Job Description

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 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 for more information or download the Employee Benefits Guide.

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 to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Nursing Extern - Winter 2026 (full-time) Temporary

req12865

Shift: Working up to full-time (32-40 hours per week) Usually three 12-hour shifts while following your preceptor's schedule with 100% attendance required. This may include working days, nights, weekends, holidays, and/or rotating shifts

Employment Status: Temporary

Hours per Pay Period: 0.90 = 72 hours every two weeks (Non-Exempt)

Salary: $17.00/hr

This program will include 1 day of orientation and 3 weeks of clinical rotation. Applicants MUST be able to commit to the 4-week program, including start and end dates and potential holiday shifts. *Please note, this is for the Billings, MT location only.

Cohort Date: December 21, 2026 - January 8, 2027

Interview Dates:

• Oct 23, 8:30am – 2:00pm
• Oct 27, 12:00pm – 3:00pm
• Oct 28, 12:00pm – 4:00pm
• Oct 29, 1:00pm – 4:00pm

Please be prepared to answer these questions within the application.

1. What is your anticipated graduation date?
2. Please describe your personal and professional goals you hope to achieve by participating in this program?
3. Describe two opportunities for personal improvement that you see related to the program and explain how you would address these.
4. Describe an experience you have had in a clinical setting that may have influenced a choice you have made about a focus for your nursing career.

DESCRIPTION:

1. Supports and practices the mission and philosophy of Billings Clinic and the department.
2. Performs patient care and treatments as directed and supervised by the licensed nurse. May receive Nursing Delegation as defined in Montana Board of Nursing Rules
3. Assists patient/resident activities of daily living, such as baths, oral hygiene, ambulating and turning. Obtains and records vital signs including blood pressure, pulse, respiration and temperature.
4. Measures, records and provides for patient/resident: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the licensed nurse/physician.
5. Identifies and anticipates problems and safety issues and initiates appropriate action.
6. Demonstrates positive, supportive, and caring behaviors in communication with patient/resident, families, visitors, physicians, staff and others.
7. Takes responsibility for identification of own growth and development needs; meets all system and departmental educational requirements.
8. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
9. Performs all other duties as assigned or as needed to meet the needs of the department/organization.

KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE OF:

General knowledge of policies and procedures, both organizational and departmental

Billings Clinic Corporate Compliance Program

Billings Clinic Code of Business Conduct

Customer service techniques and Personal Service Excellence (PSE) skills

Regulatory standards

Patient/resident care treatment, planning and assessment within scope of practice

SKILL IN:

Interpersonal skills necessary in order to interact with patients/residents, families, and physicians

Demonstrates empathy and sensitivity necessary to elicit patient’s/resident’s cooperation and allay apprehensions

ABILITY TO:

Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric

Utilize time management concepts or maximize time effectively

Communicate clearly and effectively both verbally and in writing

COMPLEXITY & DIFFICULTY:

Professional conduct in dealing with difficult situations with co-workers, patients/residents and visitors

Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel.

PURPOSE/DISTINGUISHING CHARACTERISTICS:

Under general supervision of the Licensed Nurse or Physician assists in the delivery of patient/resident care. Works collaboratively with the Physician, RN, and the LPN to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family. May work in areas of the acute care hospital, physician clinic or the residential/long term nursing facility.

MINIMUM QUALIFICATIONS:

Completion of junior year of a baccalaureate nursing program

OR Completion of the first year of an Associates degree nursing program

Must supply verification of course completion with current skills competency checklist and current enrollment

CPR Certification

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 at www.billingsclinic.com/aboutus

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.