plans to move staff from novice to expert nurses in areas of practice, clinical competency, and patient experience.
  • 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.
  • Makes and/or recommends decisions related to staffing and hiring needs, candidate evaluation and selection, new hire orientation, and caregiver retention, orientation, etc.
  • Ensures that staffing levels/skill levels match census/acuities for the department and assigns patient care and other responsibilities appropriate to skill and experience levels of individual caregivers.
  • Assists staff members with direct patient care as needed.
  • Shares responsibility for the day-to-day operations. Promotes safety, quality and experience for patients and caregivers.
  • Oversight responsibilities for competency of staff. This may include annual skills updates, ongoing educational in-services and completion of mandatory educational requirements.
  • Oversight accountabilities for ongoing programs (i.e., patient experience, continuous improvement, etc.).

Skills

  • Leadership
  • Communication
  • Problem-solving
  • Clinical knowledge
  • Resource management
  • Patient safety
  • Mentorship

Minimum Qualifications

  • 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.
  • 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.
  • Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).

Preferred Qualifications

  • Demonstrated leadership and mentoring experience in assigned clinical area.
  • Specialty Certification.

Physical Requirements

  • Ongoing need for employees 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.

$45.31 - $67.01

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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