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Location: Great Falls, Montana | Schedule: Full-Time, On-Site, Night Shift

Overview

A prominent healthcare system in Montana is seeking an experienced Night House Supervisor / Patient Flow Specialist to provide shift leadership, operational oversight, and clinical guidance for its hospital administrative team. This high-visibility role manages hospital-wide patient flow and works in direct collaboration with clinical leaders and the Chief Nursing Officer (CNO) to ensure safe, efficient nighttime operations.

What you'll do

• Provide shift supervision and administrative decision-making in collaboration with charge nurses, clinical leaders, and the Chief Nursing Officer (CNO)
• Optimize patient flow throughout the facility, manage nursing resource assignments, and streamline inter-departmental transfers and admissions
• Direct hospital staff in interpreting and applying organizational policies; organize workflows, delegate tasks, monitor productivity, and provide constructive feedback
• Serve as the primary point of contact for resolving complex clinical situations, problem-solving, and addressing patient or family complaints/concerns
• Work closely with charge nurses, physicians, and clinical and non-clinical support teams to ensure cohesive, safe, and efficient hospital operations

Required qualifications

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited program
• Active, unrestricted Registered Nurse (RN) license in the State of Montana (or immediate eligibility to obtain)
• Basic Life Support (BLS) / CPR certification
• Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications (required or must obtain within 6 months of hire)
• Minimum of 3 years of hospital-based RN clinical experience
• Recent clinical background in an Intensive Care Unit (ICU) or Emergency Department (ED) setting required
• Demonstrated background in patient flow management, serving as a resource nurse, or charge nurse/leadership roles
• Clinical experience caring for a diverse patient demographic across all life stages (from infancy to geriatrics)
• Proficiency operating advanced critical care medical equipment (multiple IV pumps, A-lines, invasive lines, chest tubes, and ventilator support)
• Strong background in cardiac monitoring and post-operative/medical patient care management
• Exceptional interpersonal, conflict management, critical thinking, and crisis prioritization skills

Compensation and benefits

• Competitive base salary range plus applicable night shift differentials
• Comprehensive medical and dental insurance packages for full-time staff
• Retirement savings program with employer matching options
• Generous Paid Time Off (PTO) and holiday allocations
• Life & Disability Insurance coverage
• Professional development and growth opportunities within an expanding regional health system
• Final base salary, shift differentials, and overall financial packages are determined based on documented years of hospital RN practice, critical care competencies, and clinical leadership history
• All job offers are contingent upon successful completion of pre-employment screenings, including a criminal background check, drug screening, health/immunization verification, and full credentialing
• Benefits and leadership structures described are for full-time positions; eligibility may vary or be prorated for alternative employment arrangements

Why this role

This position offers excellent nurse-to-patient ratios, a collaborative work environment, and access to world-class outdoor recreation, along with growth opportunities within an expanding regional health system.