Director of Nursing: Critical Access Hospital

Full-Time | Leadership Opportunity | 25-Bed Critical Access Hospital

We’re excited to share an incredible leadership opportunity in Roundup, Montana — just 45 minutes north of Billings! Roundup Memorial Healthcare, a 25-bed Critical Access Hospital and proud Billings Clinic affiliate, is seeking a dedicated and compassionate Director of Nursing (DON) to join their leadership team.

This is your chance to lead in a strong, supportive organization that values teamwork, collaboration, and the personal touch that makes rural healthcare so meaningful. You’ll have access to the expertise and resources of Billings Clinic while enjoying the independence and connection that come with serving a close-knit community.

The Director of Nursing will provide strategic and operational leadership for all nursing services across the hospital. You’ll oversee clinical operations, guide nursing staff, and ensure the highest standards of patient care, safety, and compliance. This is a hands-on role for someone who enjoys both leading people and being part of a collaborative, mission-driven environment.

Key Responsibilities:

• Lead and manage nursing operations and clinical teams across departments.

• Develop, implement, and monitor nursing policies, standards, and quality improvement initiatives.

• Partner with physicians and administrative leaders to advance organizational goals.

• Foster a culture of teamwork, professional growth, and excellence in care delivery.

• Maintain compliance with all state, federal, and regulatory standards.

• Current RN license (Montana or Compact State, or ability to obtain).

• Minimum of 5 years of progressive nursing experience, including at least 2 in leadership.

• Strong communication, organization, and mentoring skills.

• Experience in Critical Access or rural healthcare preferred, but not required.

• Billings Clinic Affiliation: Access to a strong network of resources, training, and clinical expertise.

• Close to Billings: Enjoy small-town living with all the benefits of being just a short, scenic drive (45 minutes) from Montana’s largest city — with shopping, dining, and airport access.

• Affordable, Connected Community: Roundup offers a great cost of living, friendly people, safe neighborhoods, and wide-open spaces for outdoor recreation.

• Commuter Friendly: Many team members choose to live in Billings and commute — giving you the best of both worlds!

• Supportive Leadership: Join a team that truly values collaboration, communication, and growth.

• Competitive pay (DOE)

• Comprehensive benefits package

• Retirement plan

• Relocation assistance available

• Supportive and inclusive work environment

If you’re looking for a leadership role where you can make a real difference — while enjoying the beauty, balance, and opportunity of rural Montana — we’d love to connect with you.