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Location: Great Falls, Montana | Schedule: Full-Time, On-Site, 3x12s, Nights (7:00 PM – 7:30 AM) | Compensation: $115k - $125k

Overview

A prominent regional healthcare system is seeking an experienced CVICU Registered Nurse (RN) to join its inpatient critical care services division on the night shift. This hospital-based role offers a supportive environment with strong nurse-to-patient ratios, robust administrative backing, and a collaborative clinical culture, based in a scenic Montana community known for its quality of life and outdoor recreation.

What you'll do

• Provide high-quality, direct clinical care to medical, surgical, and cardiovascular patients requiring advanced physiological monitoring from admission through discharge
• Manage and operate advanced cardiac and life-support equipment, including mechanical ventilators, central lines, arterial lines, multiple titration IV pumps, and Continuous Renal Replacement Therapy (CRRT)
• Monitor and manage patients utilizing advanced cardiac assist devices, such as intra-aortic balloon pumps (IABP) and Impella pumps
• Serve as a clinical leader on the floor, providing direction and collaborative support to RNs, LPNs, CNAs, and ancillary hospital staff
• Collaborate closely with Providers, Charge Nurses, and nurse leadership to implement evidence-based care plans and thorough discharge planning
• Maintain meticulous, timely electronic documentation of patient status, interventions, and clinical outcomes

Required qualifications

• Graduate of an accredited nursing program (Associate Degree in Nursing required; Bachelor of Science in Nursing preferred)
• Active, unrestricted Registered Nurse (RN) licensure in the State of Montana (or immediate compact/endorsement eligibility)
• Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications required; must complete PALS courses within 6 months of hire
• Proven post-graduate clinical practice in an advanced Medical/Surgical unit coupled with recent Critical Care/ICU nursing experience specifically involving cardiovascular surgery patients
• Advanced nursing principles and procedures, proficiency with basic office equipment, use of multiple IV pumps, and ability to operate advanced medical equipment

Preferred qualifications

• EPNC and TNCC certifications preferred; Pediatric Advanced Life Support (PALS) also noted as preferred
• 1 to 2 years of dedicated Cardiac Surgical ICU experience strongly preferred
• Hands-on clinical familiarity with Impella pumps, cardiac balloon pumps, and CRRT equipment preferred

Compensation and benefits

• Compensation range of $115k - $125k
• $25,000.00 Retention Bonus to support transition and long-term commitment (available for external candidates only)
• Schedule of three 12-hour shifts per week (3x12s), allowing for 4 days off weekly
• Strong, industry-leading nurse-to-patient ratios designed to prevent burnout and maximize patient safety
• Full health, dental, and vision insurance packages
• Robust retirement savings plan with a generous employer matching contribution
• Fully covered medical malpractice insurance
• Generous paid time off (PTO) allocation to support a healthy work-life balance

Why this role

This position offers an ideal balance of professional clinical development and personal lifestyle stability, combining a specialized CVICU nursing role with strong nurse-to-patient ratios and a supportive, team-oriented culture.