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Per Diem Rn Jobs in Livingston, MT (NOW HIRING)

Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... Weekly M&I Per Diem: $379.21 * Housing Per Diem: $568.81 Minimum Requirements * Graduate of an ...

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Per Diem Rn information

See Livingston, MT salary details

$5

$41

$77

How much do per diem rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for per diem rn in Livingston, MT is $41.94, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $57.93 per hour, depending on experience, location, and employer.

What is a per diem RN?

A Per Diem RN is a registered nurse who works on an as-needed basis rather than having a set, full-time schedule. These nurses fill staffing gaps, cover for absences, or help during busy periods at hospitals, clinics, or other healthcare facilities. Per diem RNs often have flexibility in choosing their shifts, but they may not receive the same benefits as full-time staff. This role is ideal for nurses seeking variety and work-life balance.

What skills and qualifications are needed to thrive as a per diem RN?

To thrive as a Per Diem RN, you need a valid RN license, strong clinical assessment abilities, and experience across various healthcare settings. Familiarity with electronic health record (EHR) systems and up-to-date certifications such as BLS and ACLS are typically required. Flexibility, strong communication, and the ability to quickly adapt to different teams and environments are standout soft skills. These competencies are vital for delivering safe, effective care while efficiently integrating into new units with minimal orientation.

How does scheduling typically work for a per diem RN, and what level of flexibility can I expect?

As a Per Diem RN, you have the flexibility to choose your shifts based on your availability, which makes this role ideal for those seeking work-life balance or supplemental income. Scheduling is often managed through online portals or direct communication with nurse managers, and you may be asked to fill shifts on short notice to cover staff shortages or peak periods. While you have control over your schedule, keep in mind that the most shifts are often available during weekends, holidays, or less desirable hours. Building strong relationships with staffing coordinators and being open to various shifts can help you secure more consistent work.

What is the difference between Per Diem Rn vs Staff Nurse?

AspectPer Diem RnStaff Nurse
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentVaries daily, short-term assignments, flexible schedulingFull-time or part-time hospital or clinic settings, consistent schedule
Employment TypePer diem, as-needed basisPermanent or temporary staff position
UsageSupplemental staffing, fill-in shiftsPrimary nursing staff in healthcare facilities

Per Diem Rns are registered nurses working on a flexible, as-needed basis, often filling in for staff shortages or covering shifts temporarily. Staff Nurses typically hold full-time or part-time positions with consistent schedules in healthcare facilities. The main difference lies in employment type and scheduling flexibility, with Per Diem Rns offering more adaptability compared to the steady employment of Staff Nurses.

What cities near Livingston, MT are hiring for Per Diem Rn jobs?

Cities near Livingston, MT with the most Per Diem Rn job openings:

Infographic showing various Per Diem Rn job openings in Livingston, MT as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% In-person job distribution, with an average salary of $87,238 per year, or $41.9 per hour.

RN (per diem) - Pre/Post Op and 23 Hour Stay - Bozeman

Billings Clinic

Bozeman, MT โ€ข On-site

$55 - $83/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Job description

RN (per diem) - Pre/Post Op and 23 Hour Stay - Bozeman

Youโ€™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 Magnetยฎ Recognition consecutively since 2006.

And youโ€™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- and part-time employees (minimum of 20 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 Employee Benefits Guide .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnetยฎ-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!

RN (per diem) - Pre/Post Op and 23 Hour Stay - Bozeman BOZEMAN SURGERY CENTER - 7225 (BILLINGS CLINIC BOZEMAN AMBULATORY)

Shift: Day, Evenings, Nights

Employment Status: Per Diem

Hours per Pay Period: 0.01 = per diem (as needed) (Non-Exempt)

Starting Wage DOE

The successful Pre/Post-Op and 23 Hour Stay Surgery Center RN will be an integral component in facilitating patient flow and throughput while maintaining high levels of quality care which are consistent with recognized national nursing standards, legal requirements and Surgery Center policies and procedures. The duties will encompass the pre-operative care area and post-operative care area, which include both phase I and phase II recovery as well as the 23-hour extended stay unit.

Essential Job Functions
  • Oversees and directs the care of the pre-surgical/post-procedural patient and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient's experience.
  • Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records.
  • Provides safe, therapeutic, and quality direct patient care to the pre-operative and post-surgery patient by utilizing the nursing process and nursing diagnosis in a timely manner, setting appropriate priorities.
  • Recognizes and interprets symptoms indicative of changes in condition of patient and communicates appropriate information to co-workers, surgeons, and anesthesiologists concerning patient care.
  • Safely carries out physician's orders correctly and promptly, documenting all activities.
  • Communicates and interacts with patients and family in a positive and supportive manner.
  • Assists in patient education during all phases of the patient's experience. Ensures informed signed consents are completed prior to administration of sedation.
  • Prepares all records pertaining to the procedure.
  • Maintains equipment and supplies to include cleaning and disinfection of equipment, operates and troubleshoots specialized equipment and patient monitoring equipment, anticipates and assists with maintaining adequate inventory of supplies and medications.
  • Post procedure assists with inventory control by proper count of supplies/time used.
  • Assists in crash cart maintenance and defibrillator checks.
  • Accountable for administration of drugs, IV procedures and other therapeutic and diagnostic measures in a safe and accurate manner. Initiates orders and follows anesthesia protocol.
  • Staffing working in the pre-op area and phase II area maintain ACLS. Staff working phase I maintain both ACLS and PALS.
  • Label's specimen containers in front of the patient and prepares specimens for the laboratory.
  • Completes discharge procedure safely, providing proper post-operative instruction and assists patient to vehicle.
  • Initiates and participates in patient and family education.
  • Complies with cost containment practices.
  • Provides oversight and direction to other Surgery Center technical and ancillary personnel.
  • Assists with orientation and training of new or existing staff members.
  • Takes responsibility for identification of own professional growth and development needs; meets all system/departmental educational requirements. Participates with in-service opportunities and staff meetings.
  • Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance. Adheres to national patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action to minimize or eliminate risks and maximize safety in the Surgery Center.
  • Incorporates the 14 forces of Magnetism in transforming the work environments and for enhancing quality of nursing care.
  • Performs other duties and works in various areas of pre-op, post-op, and 23 hour as assigned or as needed to meet the needs of the Surgery Center.
  • 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.
  • Performs all other duties as assigned or as needed to meet the needs of the department/organization.
Minimum Qualifications Education
  • Minimum 2 Year / Associate Degree Graduate of an accredited School of Nursing
  • Preferred 4 Year / Bachelors Degree BSN from an accredited School of Nursing*
  • *Completion of a BSN within 4 years of hire is required for candidates with fewer than 5 years of Registered Nursing experience. Billings Clinic will help support the cost through financial assistance.
  • Candidates with 5 (five) or more years of Registered Nursing experience may waive this requirement.
Experience
  • One year of successful experience working as an RN is preferred
Certifications and Licenses
  • Current Montana license as a Registered Nurse At hire

Billings Clinic is Montanaโ€™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 www.billingsclinic.com/aboutus

Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.

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