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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 in Great Falls, Montana. This high-visibility role manages hospital-wide patient flow, guides clinical staff on policies and procedures, and optimizes nursing resource assignments during night shifts, working in direct collaboration with clinical leaders and nursing administration.

What you'll do

• Provide shift supervision and administrative decision-making in collaboration with charge nurses, clinical leaders, and nursing administration.
• 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 plus night differential plus retention bonus.
• 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 and Disability Insurance coverage.
• Professional development and growth opportunities within an expanding regional health system.
• Final base salary, night shift differentials, and overall financial packages will be verified and 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 standard pre-employment screenings, including a criminal background check, drug screening, health/immunization verification, and full credentialing.
• The comprehensive benefits package and leadership structures detailed above are offered for full-time positions; eligible benefits 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.