Registered Nurse Med Surg Telemetry PRN 2
- Weekend differential 15%
- PRN / per diem
- BLS
- BSN
- RN license
How this pay compares
This posting states $32.73–$78.17 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
Union record
By the bargaining notices filed with the Federal Mediation and Conciliation Service, a union bargains for workers at Intermountain Health here: International Brotherhood of Teamsters 2 at Butte, MT (200 workers, contract up for renewal 30 Jun 2024). The union represents its own unit: ask the recruiter whether this position is in it. Healthcare union contracts.
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, offering a median $43.27 an hour (the low end of each application's wage range). 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 St James Hospital
Medicare gives St James Hospital 2 of 5 stars (Jul 2026; Montana's hospitals average 3.2). 81% 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.
What this hospital paid
By St James Hospital's report to Medicare, its registered nurse hours averaged $72.99 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $55.34 an hour across Montana's hospitals. An average over every such hour, not this job's pay: the posting states its own. What Montana hospitals pay nurses.
Nurse Corps loan repayment
St James Hospital is in a county HRSA designates a mental health HPSA (score 19) 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 St James 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 medical floor is a 26 bed unit that provides exceptional care to adult patients. The most common diagnosis on the medical floor are patients with respiratory, cardiac, and sepsis diagnosis. In addition to the medical patients this unit provides care to observation patients. These patients are hospitalized for a shorter period of time.
The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating 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.
PRN 2 - Must work 5 shifts per schedule. 2 weekend shifts per schedule. 1 holiday/premium shift per calendar year. 15% PRN differential
Scope
As a Registered Nurse you know that every day is different, which is why you need to know how to:
- Assess, recognize and address patients psychological and physical needs
- Foster quality of care with the best interests of patients and their families in mind
- Communicate compassionately and effectively
- Assist in developing individualized treatment plans
- Comply with evaluation, treatment and documentation guidelines
- Oversee care delivered by LPNs and/or CNAs
- Participate in clinical team conferences
- Follow hospital, regulatory and professional guidelines, policies and procedures
Minimum Qualifications
Required
- BSN Degree* from an accredited program required within 4 years unless 15 years of acute care service.
- Failure to obtain a BSN degree within this time frame may result in suspension or termination of employment. Nurses employed by the Hospital on or before September 1, 2014 with only an ASN/ADN, will be exempt from the requirement to obtain a BSN. Any nurse hired by the hospital from September 2, 2014 through April 15, 2019 will have 5 years / 60 months from date of hire to obtain a BSN. Any nurse who takes legally protected leave during any of the completion periods may have the period extended by a comparable amount of time.
- Current State of Montana Registered Nurse License
- BLS Certification upon hire.
Preferred
- National Certification in area of practice
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ability to work as part of an interdisciplinary team to achieve patient-focused outcomes.
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyze, interpret periodicals, professional journals, technical procedures, or government regulations. Ability to write reports. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Ability to respond to common inquiries or complaints from customers, or regulatory agencies.
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
- Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required.
MG onlyInteract with others requiring employee to verbally communicate as well as hear and understand spoken information.- and -Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Location
St James Hospital
Work City
Butte
Work State
Montana
Scheduled Weekly Hours
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$32.73 - $78.17
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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