The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.
Are you a recent RN graduate—or graduating by December 2026—ready to launch your nursing career and make a meaningful impact? Join our Nurse Residency Program and begin your journey with the training, mentorship, and support you need to succeed.
Applications are reviewed on a rolling basis—early submission is encouraged for best consideration.
New graduate RNs will have the opportunity to work in the following areas:
Designed for New Graduate RNs (less than one year of RN experience), this program bridges the gap between academic learning and confident clinical practice. Participants receive:
Learn more about the program here:
More than a place to work—Butte is a place to belong. Nestled in the Rocky Mountains, Butte offers a unique combination of history, outdoor adventure, and a strong sense of community.
St. James Hospital is the largest hospital in Southwestern Montana, serving a seven-county region. With 98 beds, a Level III Trauma Center, and a Level II NICU, you’ll gain valuable experience in a dynamic, community-focused setting.
Hiking, biking, fishing, skiing, and more—right outside your door.
One of Montana’s most accessible housing markets with strong, welcoming neighborhoods.
A National Historic Landmark District with museums, architecture, and local charm.
Family-friendly attractions, events, and a close-knit community atmosphere.
If you’re ready to grow your skills, build strong clinical foundations, and make an impact in a supportive environment—we encourage you to apply.
Apply early for best consideration—interviews are filling quickly.
As a Registered Nurse you know that every day is different, which is why you need to know how to
Assess, recognize and address patients psychological and physical needs- Foster quality of care with the best interests of patients and their families in mind- Communicate compassionately and effectively- Assist in developing individualized treatment plans- Comply with evaluation, treatment and documentation guidelines- Oversee care delivered by LPNs and/or CNAs- Participate in clinical team conferences- Follow hospital, regulatory and professional guidelines, policies and procedures
BSN Degree* from an accredited program required within 4 years unless 15 years of acute care service.
Current State of Montana Registered Nurse License
BLS Certification upon hire.
ACLS required within 9 months of hire for all ICU/ED RN’s
Oncology RN's-OCN certification or 12 credits of cancer related education per year.
For all RN's working in the ICU / ED / 5th main, PALS required within 9 months of hire / transfer.
TNCC within 12 months of transfer or hire for all ICU/ED/RNs. Must maintain TNCC/ATCN or an equivalent that is recognized by the American College of Surgeons.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Preferred:
National Certification in area of practice
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.- and -Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.- and -Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc).- and -May be expected to stand in a stationary position for an extended period of time.
St James Hospital
Butte
Montana
36
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$32.73 - $78.17
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.
Intermountain 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.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services.
With more than 68,000 caregivers on a mission to help people live the healthiest lives possible, Intermountain is committed to improving community health, and is widely recognized as a leader in transforming healthcare. We strive to be a model health system by taking full clinical and financial accountability for the health of more people, partnering to proactively keep people well, and coordinating and providing the best possible care.
At Intermountain, every caregiver helps us fulfill our mission of helping people live the healthiest lives possible. Interested in joining our team? Check out our career website and apply today at https://intermountainhealthcare.org/careers/.
