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Billings Clinic Cardiology Heart Failure Specialist 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!

Cardiology Heart Failure Specialist

CARDIOLOGY (Billings Clinic Main Campus)


Shift: Day

Schedule: weekday, daytime

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

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

Billings Clinic Cardiology is seeking a Cardiology Heart Failure Specialist to join our growing dynamic team!

Billings Clinic is ranked by U.S. News and World Report as Number 1 for cardiology services in Montana. As a Level II Trauma Center, Billings Clinic is nationally ranked and recognized for the highest quality standards and an exceptional patient experience. Billings Clinic Cardiology and Cath Lab offers a wide variety of both outpatient and inpatient services such as Interventional, EP, Device, Advanced Heart Failure, Structural Heart, and Cardiac Pulmonary Rehab Services. Billings Clinic Cardiology and Cath Lab are an accredited Chest Pain Center and Primary PCI with Resuscitation, 2020 Mission Lifeline Gold award recipient, 2021 Get with the Guidelines Gold Plus for Heart Failure recipient, 2020 Platinum Performance Chest Pain – MI Registry, an accredited AACVPR program, an accredited Valve Center for TAVR, and recognized in 2020-21 by U.S. News High Performing hospitals in Cardiology. Our organizational mission values patient-focused care, research, and education. The nation is taking note that Billings and Montana are a great place to live and work!

The incumbent in this position leads a complex, patient centered team- based approach to comprehensive heart failure care. The RN in this position will act as a primary case manager for a selected population of heart failure patients and work within a chronic disease management model of care. As the leader of this team- based patient care, the Heart Failure care specialist will assist patients through transitions of care and navigate patients through the inpatient and outpatient continuum of care.

Essential Job Functions

• Provides daily heart failure education and care coordination of hospital inpatients in conjunction with the physician and advanced practice provider.

• Provides daily phone, tele-assurance, device and pressure sensor monitoring of heart failure weights and symptoms and intervenes appropriately.

• Provides daily education of ambulatory care HF patients on the phone, in the office and enrolls patient in program for closer monitoring, education reinforcement and medication optimization.

• Provides problem resolution for patients and families calling into the office for assist with education, symptom management and care coordination. Promote removal of barriers to care and adherence to recommended treatment plan of care.

• Collaborates with other health care providers in developing, implementing and evaluating heart failure plan of care for patients and their families.

• Daily review of patient assessment findings and intervening appropriately up to and including IV diuretic administration in the office to prevent hospitalization and reduce morbidity and mortality.

Department or Level Specific Duties and Responsibilities

• Supervised targeted HF phone and in office HF assessment.

• Supervised phlebotomy and IV medication administration.

• Supervised HF patient education and program enrollment in the outpatient setting

• Supervised application of diuretic protocol

• Supervised care coordination.

• Develops knowledge and skill in HF targeted nursing process and care coordination

• Apply assessment and history findings to patient condition

• Develops knowledge and skill in HF targeted patient and family education

• Able to recognize barriers to patient self- care and direct to appropriate resources under supervision

• Develops a general familiarity with HF services, treatments and nursing practices

• Beginner in use of tele- assurance applications

• Begins to use we based tele-monitoring tools with supervision

• Begins to recognize and take action regarding complications, with supervision

• Begins to demonstrate good problem- solving and organization skills

• Participates in department education modules for general HF, advanced HF, supportive care, and others as offered

• Participates and /or attends HF educational offerings

Knowledge, Skills, and Abilities


• Microsoft Office 365 Programs

• Electronic Medical Record and internet- based patient reporting and transmission programs

• HIPAA and confidentiality requirements

• Patient’s/resident’s rights

• Patient care standards including JCAHO, OSHA, CMS

• Heart Failure care standards established by AHA/ACC, HFSA and AAHFN

• Cardiovascular services including diagnostics, revascularization, structural, and electrophysiologic care with emphasis on heart failure care

• Cardiology coding and billing practices

• Transitions and levels of care within health care

• Resources available to remove barriers to heart failure specific self- care

• Health care reimbursement with emphasis on hospital readmissions

• Patients appropriate for enrollment in Heart Failure program.

• Way finding of patient info in EMR

• Scheduling software utilization


• Heart Failure targeted physical assessment

• Patient centered Heart Failure education with emphasis on self -care and medication adherence

• Phlebotomy and IV insertion and IV medication administration

• Identification of barriers to self-care

• Application of functional assessment and quality metric tools including six- minute walk tests

• Sleep disorder, depression, diabetes, HTN and other co-morbid screenings

• Close monitoring and follow up of HF targeted symptoms, lab results, and response to interventions


• Promote patient self-care including smoking cessation, exercise, Na restriction, and other lifestyle changes

• Perform heart failure symptom phone call assessment and apply triage algorithm appropriately.

• Administer Guideline Directed Medical Therapy and Medical Director approved protocols to manage symptoms and optimize heart failure medications.

• Apply nursing process appropriately with information and data collected via phone calls, in office assessments, telemonitoring, pressure monitoring and assist device downloads.

• Prioritize and organize work load in the setting of flexibility with changing day to day patient demands and needs.

• Identify decompensating Heart Failure symptoms and have ability to intervene appropriately.

• Work collaboratively with MDs, APPs, Pharmacist, and Social Worker in delivering patient centered care.

• Review of patient and staff education materials and provide input for improvement.


• Critical thinking & emergency decision making skills in regards to ADHF, ischemia, and dysrhythmias.

• Educator skills that motivate patients to confidently provide self-care maintenance and management.

• Identification of and appropriate direction of care for other co-morbid conditions associated with Heart Failure.

• Care of advanced Heart Failure patients with supportive therapy and palliative care consultation

Minimum Qualifications

• BSN preferred or equivalent. Current Montana license as a Registered Nurse, will need to obtain Wyoming license.

• Healthcare Provider BLS Certification required.

• ACLS certification preferred or attainable within 1 year of hire.

• One year of Heart Failure experience preferred or equivalent of 2 years of cardiovascular, critical care, ambulatory care or chronic disease management care experience.

• Heart Failure Nurse certification preferred or attainable within 3 years of hire.

Minimum Qualifications Disclaimer

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.