Registered Nurse Clinical Leader Med Surg

Job Description : Job Description The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique needs of patients on the unit, both clinically and financially. They serve as clinical support for staff and exemplify competency and professionalism. As a part of line management, this role will have significant leadership responsibilities, including several of the following : leading change, scheduling, maintenance of staff competencies, new employee selection / orientation, constructive discipline, and completion of annual employee performance reviews. The Clinical Nurse Leader provides leadership support for professional governance. The Clinical Nurse Leader also works in a regularly scheduled bedside RN shift with the responsibility and accountability for assessing, planning, implementing and evaluating the care of patients. The RN utilizes the nursing process with technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members. Unit Details : Our neuro med-surg unit focuses on providing care for patients with neurological and medical-surgical conditions. This unit often handles cases involving stroke, traumatic brain injury, spinal cord injuries, and other neurological disorders, alongside general medical-surgical patients. Stroke Certified Program Bariatric Certified Program 28 bed Neuro / Trauma / Med-Surg unit Works closely with Neurologist, Neurointerventionalist, Trauma Team, ICU, and Hospitalist Multidisciplinary patient centered treatment Foster a strong sense of team work and camaraderie, which provides a supportive environment Shift Details : Shift time : 1500 to midnight Variable shift four 10 hour shifts, 2 weekend shifts out of the 8 week schedule and one holiday. Essential Functions Assess : Performs appropriate assessment of physical, social, and psychological status (including cognitive, communicative, and developmental skills as appropriate). Seeks and evaluates information acquired from other members of the interdisciplinary team : patient, family, physician, non-nursing disciplines, support staff, others. Plan : Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. Actively seeks patient, family, team, and physician involvement to develop plan of care including needed education. Collaboratively plans and prepares patients for further support needs once the current episode of care outcomes are met (i.e., teaching, referrals, and follow-up). Implement : Directs the interdisciplinary care team via delegation, coordination, and collaboration as appropriate. Provides or delegates care consistent with plan of care, guidelines of care and professional licensure provisions. Demonstrates the ability to set priorities and to coordinate and organize patient care delivery through effectively managing time, supplies, and resources. Evaluate : Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient, and family satisfaction. Revises plan of care as indicated and reassesses changes as appropriate. Professionalism : Promotes nursing profession and participate in development of others. Integrates legal and ethical standards into practice, complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery. Skills Patient Care Delivery Nursing Fundamentals Interdisciplinary Teams Documentations Professional Etiquette Accountability Patient Care Coordination Communication Patient Evaluation Critical Thinking Essential Functions Conducts thorough evaluations of physical, social, and psychological status, including cognitive, communication, and developmental skills when necessary. Gathers and assesses information from the interdisciplinary team : patient, family, physician, non-nursing professionals, support staff, and others. Models and fosters an environment of professionalism and employee engagement on the unit. Advocates for nursing teams in respective practice areas. Supports other members of nursing management with key messaging and priority initiatives. Demonstrates the ability to set priorities and to coordinate and organize the department’s patient care delivery through effectively managing time, supplies, and resources, including by scheduling caregivers and approving / denying time off requests based on department and patient care needs. Forecasts, develops, and communicates accurate information on admission, discharge, and transfer to ensure appropriate patient placement while communicating with appropriate caregivers on difficult / challenging patients to facilitate appropriate care needs. Evaluates and promotes staff competency, performance, and compliance with policies and procedures through performance reviews, peer reviews, caregiver recognition (e.g., recommendations for promotion and / or other rewards / incentives), and corrective action. Evaluates department needs and develops and implements plans to move staff from novice to expert nurses in areas of practice, clinical competency, and patient experience. Integrates legal and ethical standards into practice, complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery. Makes and / or recommends decisions related to staffing and hiring needs, candidate evaluation and selection, new hire orientation, and caregiver retention, orientation, etc. Ensures that staffing levels / skill levels match census / acuities for the department and assigns patient care and other responsibilities appropriate to skill and experience levels of individual caregivers. Assists staff members with direct patient care as needed. Shares responsibility for the day-to-day operations. Promotes safety, quality and experience for patients and caregivers. Oversight responsibilities for competency of staff. This may include annual skills updates, ongoing educational in-services and completion of mandatory educational requirements. Oversight accountabilities for ongoing programs (i.e., patient experience, continuous improvement, etc.). Skills Leadership Communication Problem-solving Clinical knowledge Resource management Patient safety Mentorship Minimum Qualifications Current Nursing License to practice as a Registered Nurse in state of practice. Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment. Basic Life Support (BLS) certification for Healthcare Providers. Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified). Registered Nurses (RNs) hired or promoted into this role must obtain their Bachelor of Science in Nursing (BSN) within four years of their hire or promotion date. If there is an existing education agreement, that agreement will take precedence. Bachelor of Science in Nursing (BSN) is required as of the job description's last update on 4 / 27 / 2025. Employees hired or promoted prior to this date will be held to the minimum requirements that were in place at the time of their promotion or hire. Preferred Qualifications Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified). Demonstrated leadership and mentoring experience in assigned clinical area. Specialty Certification Physical Requirements : Location : Intermountain Health St Vincent Regional Hospital Work City : Billings Work State : Montana Scheduled Weekly Hours : 36 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $44.42 - $65.70 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 . 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.