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Billings Clinic Per Diem Respiratory Therapist/ 25 Bed Critical Access Hospital (Townsend) in Billings / Billings, Montana

You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.

We look forward to meeting you.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive
competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the 2021 Employee Benefits Guide.

ng>Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet?-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

size: medium;">Per Diem Respiratory Therapist/ 25 Bed Critical Access Hospital (Townsend)




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Schedule: varied

Employment Status:
Per Diem

Hours per Pay Period:
0.01 = per diem

Starting Wage DOE:

The incumbent in this position is
responsible for performing all functions of a registered respiratory
therapist for both cri
tical and non-critic
al areas and procedures. Based on
therapy driven protocols, instructs, administers, and monitors full range
of respiratory care services and treatments to patients, airway and
ventilator management, arterial punctures, arterial line draws and blood
gas analysis. Recognizes and reports any unusual reactions to treatment,
contraindications to treatment or inappropriate use of therapy. Performs
bedside pulmonary function, measurements and electrocardiograms (EKG).
Specialty areas may include, but not limited to, LDRP/NICU, Hyperbaric
Medicine, MedFlight Air Ambulance, Pediatrics, and/or Outpatient Pulmonary
Physiology Lab.

Essential Job Functions

Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service ex
pectations. Meets all
mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients utilizing evidence based and best practice. Incorporates the respiratory process into the goal-directed plan of care for the patient.
Adheres to Billings Clinic safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. This includes complying with hand hygiene adherence, isolation practices, clean/dirty equipment process, reassemble of equipment, and processe
s associated with Sterile Processing Department if needed.
Ensures complete, accurate, and timely entry into patient medical record as indicated by patient condition a
nd documentation guide
lines, consistent with departmental policies and procedures.
Checks and maintains respiratory therapy equipment. Maintains appropriate skill, knowledge, and application of relevant and commonly used equipment specific to the area based on disease process or physiological status.
Ensures complete, accurate, critical value reporting, and timely entry into patient medical record for all Pulmonary Laboratory values. Performs arterial puncture, arterial line draws, and blood gas analysis consistent with departmental policies and procedures. Completes Laboratory equipment maintenance and regulatory logs as assigned.
Takes responsibility for own professional growth, punctuality, and developmental needs. Meets all system/departmental educational, competency, and meetin
g requirements. Participates in departmental committees and activities to positively contribute skills and ideas for better departmental advancements and processes.>Performs other duties as
assigned or as needed to meet the needs of the department/service.
For level II& III: Completes yearly level II & III competency checklist.
• Additional Critical Care Essential Functions
Attends and participates in multidisciplinary rounds including Critical Care Service x-ray rounds. Initiates, monitors, and makes necessary changes based on provider orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as bronchoscopy and airway management. Performs walking rounds when giving and receiving report in critical care areas. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.
• Addition
al NICU Essential Functions
Attends all high risk deliveries. Participates in multidisciplinary rounds including x-ray rounds. Initiates, monitors, and makes nece
ssary changes based on provi
der orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as surfactant administration and airway management. Performs walking rounds when giving and receiving report. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.
• Additional Hyperbaric Medicine Essential Functions
Performs all hyperbaric medicine duties which includes but not limited to; assessment of tympanic membranes, emergency procedures and decompression, patient assessment, operation of the chamber and all hyperbaric equipment, thorough knowledge of policies and procedures. Successful completion of tympanic membrane and safety training with o
ngoing competency.
• Additional Outpatient Pediatric Clinic Essential Functions
Performs PFT’s (Pulmonary Function Tests), EIB’s (Exe
rcise Induced Bronchospasm tes
ting), EIB with laryngoscopy, Methacholine Challenges and Asthma Education for pediatric patient populations.
Educates patients and families on all aspects of outpatient respiratory care in the home (medication and equipment) in regards to asthma, cystic fibrosis, interstitial lung disease, neuromuscular diagnoses, sleep apnea and sleep hygiene, etc.
Responsible for rooming clinic patients, taking vitals and history, reviewing medication history, schedules appointments and diagnostic tests and procedures as ordered by physician.
Reviews sleep study results and nocturnal oximetry results and informs provider of patients who require immediate attention.
Travels with providers to provide support for outreach clinics within the service area.
Researches and pr
ovides articles and data regarding best practice for respiratory care and cystic fibrosis and all aspects of respiratory care. Serves as the RRT for the Adult cy
stic fibrosis clinic. Performs
daily visits with inpatient cystic fibrosis patients (adult and pediatric). Educates patient and family on all aspects of respiratory care in regards to cystic fibrosis. Educates hospital RT’s on cystic fibrosis care and assure all respiratory orders are followed.
Assists with laryngoscopies (with or without exercise) including sterilizing scope, setup and restocking of cart and medications.
Participates in the development of policies and procedures for the pediatric respiratory care program.
• Additional RT II, Flight Therapist Essential Functions
Responsible for respiratory therapies and airway management, IV insertion and intubation on assigned flights from neonatal to adult. Responsible for isolette and pediatric ventilator care.

22; Additional Outpatient Pulmonary Physiology Lab
May perform endotracheal intubation in emergent situations
Performs pulmonary physiology testing (i
.e. blood gas analysis, pulmonar
y function testing, bronchoprovocation, pulmonary exercise stress testing, disability testing and metabolic testing) as per departmental policy and procedure. Calculates test results and communicates results to physicians for interpretation.
Participates in the development of policies and procedures for the outpatient Pulmonary Physiology Lab.
Assists with daily calibration and equipment maintenance.
Travels with providers to provide support for outreach clinics within the service area.

Knowledge, Skills, and Abilities

Ability to demonstrate competency in and explain underlying skills and/or demonstrate RRT skills in accordance with scope of practice; typically acquired through the completion of an accredited respiratory care program
• Analytical Skills
Analytical skills necessary
to facilitate patient care treatm
ents and routine assessments
• Independent Judgement
Work is performed in accordance with the scope of licensure for RRT and in accordance with established policies, procedures and regulatory requirements
Reports changes/problems with patient to the RN, Physician and/or non-physician provider
• Interpersonal Skills
Ability to population specific needs into all aspects of patient care and communications
Ability to utilize and apply PSE skills
Interpersonal skills which enable the incumbent to appropriately respond to a variety of basic to patient/resident questions and inquiries and to coordinate
with other members of the health care team
Ability to deal with difficult or emergent situations in a mature and professional manner

Minimum Qualifications


Graduate of an AMA approved school for Respiratory Care
Minimum registry-eligible by the National Board for Respiratory Care (must achieve RRT credential within six months of employment)
Healthcare Provider Certification and ACLS and PALS to be achieved within two (2) years of employment
Current Montana RCP license
To perform point of care testing, verification of education (copy of degree diploma or trans
cripts) must be provided for the highe
st science related degree; if training was under a certification program will need to provide copy of high school transcript


Minimum of two years

Certifications and Licenses

Graduate of an AMA-approved school for
Respiratory Care

Healthcare Provider CPR certification; ACLS and
PALS to be achieved within two (2) years of employment

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Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at

Billings Clinic is committed to being an inclusive and
welcoming employer, that strives to be kind, safe, and courageous in all we do.
As an equal opportunity employer, our policies and processes are designed to
achieve fair and equitable treatment of all employees and job applicants. All
employees and job applicants will be provided the same treatment in all aspects
of the employment relationship, regardless of race, color, religion, sex,
gender identity and expression, sexual orientation, pregnancy and family
status, national origin, spoken language, neurodiversity, age, and/or disability.
To ensure we provide an accessible candidate experience for prospective
employees, please let us know if you need any accommodations during the
recruitment process.