Clinical Nurse Specialist Jobs in Montana
Clinical Nurse Specialist jobs in Montana concentrate in acute care, behavioral health, and rural health systems, with steady demand at both the advanced practice and administrative clinical levels. Most hiring is based in Billings, Missoula, and Great Falls, where anchor systems like Billings Clinic, Providence St. Patrick Hospital, and Benefis Health System maintain consistent openings. The most in-demand specialties are psychiatric-mental health, adult-gerontology, and pediatric critical care. Scan the live roles below and apply to whichever ones fit.
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Administration, staff, and medical providers are committed to delivering high quality, comprehensive health care services to the people of the Hi-Line communities of Montana.
- Cardiology
- Neurology
- Pediatric Pulmonology
- Urology
- Radiation Oncology
- Nephrology
- Endocrinology
- Optometry
The Assistant Director of Clinic Nursing plays a key leadership role in supporting the delivery of high-quality, patient centered care across outpatient settings. This position collaborates with the Director of Clinic Nursing to oversee daily clinical operations, ensure regulatory compliance, and promote evidence-based practice while fostering a culture of safety, accountability, and professional development among clinical staff. Responsibilities included supervising clinical personnel, optimizing workflows, managing budgets and resources, and implementing quality improvement initiatives to enhance patient outcomes and satisfaction. The Assistant Director also serves as a liaison between clinic leadership, providers, and interdisciplinary teams, helping to drive strategic goals, support staff engagement, and ensure consistent standards of care across all clinic sites.
Qualifications
- Bachelor’s degree in a health related field or RN with a minimum of 12 months experience in health care setting OR Associate’s degree in health related field or LPN with a minimum of 36 months experience in health care setting.
- Ability to work independently and exercise clinical judgment in interactions with Physicians, payers, patients and their families. Resourcefulness in problem solving.
- Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
- Strong proven analytical and data management skills.
- Aware of scope of practice boundaries, comfortable seeking direction and assistance from appropriate resources.
- Communication – Strong written and verbal communication skills, ability to communicate effectively verbally and in writing. Excellent negotiation skills.
- Computer Skills – Proficient ability to use a computer and electronic medical record. Beginner to intermediate proficiency in Microsoft applications: Excel, Word, Outlook, PowerPoint
- Confidentiality – Maintain patient, team member and employer confidentiality. Ability to adhere to strict confidentiality guidelines. Comply with all HIPAA regulations.
- Customer Service Oriented – Friendly, cheerful and helpful to patients and others. Ability to meet patients and others needs while following office policies and procedures. Ability to demonstrate excellent customer service and strong cultural competency.
- Delegating – Able to take and follow through with delegated tasks and accountability. Ability to allocate authority and/or task responsibility to appropriate team members, peers or superiors.
- Flexibility – Ability to adapt easily to changing conditions and work responsibilities.
- Positivity – Display a positive attitude and is a positive agent for change.
- Project Management – Ability to organize and direct a project to completion.
- Teamwork – Work as part of a team and collaborate with co-workers.
- Working Under Pressure – Ability to complete assigned tasks under stressful situations.
Health, dental, life, disability and FLEX/HSA benefits available with 403-b options.
Starting pay range varies based on experience up to 15 years.
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal opportunity employer to all protected groups, including protected veterans and individuals with disabilities.
Applicants requiring accommodation(s) during the application or interview process are encouraged to contact us at nmhcemplsrvc@nmhcare.org or 406-262-1401. Requesting an accommodation is voluntary and will not negatively affect your application. All requests will be kept confidential.
NMH will not sponsor applicants for work visas for this job.
See All 48 Clinical Nurse Specialist Jobs in Montana
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Find JobsClinical Nurse Specialist Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Clinical Nurse Specialist Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring
- HealthTrust Workforce Solutions7

- Bozeman Health4

- Billings Clinic4

- Benefis Health System3

- Abbott2

Top Industries Hiring
- Healthcare & Medical Services15
- Medical Devices2
- Technology & Software1
- Biotechnology & Pharmaceuticals1
What Montana Employers Look For
The qualifications that appear most often in clinical nurse specialist jobs across Montana.
- Active Montana APRN license with CNS population focus designation required
- Master of Science in Nursing or Doctor of Nursing Practice degree required
- National CNS certification from ANCC or AACN in a recognized population focus
- Minimum of two to three years clinical nursing experience in a relevant specialty
- Demonstrated ability to lead quality improvement and evidence-based practice initiatives
- Strong collaboration skills for working across interdisciplinary care teams in hospital settings
Clinical Nurse Specialist Jobs in Montana: Frequently Asked Questions
How do you become a clinical nurse specialist in Montana?
To become a clinical nurse specialist in Montana, you must earn a graduate nursing degree, either a Master of Science in Nursing or Doctor of Nursing Practice with a CNS concentration, then apply for APRN licensure through the Montana Board of Nursing. The Board requires national certification in your chosen population focus from a body such as ANCC or AACN before it will issue a license. Once licensed, you are eligible to practice independently in Montana under its full-practice APRN authority.
How much do clinical nurse specialists make in Montana?
Clinical nurse specialists in Montana earn a median of about $85,280 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $70,120 for the lowest 10% to over $113,920 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire clinical nurse specialists in Montana?
Montana clinical nurse specialist roles are posted by HealthTrust Workforce Solutions, Bozeman Health, and Billings Clinic and others right now, based on current listings on Migrate Mate as of July 2026. Larger health systems in Montana tend to post the most consistent openings, particularly for psychiatric, critical care, and adult-gerontology specialties.
Which Montana cities have the most clinical nurse specialist jobs?
Missoula, Billings, and Great Falls have the most clinical nurse specialist openings in Montana. Billings accounts for the largest share because it is home to Billings Clinic and St. Vincent Healthcare, while Missoula and Great Falls draw demand from Providence St. Patrick Hospital and Benefis Health System respectively, making each a meaningful hub despite Montana's overall low population density.
Are there remote clinical nurse specialist jobs in Montana?
Yes, but they're rare. Clinical nurse specialist work is primarily hands-on and patient-facing, so full remote roles are uncommon compared to desk-based fields. About 11% of clinical nurse specialist openings tied to Montana are remote or hybrid as of July 2026, and those positions tend to concentrate in care coordination, utilization review, and telehealth consultation rather than direct clinical practice.
How can I get hired as a clinical nurse specialist in Montana with little or no experience?
The most realistic entry path is completing a CNS graduate program and targeting new-graduate APRN residencies that large Montana systems run, such as those offered through Billings Clinic and Providence St. Patrick Hospital. Candidates transitioning from registered nurse roles in ICU, psychiatric units, or pediatrics have the strongest footing because those specialties align directly with Montana's highest-demand CNS population foci. Holding active ANCC or AACN certification before applying, even as a new graduate, meaningfully strengthens your candidacy.
Where can I find and apply to clinical nurse specialist jobs in Montana?
You can find and apply to clinical nurse specialist jobs in Montana on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that fit your specialty and location preference, and apply directly to the employers posting them.
See All 48 Clinical Nurse Specialist Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
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