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

Assignment Overview

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

Description

American Traveler is hiring an Emergency Department RN requiring Level 3 trauma experience or higher and a compact or MT RN license.

Details

• 36-bed ED plus 10 vertical beds and 3 trauma bays averaging 149-155 patients per day
• Treats trauma, MI/STEMI, stroke, DKA, sepsis, respiratory/GI/liver/kidney issues, behavioral health, CIWA, and critical patients
• Cares for both pediatric and adult patients (no onsite PICU; pediatric patients transferred as needed)
• RN to patient ratio ranges from 1:1 to 1:4 based on pod and acuity
• Uses Cerner EMR, Alaris IV pumps, Omnicell medication dispensing, and Philips monitors
• Unit-specific equipment includes Belmont rapid infusers, forensic kits, intubation kits, code carts, and Broslow carts
• 12-hour shifts on an hourly tiered schedule starting at 7am, with variable 5:45A-6:15P shifts
• 36 hours per week with weekend rotation of 4 out of 8 weekend shifts per month
• On-call requirement of 1 shift per month (7a-7p or 7p-7a) with a 20-minute arrival requirement
• No floating required
• Schedule issued 2 weeks in advance on a 4-week cycle

Requirements

• Active compact or Montana RN license required
• Minimum 2 years of experience in a Level 3 trauma center or higher
• Current BLS, ACLS, PALS, TNCC, and NIHSS certifications required
• De-escalation course completion required
• NRP, STABLE, and ENPC certifications preferred
• Strong foundational ED skills with trauma care experience
• Demonstrated autonomy, time management, and critical thinking abilities

Additional Information

• Supported by a multidisciplinary team including PCTs, Charge RNs, Clinical Coordinators, MDs/DOs, residents, RT, pharmacy, EMTs, paramedics, case management, SANE, radiology, trauma program staff, security, and flight team
• Dedicated MD coverage within each ED pod (B, C, D), with Pod A shared between physicians
• ED pharmacy coverage until 2am, transitioning to ICU pharmacy coverage overnight
• 24/7 respiratory therapy and security coverage, plus Billings PD support until 3am
• Orientation includes NEO plus 2-3 shifts in the department (1 day with PCT, 2 days with RN preceptor)
• Holiday coverage expected for 1-2 holidays based on department need
• RTO requires advance manager approval
• Scrubs may be any color, but logos, denim, and camo are not permitted
• Free parking available
• First-time travelers are welcome to apply