Career Central

You bring your body, mind, heart and spirit to your work as a Registered Nurse. 

Your compassion is tangible: whether your patient is 18 or 85, they feel it in the hand they hold. Families feel it in your prayers. Colleagues feel it in your support.

You know when to move quickly. When to sit quietly. When to laugh loudly. 

Youâ™re great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.

Us. 

St. James Healthcare is part of SCL Health, a faith-based, nonprofit healthcare organization that focuses on person-centered care. Our 98-bed hospital is the only full-service acute care facility in Butte, and weâ™re the largest hospital serving a seven-county area. Our mission is to bring health and hope to the poor, the vulnerable, our communities and each other. 

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, weâ™ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.

We. 

Together weâ™ll align mission and careers, values and workplace. Weâ™ll honor each otherâ™s dignity and surpass the standards we set. Weâ™ll encourage joy, demand safety and take pride in our integrity. 

Weâ™ll laugh at each otherâ™s jokes (even the bad ones). Weâ™ll hello and high five. Weâ™ll celebrate milestones and acknowledge the value of spirituality in healing.

Weâ™re proud of what we know, which includes how much there is to learn. And instead of placing blame weâ™ll learn and grow together.

Our ICU is an 11 bed critical care unit. We provide exceptional care for adult and pediatric patients with cardiac, surgical, trauma, septic, and respiratory diagnoses. We work collaboratively with a multidisciplinary team

Your day

As a Registered Nurse you know that every day is different, which is why you need to know how to: 

• Recognize and address patientsâ™ psychological and physical needs


• Foster continuity and quality of care with the best interest and well-being of patients and their families in mind


• Assess a patientsâ™ medical status upon admission


• 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


• Demonstrates proficiency in titration of IV medications.


• Demonstrates skill and competency in IV venipuncture, hemo dynamic monitoring, Swan-Ganz, cardiac output arterial line, pacemakers (temporary and permanent), IAB, EKG, pulse ox, UAP and CVP.


• Ability to assess and interpret clinical reports and data to provide optimum care of critical patient (EKG, ABGâ™â™s, etc.).


• Demonstrates knowledge and competency in the transport of critical/high risk patients.


• Demonstrates knowledge and competency in care of moderate sedation and anesthetized patient.


• Responds to Code Blue house wide and demonstrates competency in directing code blue procedures.


• Monitors specific hemodynamic IV drips and meds with accuracy, documenting any changes in assessment and prompt notification to the physician.


• Demonstrates proficiency in cardiac monitoring; specialized central insertions and modalities of treatment; airway maintenance, BLS and ACLS skills

Your experience

We hire people, not resumes. But we also expect excellence, which is why we require: 

• ASN from an accredited program


• BSN from an accredited program required within 48 months of your hire required


• Current Montana RN license


• Current BLS certification


• ACLS certification within 9 months of hire


• PALS or ENPC within 9 months of hire


• TNCC within 1 year of hire


• RN clinical experience with high acuity, multiple critical care patient populations


• National Certification in area of practice preferred


• PALS and TNCC are not required for PRN ICU

Your next move

Now that you know more about being a Registered Nurse on our team we hope youâ™ll join us. At St. James Healthcare youâ™ll reaffirm every day how much you love this work, and why you were called to it in the first place.