Nurse Clinical Leader Orthopedics Acute
Listed on 2026-06-25
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Nursing
Healthcare Nursing, Charge Nurse, Clinical Nurse Specialist, Director of Nursing
Overview
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. The role includes leadership responsibilities such as leading change, scheduling, maintaining staff competencies, new employee selection/orientation, constructive discipline, and completion of annual employee performance reviews.
The Nurse Clinical Leader provides leadership support for professional governance and also works a regularly scheduled bedside RN shift with responsibility and accountability for assessing, planning, implementing and evaluating patient care.
- Conduct thorough evaluations of physical, social, and psychological status as necessary, including cognitive, communication, and developmental skills.
- Gather and assess information from the interdisciplinary team: patient, family, physician, non-nursing professionals, support staff, and others.
- Model and foster professionalism and employee engagement on the unit; advocate for nursing teams in respective practice areas; support other nursing management with key messaging and priority initiatives.
- Set priorities and coordinate the department’s patient care delivery by effectively managing time, supplies, and resources, including scheduling caregivers and approving/denying time off requests based on department and patient care needs.
- Forecast, develop, and communicate information on admission, discharge, and transfer to ensure appropriate patient placement and facilitate care needs with appropriate caregivers.
- Evaluate and promote staff competency, performance, and compliance with policies and procedures through performance reviews, peer reviews, caregiver recognition, and corrective action.
- Evaluate department needs and develop plans to move staff from novice to expert in areas of practice, clinical competency, and patient experience.
- Integrate legal and ethical standards into practice, comply with regulatory standards, practice within scope of licensure, provide accurate and timely documentation, and understand legal implications of care delivery.
- Make or recommend staffing and hiring decisions, candidate evaluation and selection, new hire orientation, and caregiver retention initiatives.
- Ensure staffing levels and skill mix match census/acuities; assign patient care and responsibilities appropriate to skill and experience levels; assist staff with direct patient care as needed.
- Share responsibility for day-to-day operations; promote safety, quality, and patient and caregiver experience.
- Provide oversight for staff competency, including annual skills updates, ongoing in-services, and mandatory education; oversee ongoing programs (e.g., patient experience, continuous improvement).
- Leadership
- Communication
- Problem-solving
- Clinical knowledge
- Resource management
- Patient safety
- Mentorship
- Current Nursing License to practice as a Registered Nurse in the 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 hired or promoted into this role must obtain their BSN within four years of hire or promotion date; existing education agreements take precedence.
- Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).
- Demonstrated leadership and mentoring experience in the assigned clinical area.
- Specialty Certification.
Ongoing need to see and read information, labels, and to operate monitors; frequent verbal communication with patients, families, and staff; manual dexterity to manipulate equipment; ability to lift, bend, and move patients and supplies; ability to stand for extended periods; driving may be required for some roles.
Location and ScheduleLocation:
Intermountain Health St Vincent Regional Hospital
Work City:
Billings
Work State:
Montana
Scheduled Weekly
Hours:
36
Hourly range: $44.42 - $65.70 (dependent on experience)
Additional InformationIntermountain 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.
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