You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Certified Registered Nurse Anesthetist (CRNA) ANESTHESIA PROFESSIONAL-6116 (Billings Clinic Main Campus) req9403 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt) Starting Wage DOE: Seeking full-time CRNAs to join our new hospital-based Anesthesia Care Team working at Montana’s largest Level I Trauma Center and independent tertiary health system serving Montana, Wyoming, and the western Dakotas. Enjoy big city medicine with a Rocky Mountain lifestyle. • Live & work in beautiful Billings, MT (not locums) • Signing bonus & Competitive base salaries, plus extra pay for extra shifts • Plus relocation stipend, loan assistance, CME and more • No call, no holidays • 4 day/week, 10 hour/day, day shift • New grads welcome • Practice to full scope of license on a medically-supervised care team • Diverse and exciting cases • Montana-based, not-for-profit organization • #1 Hospital in Montana (US News & World Report, 2023-24) • Magnet® recognized for nursing excellence since 2006 • Member of the Mayo Clinic Care Network • Nationally recognized for patient safety and quality (CMS and Leapfrog, 2024) • Billings is one of the Top 100 Places to Live in the US (Livability, 2024) Nestled in the beautiful Yellowstone Valley, Billings, Montana is a friendly college community of 169,000 in the magnificent Rocky Mountains. Amazing outdoor recreation – hiking, biking, fly fishing, skiing/riding -- is in your backyard. Montana’s largest city offers an ideal mix of urban and rural, with an average 15-minute commute, international airport near hospital, robust restaurant scene, great schools, and abundant activities for all ages. Four seasons of sunshine! In our CRNA role, you will be a critical team member to administer general, regional and monitored anesthesia care for scheduled and emergency surgical, obstetrical, and trauma procedures and perform anesthesia-related procedures at the discretion of and under the supervision of an attending anesthesiologist. The CRNA will evaluate patients preoperatively and, in consultation with the attending anesthesiologist, formulate and carry out an anesthesia care plan including monitoring and recording patient reaction to anesthesia and modifying the anesthetic plan accordingly. Safely transport patients and provide report to and from an anesthetizing location, ensuring appropriate care during the postoperative period. Finally, be an effective team member and interact with staff and patients in a way that shows respect and consideration for the individual and those around you. Essential Job Functions • At all times works under the medical direction of an Anesthesiologist. • Provides quality patient care considering age specific, developmental and cultural needs through competent anesthesia practice. • Manages patients airway or pulmonary status using techniques such as endotracheal intubation and extubation, mechanical ventilation, pharmacological support, and respiratory therapy. • Selects, prepares, or uses equipment, monitors, supplies, or drugs for the administration of anesthetics. • Selects, orders, and administers anesthetics, adjuvant drugs, accessory drugs, fluids or blood products. • Performs pre-anesthetic screenings including physical evaluations and patient interviews, and documents results. Monitors patients responses including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output using invasive and noninvasive techniques. • Responds to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques. • Develops anesthesia care plans. • Obtains informed consent from patients for anesthesia procedures. • Assesses patients medical histories to predict anesthesia response. • Performs and evaluates the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs). • Performs or manages regional anesthetic techniques such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks. • Evaluates patients post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur. Administers post-anesthesia medications or fluids to support patients cardiovascular systems. • Discharges patients from post-anesthesia care. • Reads literature, talks with colleagues, and participates in professional organizations or conferences to keep abreast of developments in nursing. • Performs any other related duties as requested or required. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. Minimum Qualifications Education • Bachelor of Science in Nursing; Graduate of an accredited/approved CRNA - Master’s program Certifications and Licenses • CRNA certification at hire • RN license at hire Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing. Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/) Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.