Job Opportunity – Operating Room Registered Nurse – Montana
Start Date: November 23, 2026
Location: Montana
Compensation: Details provided to qualified applicants
Schedule: 5 days per week, 8-hour shifts (10-hour shifts may be considered). On-call required 8 shifts per month including variable weekend and night coverage. Every 3rd or 4th weekend rotation. Must commit to working 3 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day).
Highlights
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Critical Access Hospital surgical services with 2-room OR suite serving diverse specialties including OBGYN, Orthopedics, General Surgery, ENT, Pain Management, and Dental
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Comprehensive perioperative experience: float rotation includes Pre-op, Circulating, PACU Phase I and II, and Endoscopy
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Patient ratios of 1:1, 1:2, and 1:4 depending on assignment area
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Epic EMR system utilized facility-wide
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Opportunity to follow patients throughout the entire surgical continuum from pre-op to discharge
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Serve all patient populations: Pediatrics, Adults, and Geriatrics
Requirements
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Current RN license (Compact license accepted and must be in hand at time of submission)
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Minimum 2 years of Operating Room nursing experience required
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At least 1 year of Critical Access Hospital experience required
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Must be experienced and competent in circulating C-sections (required)
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Required Certifications: BLS, ACLS, PALS
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Epic charting experience required
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Demonstrated competency across surgical specialties including laparoscopic procedures, orthopedic cases, general surgery, OBGYN procedures, and endoscopy
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Experience with skills including conscious sedation monitoring, peripheral IV placement, blood product administration, specimen handling, and code response
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Clean background check (facility does not accept Nursys or background hits)
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Two professional references covering 1 year within the last 3 years
Why It's a Great Opportunity
This position offers a well-rounded surgical services experience in a Critical Access Hospital environment where you'll have the opportunity to utilize diverse clinical skills across multiple perioperative areas. You'll work with interdisciplinary teams including Physical Therapy, Respiratory Services, Pharmacy, and Rapid Response Teams while providing comprehensive care to patients of all ages. This role is ideal for an experienced, flexible OR nurse who values variety and the ability to follow patients through their entire surgical journey in a collaborative community healthcare setting.
Additional Information
Float assignment within surgical services and other departments as needed within scope of practice. All time-off requests and scheduling needs must be submitted during the application process. Post-offer requests may not be accommodated. Pre-employment modules are required and completed during orientation using the facility's learning management system.