Emergency Department RN
Billings, MT
American Traveler
3x12 hrs, Rotating

Assignment Overview

• Shift: Rotating, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 9, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Emergency Department RN with Level 3+ trauma experience and required certifications including ACLS, PALS, and TNCC.

Details

• 36-bed Emergency Department plus 10 vertical beds and 3 trauma bays, averaging 149-155 patients per day
• Treats traumas, MIs/STEMIs, strokes, DKA, sepsis, respiratory/GI/liver/kidney issues, behavioral health, and CIWA cases
• Cares for both pediatric and adult patients (no on-site PICU; pediatric patients transferred as needed)
• RN to patient ratio of 1:1-4 based on pod and acuity
• 12-hour variable shifts rotating between 5:45P-6:15A and 6:15A-5:45P
• No floating required
• Weekend rotation of 4 out of 8 weekend shifts per month
• On-call requirement of 1 shift per month with a 20-minute arrival window
• Uses Cerner EMR, Alaris IV pumps, Omnicell medication dispensing, and Philips monitors
• Unit-specific equipment includes Belmont rapid infuser, forensic kits, intubation kits, code carts, and broslow carts

Requirements

• Active RN license (MT or compact) currently in hand
• Minimum 2 years of experience in a Level 3 trauma or higher setting
• Current certifications: BLS, ACLS, PALS, TNCC, NIHSS, and a de-escalation course
• Preferred certifications: NRP, STABLE, and ENPC
• Strong autonomy, time management, and critical thinking skills required
• Experience with trauma care and basic ED skills required

Additional Information

• Support team includes PCTs, Charge RN, Clinical Coordinator, MDs/DOs assigned per pod, residents, and RTs available 24/7
• Additional support from ED and ICU pharmacy, EMTs, paramedics, case management, SANE team, radiology, trauma program staff, and security
• Flight team available for both fixed-wing and helicopter transport
• Orientation includes NEO plus 2-3 shifts within the department, with one day shadowing a PCT and two days with an RN preceptor
• Holiday coverage of 1-2 holidays required based on need
• RTO must be approved in advance by the manager
• Schedule is released in 4-week cycles, provided 2 weeks in advance
• Scrubs may be any color, excluding logos, denim, or camo
• Free on-site parking provided
• First-time travelers will be considered