Job Opportunity – Progressive Care Unit / Step Down Registered Nurse – Montana
Start Date: July 14, 2026
Location: Great Falls, Montana
Compensation: Details provided to qualified applicants
Schedule: Night shift in Progressive Care Unit/Step Down setting; caring for hemodynamically stable or predictably unstable medical/surgical patients
Highlights:
Provide specialized care to patients including post-operative surgical cases, post-PCI care, pacemaker placement, revascularization, carotid endarterectomy, thoracotomy, CHF, COPD, DKA, renal failure, DVT, PE, sepsis, and broad surgical services
Operate advanced medical equipment including central lines, chest tubes, nasogastric tubes, continuous bladder irrigation, multiple IVs, and ventilatory support (CPAP, BiPAP, stable long-term ventilation)
Manage common IV medications including Heparin, Diltiazem, Dobutamine, Lasix, Bumex, Amiodarone, and Dopamine (non-titrated)
Work with cardiac telemetry, basic EKG interpretation, and provide care for patients with invasive lines and advanced monitoring needs
Collaborate with interdisciplinary teams and act as a clinical leader, with opportunities to precept staff
May support Medical Surgical Nursing Unit as needed for optimal staffing and patient care
Requirements:
Current State of Montana RN Licensure (or eligibility to obtain)
BLS, ACLS, and PALS certification required (PALS may be obtained within 6 months of hire)
EPNC and TNCC certification preferred but not required
Proficiency with multiple IV pumps, advanced medical equipment, invasive lines, chest tubes, and ventilatory support
Knowledge of advanced nursing principles and procedures
Experience in post-heart catheterization, post-operative vascular surgery, and pediatric care preferred
Strong assessment skills and ability to recognize and intervene in potentially deteriorating patient conditions
Why It's a Great Opportunity:
This position offers the chance to work in a dynamic progressive care environment where you'll utilize advanced clinical skills while caring for a diverse patient population. You'll serve as a clinical leader, collaborate with a multidisciplinary team, and make a meaningful impact on patient outcomes from admission through discharge. This role is ideal for experienced nurses seeking to advance their critical care expertise in a supportive night shift setting.