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Billings Clinic RN, Hospital - SANE Services (1.0) in Billings, Montana

Job Description:

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet� Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

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 and 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.

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!

RN, Hospital - SANE Services (1.0)

Shift: Day, Evenings, Nights, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)
Starting Wage DOE: 28.64 - 36.99

The Sexual Assault Nurse Examiner (SANE) will provide timely, non-judgmental, compassionate care to the sexual assault victim. The SANE exam may include a medical-forensic exam, prophylaxis for pregnancy and sexually transmitted infections, photographic documentation, and referrals for appropriate medical and psychological follow-up, support and participation in legal proceedings.

Essential Job Functions

• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. 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.

• Perform a complete medical forensic examination to include completed head to toe medical assessment for trauma, detailed genital/anal examination; Forensic specimen collection and supportive documentation; Photo documentation of bodily and genital/anal injuries with competent documentation. Demonstrates care for the patient, not just for evidence collection purposes.

• Assess patient for mandatory reporting status and report when appropriate.

• Maintain chain of custody and adhere to evidence guidelines.

• Ensures patient/medical record confidentiality (HIPPA).

• Cleans and sanitizes SANE room upon completion of exam.

• Participates in periodic case review to include documentation and photographs.

• Maintains clinical education hours relevant to sexual assault or forensics.

• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.

• Demonstrates collaborative, supportive, and caring behaviors in communication with patient’s families, visitors, and the interdisciplinary care team.

• Consideration is given to the appropriateness of care based on the population specific needs of the patient.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Knowledge, Skills and Abilities

• Billings Clinic policies and procedures, both organizational and departmental

• Billings Clinic Code of Business Conduct

• Billings Clinic Corporate Compliance Program

• HIPAA and confidentiality requirements

• Customer service techniques and Personal Service Excellence (PSE) skills

• Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.)

• Computers and electronic applications

• Nursing practices, planning and assessment within scope of practice

• American Nurse’s Association (ANA) Code of Ethics

• Patient safety standards

• Interpersonal communication

• Collection and analysis of information to develop evidence-based plans of care related to specific interventions and goals.

• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric

• Communicate clearly and effectively, both verbal and written

• Utilize time management concepts and maximize time effectively

• Work effectively with interdisciplinary care team

• Give attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients and their families while working with frequent interruptions and competing priorities

• Respond calmly and professionally when dealing with difficult or emergency and traumatic situations

• Maintain flexibility to adapt to a variety of workload assignments

• Lift, push and pull 50 pounds unassisted

• Resourcefulness and compassion in dealing with emergency and traumatic situations

• Practices within the scope of RN licensure

Minimum Qualifications


• 2 Year / Associates Degree (ASN) - Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years of their date of hire. Billings Clinic will help support the cost through financial assistance.

• Preferred - 4 Year / Bachelors Degree (BSN)


• Two years of RN experience

Certifications and Licenses

• Current Montana state license as a registered nurse, or compact nursing license with ability to obtain a MT RN license within 90 days of hire date

• SANE-A/SANE-P certifications after two years of practice within 2 years of hire

• Healthcare Provider CPR Certification required

• Individual or employment-based malpractice insurance (1,000,000/6,000,000)

• Successful completion of recommended clinical components to minimally include:

• Completed International Association of Forensic Nurses (IAFN) Adult /Adolescent Sexual Assault Nurse Examiner Course (41 hours)

• Completion of IAFN Pediatric/Adolescent Sexual Nurse Examiner (40 hours)

• Speculum training competence /check off

• Shadowing an experienced SANE for 2-3 exams, and then being shadowed by an experienced SANE for 2-3 exams.

• Proficient use of all equipment

Other Requirements

• Forty-eight (48) hours of call a month in 12-hour increments; this may include weekends at times.

• One - 12-hour call shift during a holiday such as Christmas, Thanksgiving, New Year’s etc.

• Actively engaged in regularly conducting SANE exams with no lapse of greater than six (6) months

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 the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.