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Billings Clinic Cardiac Sonographer in 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 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 ordownload 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!

Cardiac Sonographer

ECHO (Billings Clinic Main Campus)


Shift: Day, Evening, Weekends

Schedule: Varies

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

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

The Cardiac Sonographer is responsible for performing diagnostic imaging services in the specialty of Ultrasound and for the operation of a variety of equipment to produce images of the patient’s body for diagnostic purposes. Interviews patients, explains procedures, and assists in positioning the patient for procedures. Reviews test results with the Cardiologist.

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.

• Performs clinical assessment and diagnostic sonography examinations as ordered by the physician.

• Assumes responsibility for the safety, mental and physical comfort of all patients in the sonographic area. Interviews patient, explains examination procedures and process and assists in positioning the patient for scans.

• Uses cognitive sonographic skills to identify, record and adapt procedures as appropriate to anatomical, pathological, diagnostic information and images. Coordinates with other staff to assure appropriate patient care is provided.

• Coordinates scheduling, transportation and scanning of patients.

• Maintains patient examination records in accordance with Billings Clinic policies, procedures and standards.

• Assists physicians with invasive Ultrasound guidance procedures as appropriate to service needs.

• Analyzes sonograms, synthesizes sonographic information, medical history, and utilizes independent judgment during the sonographic exam to accurately differentiate between normal and pathologic findings. Prepares preliminary reports and/or checklist for the interpreting physician. Reviews exam with the interpreting physician as requested. Communicates with attending and referring physicians as appropriate.

• Maintains ultrasound equipment and work area in a neat, organized manner and maintains adequate supplies.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Participates in maintenance of laboratory accreditation. Complies with general training required by Billings Clinic as well as specific training required of the position.

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains knowledge of current trends and developments in the field of ultrasound, vascular and echocardiography technology.

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

Knowledge, Skills, and Abilities

• Billings Clinic policy and procedures, both organizational and departmental

• Billings Clinic Corporate Compliance Program

• Billings Clinic Code of Business Conduct

• Personal computers, hardware and software

• Various computer systems relating to ultrasound

• HIPAA and confidentiality requirements

• Patient/resident rights

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

• Regulatory requirements and standards governing sonography services

• Principles, practices and techniques sonography including guidelines for age appropriate care

• Infection control procedures

• Hazard and safety criteria

• Patient Safety Goals

• Professional communication skills, both verbal and written

• Operating complex ultrasound equipment, cameras, recorders and other patient assessment equipment pertinent to department needs. Selects appropriate equipment and transducer frequency/size for proper exam.

• Recognizing the significance of all structures visualized on the monitor and is able to differentiate normal from abnormal and recognize artifacts. Understands when to seek advice.

• Performing complex algebraic calculations for equipment settings, etc.

• Manual dexterity for operating technical equipment and may administer IV’s

• Knowledge and competency for medication administration of Contrast Media (Definity/Saline)

• Explaining the procedure to the patient and/or family

• Evaluating, synthesizing, communicating and reviewing preliminary diagnostic information with the interpreting physician, and/or referring physicians

• Integrate diagnostic sonograms, laboratory results, patient history and medical records and adapt sonographic examination as necessary

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

• Transport and/or lift patients

• Function independently at a high level of competency with minimal supervision

• Establish and maintain collaborative relationships

• Work effectively in a team environment

• Respond calmly and professionally in an emergent or difficult situation

• Maintain flexibility to adapt to a variety of workload assignments

• Assist in orientation of new staff members and students

• Move equipment

• May be expected to rotate to several different imaging modalities during a shift

• Exposure to unpleasant odors from soiled linen or human waste and contact with patients exhibiting possible infectious diseases. Universal precautions are mandatory when working with all patients.

• Possibility of exposure to ionizing radiation or contact with corrosive darkroom chemicals, however, if adherence to safety and protection standards is followed, chance of accident is remote.

• Errors in calibrating equipment and performing procedures could result in poor quality test results which could negatively impact the quality of patient care

Minimum Qualifications


  • Graduate of an accredited diagnostic medical sonography program

  • Associates degree in Diagnostic Medical Sonography required


  • Basic EKG training

Certifications and Licenses

  • Current Health Care Provider CPR Certification

  • Registered Cardiac Sonographer (RCS) issued by CCI (Cardiovascular Credentialing International) within one year of employment

  • Registered with the ARDMS (American Registry of Diagnostic Medical Sonographers) or CCI (Cardiovascular Credentialing International) within one (1) year of employment in adult echocardiography

  • On-the-job training and experience equivalents will be considered in lieu of completion of a diagnostic medical sonography program for staff who obtained their training prior to the availability of formal training programs and who are currently registered with the ARDMS.

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

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 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.