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Billings Clinic IT Nursing Informaticist - CMC Missoula in MISSOULA, Montana

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 permanent 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 ordownload the 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!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here ( to learn more!

IT Nursing Informaticist - CMC Missoula



Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Exempt)

Starting Wage DOE

Essential Job Functions

This position may be eligible for a sign-on bonus, tuition loan repayment, and relocation assistance

This position is required to be onsite at the CMCM Missoula Campus

The Nursing Informaticist serves as the primary clinical technology resource for clinical, and/or third-party information systems. The individual will be the primary interface with clinicians to ensure multi- and inter-disciplinary coordination of technology deployments across the entire health system. Responsibilities include integrating nursing and other clinical staff processes, computer science, information science and evidenced based practices to optimize and standardize technology systems, workflows, and communications. The Nursing Informaticist incorporates assessment, planning and design, training, implementation, evaluation through data analysis, and optimization of solutions to meet organizational goals/ and strategic objectives. Informatics projects and changes are carried out using evidence-based practices for systematic analysis, detailed planning, and design, understanding, guiding, and delivering responsible nursing care. The Nursing Informaticist possesses knowledge pertaining to the eleven functional areas of nursing informatics practice. In addition, the individual will have a sound foundation of nursing process and practice, relevant regulatory mandates, principles of quality/safety improvement. Acts as a change agent in the identification, development, planning, implementation, and value measurement of informatics strategies to support and integrate quality patient care and professional practice in accordance with applicable regulations and standards. This position provides critical analysis and evaluation of Health IT and recommends revision of clinical systems, processes, and workflows to ensure achievement of positive patient outcomes, and optimal end-user experiences.

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.


Serves as the primary clinical technology resource for the assessment and mapping of current and future state workflows with gap identification/analysis, design, implementation, on-going development and maintenance of clinical information systems and processes. Coordinates closely with Billings Clinic Leadership, staff members, Information Technology staff, key stakeholders including affiliates, managed and non-managed sites, and software vendors for the planning, analysis, design, implementation, evaluation and support of clinical applications, technology and infrastructure.


Acts as a liaison and expert resource for Health IT efforts with the end-user community, clinicians and/or software vendor to identify problems and concerns regarding the overall performance and/or effectiveness of the technologies and workflows that impact clinical users. Researches, analyzes and provides recommendations for corrective action to resolve problems with the internal functionality of the system and/or integration of information between systems. Collaborates with the technical resources and/or software vendor with recommendations for system enhancements, detailed information regarding technical or functionality problems and assists with implementation of recommended fixes.


Combines knowledge of patient care, informatics concepts and change management to effectively address the information and knowledge needs of patients. Promotes safe, effective and efficient use of Health IT. Monitors the environment, technology and infrastructure to support the prevention of medical errors and adverse events. Promotes the use of Health IT to improve patient safety by designing, developing, implementing and educating on decision support tools. Continuously collects, analyzes and reports data in collaboration with quality on patient safety issues and outcome to leadership/management. Develops innovative quality improvement activities related to informatics or information technology and/or the organization resulting in optimal information flow and/or processes, improved quality outcomes, and improved workflow.


Incorporates Nursing Research and evidenced based nursing knowledge into Nursing Informatics practice. Ensures nursing practices and corresponding policies and procedures, related to Health IT, follow appropriate Practice Acts, and other applicable regulations and standards.


Demonstrates clinical competency and nursing knowledge in specific informatics role. Ability to prioritize workload using critical thinking and clinical judgment with consideration for associated risk factors i.e. regulatory need, safety issue, new service line(s) etc. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.


Performs additional duties as defined for specific IT Nursing Informaticist Role. See table below. Performs other duties as assigned or needed to meet the needs of the department/organization.


HIPAA and confidentiality requirements

Patient’s/resident’s rights

Customer service techniques and Personal Service Excellence (PSE)

IT Infrastructure Library

Health care trends as it relates to nursing practices and clinical information technology systems

ANA Nursing Informatics scope and standards of practice

CMS COP, DNV, and TJC accreditation standards


Advanced professional communication skills, both verbal and written

Health care information management, workflow design and process flow mapping


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

Communicate clearly and effectively, both verbal and written

Maintain flexibility to adapt to a variety of workload assignments

Coordinate multiple projects simultaneously and work with frequent interruptions and competing priorities


This position will be responsible for managing multiple project initiatives on interdependent parallel tracks with aggressive timelines to meet organizational objectives

Position requires strong project management and process control skills to meet contractual obligations and strategic goals and objectives

Strong leadership skills required to work collaboratively with the project team, direct work assignments and facilitate effective communications at all levels

This position has a high level of responsibility for systems that impact the outcomes of patient care and the financial viability of Billings Clinic

Performs in-depth, complex analysis and develops recommendations and actions to be taken as part of a team and individually. Analysis and evaluation processes require high levels of creativity, logic and the ability to conceptualize as well as break down concepts into detailed components. Analysis requires the use of information structures, information processes and information technologies


Typically works in an office environment with occasional visits to clinical and/or patient care areas

May work varying shifts, weekends, or holidays to meet business needs and provide educational/training programs

Required to travel to Billings Clinic campus, branch affiliates, and additional distant locations to support technology solutions

Required to participate in on-call rotations to support information system(s) and business needs

Minimum Qualifications


• Graduate of an accredited program of nursing. Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date.

• Minimum 2 Year Associate's Degree

• Preferred 4 Year Bachelor's Degree

• Preferred Graduate Degree


• Minimum of two years as registered nurse in a clinical setting

• Prior committee involvement

• Project management skills preferred

• Equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

Certifications and Licenses

• Cerner Fundamentals within 6 months of hire

• IT Infrastructure Library within 6 months of hire

• ANCC Certification in Nursing Informatics Preferred

• ANCC Certification in other nursing specialty Preferred

• Current Montana license as a Registered Nurse at hire, and eligible to work in other compact states

• Current driver’s license at hire and ability to be insured to operate rental vehicles secured by Billings Clinic

Ability to provide home internet access and have personal cell phone

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 (

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.