Registered Nurse - ER

Emergency Nursing in Big Sky Country – Lame Deer, Montana
The Community – Lame Deer, Montana
Lame Deer is the home of the Northern Cheyenne Tribe, set among the pine-covered hills and red-rock ridges of southeast Montana along U.S. Highway 212. It is ranch and forest country with dark night skies, elk and mule deer, and fishing on the Tongue River and Tongue River Reservoir. The Custer Gallatin National Forest borders the reservation, the Little Bighorn Battlefield is a short drive west, and Colstrip, Forsyth, Hardin and Sheridan, WY are within easy reach. Billings, Montana’s largest city, is about two hours away.

About the Facility – Northern Cheyenne Service Unit
The Northern Cheyenne Service Unit of the Indian Health Service is a modern ambulatory care facility serving about 6,300 enrolled patients with outpatient primary care and 24-hour urgent and emergency care, plus dental, optometry, physical therapy, behavioral health, laboratory and radiology services. Contract nurses are part of a close-knit team that knows its community.

Facility Address:
Northern Cheyenne Service Unit, 420 North Cheyenne Avenue, Lame Deer, MT 59043

Registered Nurse - ER - RESPONSIBILITIES (listed are included but not limited to)

• Provide nursing assessment and triage for patients of all ages presenting with acute illness, injury, trauma or life-threatening conditions.
• Evaluate clinical data and patient condition, and initiate appropriate care in collaboration with emergency providers.
• Perform emergency and resuscitative procedures, and administer medications and treatments as ordered.
• Stabilize and prepare patients for transfer, and accompany ambulance transfers to receiving hospitals when assigned.
• Provide patient and family education and coordinate care with providers and team members for continuity of care.
• Document assessments, interventions, patient responses and care coordination in the electronic health record.
• Participate in quality improvement activities and complete required Indian Health Service orientation.

Registered Nurse - ER - QUALIFICATIONS

• Current, active, unrestricted Registered Nurse license in any U.S. state (one active license is all that is needed – this is a federal facility).
• Recent emergency department or urgent care nursing experience.
• ACLS, PALS and TNCC are a plus.
• Diploma, associate or bachelor’s degree in nursing from an accredited program.
• Comfort working in a rural, community-centered facility serving Native American patients.

Schedule
Full-time, 12-hour shifts (12.5 hours with a 30-minute meal break) on a rotating schedule: days 6:00 am, mid-shifts starting 10:00 am or 2:00 pm, and nights 6:00 pm. 80 hours per two weeks plus scheduled overtime. Multiple openings for a 12-month assignment beginning January 2027.