Nurse Manager Jobs in Montana
Nurse Manager jobs in Montana are steadily active, concentrated in acute care hospitals, critical access facilities, and long-term care across a state where rural healthcare infrastructure carries significant weight. Billings, Missoula, and Great Falls are the primary hiring hubs, with major employers such as Billings Clinic, Providence St. Patrick Hospital, and SCL Health maintaining consistent demand. The most sought-after specialties are med-surg unit management, critical care, and emergency department oversight. Scan the live roles below and apply to whichever ones fit.
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Thank you for your interest in Granite Peak Home Health! We are looking to grow with excellent Clinical Managers like you. We are committed to delivering high-quality, patient-centered home health care services, supporting both our patients and our clinical teams through strong leadership and operational excellence.
Position Summary
The Clinical Manager (RN) oversees all home health patient care within the Clinical Manager's designated region, including assessments, staff supervision, and care coordination. This role ensures appropriate patient assignments, manages referrals, and maintains individualized care plans to meet ongoing patient needs.
Principal Responsibilities
Reporting: Reports to the Home Health Director and Executive Director
Oversight: Provides oversight of all patient care services and personnel, directing clinical activities
Clinical Supervision: Provides direct oversight of assessment, planning, implementation, and evaluation of patient and caregiver care
Staff Management: Leads, manages, and holds clinical staff accountable for compliance, quality, and timely care delivery
Meetings: Schedules and conducts weekly IDT meetings and routine leadership meetings in alignment with CMS and PDGM guidelines
Development: Develops and implements processes, policies, and procedures for patient care services
Budget Assistance: Assists in preparing and administering the agency budget
Operational Monitoring: Monitors census trends and adjusts staffing, revenue, and expenses accordingly
Compliance: Ensures adherence to company policies, employee handbook, and regulatory standards
HR Functions: Participates in hiring, evaluating, and terminating personnel
Orientation & Training: Oversees onboarding, in-service training, and continuing education programs
Performance Evaluation: Conducts quarterly check-ins and annual performance reviews
Record Maintenance: Ensures accurate patient documentation and reporting
Supply Management: Maintains adequate clinical supplies and equipment
Quality Assurance: Supports QAPI initiatives to ensure safe, high-quality patient care
Goal Development: Assists in developing organizational and clinical goals
Regulatory Compliance: Ensures compliance with all local, state, and federal home health regulations
Industry Awareness: Stays current on changes in home health and nursing practices
Regulatory Knowledge: Maintains knowledge of CMS, third-party payors, and state licensure requirements
Qualifications
Bachelor’s Degree in Nursing (Required)
Current Montana RN License
Minimum of 2 years of nursing experience in Home Health (preferred)
Demonstrated proficiency in OASIS-E assessment
Management experience preferred
Knowledge of Montana Home Health (DPHHS), CMS guidelines, PDGM, and reimbursement programs
Ability to exercise initiative and independent judgment
Proficiency with electronic health records (WellSky) and web-based systems
Must pass background check and not be listed on the OIG exclusions list
Must have a cellular phone for work-related use
Valid driver’s license, reliable transportation, and motor vehicle insurance
Work Schedule
Full-time, salaried position
Compensation & Benefits
Competitive salary (DOE)
Mileage reimbursement
Flexible schedule / work-life balance
Supportive clinical leadership
Why Join Granite Peak Home Health?
Leadership role with impact on patient care and clinical teams
Supportive and collaborative work environment
Strong focus on quality, compliance, and patient outcomes
Opportunity to grow within a reputable home health organization
GRANITE PEAK HOME HEALTH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
See All 17 Nurse Manager Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Nurse Manager JobsNurse Manager Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Nurse Manager Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
What Montana Employers Look For
The qualifications that appear most often in nurse manager jobs across Montana.
- Active registered nurse license issued or recognized by the Montana Board of Nursing
- Bachelor of Science in Nursing required with a master's degree preferred for most systems
- Minimum of three to five years of clinical nursing experience in an acute care setting
- Prior charge nurse, team lead, or supervisory experience in a hospital environment
- Current BLS and ACLS certifications required before start date
- Demonstrated experience with staff scheduling, performance management, and budget oversight
Nurse Manager Jobs in Montana: Frequently Asked Questions
How do you become a nurse manager in Montana?
You must hold an active registered nurse license issued by the Montana Board of Nursing, which requires passing the NCLEX-RN. Most Montana employers expect a BSN at minimum and increasingly prefer a Master of Science in Nursing or a Master of Business Administration with a healthcare focus. Beyond licensure, you typically need several years of direct patient care experience followed by a charge nurse or supervisory role before stepping into a nurse manager position.
Which companies hire nurse managers in Montana?
Montana nurse manager roles are posted by Granite Peak Home Health, Horizon Health, and HiredFirst and others right now, based on current listings on Migrate Mate as of August 2026. Montana's hospital systems and critical access facilities across the state are the most consistent sources of nurse manager openings.
Which Montana cities have the most nurse manager jobs?
Billings, Bozeman, and Butte have the most nurse manager openings in Montana. Billings leads because it is the state's largest city and home to major regional health systems serving southeastern Montana and the surrounding region, while Missoula and Great Falls each anchor large hospital campuses that draw patients from broad rural catchment areas.
Are there remote nurse manager jobs in Montana?
Yes, but they're rare. About 50% of nurse manager openings tied to Montana are remote or hybrid as of August 2026, reflecting the hands-on floor leadership the role requires. The portions of the job most compatible with remote work include documentation, staff scheduling, compliance reporting, and administrative coordination rather than direct unit supervision.
How can I get hired as a nurse manager in Montana with little or no experience?
The most realistic path is moving into a charge nurse role first, which Montana hospital systems such as Billings Clinic and Providence St. Patrick Hospital regularly fill from their existing staff. From there, applying for assistant nurse manager postings or unit supervisor openings builds the supervisory record larger employers require. Earning a Nurse Executive certification and maintaining an active Montana Board of Nursing license in good standing strengthens any application when direct management experience is limited.
Where can I find and apply to nurse manager jobs in Montana?
You can find and apply to nurse manager jobs in Montana on Migrate Mate, which lists current Montana openings from employers across the state. Search the roles available, find the ones that match your experience and preferred location, and apply directly to the employers that fit.
See All 17 Nurse Manager Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Nurse Manager Jobs