Nurse Practitioner Rural CAH/RHC Per Diem

Physician Assistant / Nurse Practitioner 

Per diem (no benefits / hours not guaranteed), day, weekend, varied

Under clinical supervision of a physician and general supervision of the Manager/Director, the Nurse Practitioner provider provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.  Utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health.   Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes.  Assumes responsibility and accountability for the quality of nursing care rendered.

Responsibilities within a rural critical access hospital with a rural health clinic typically include providing services in the following areas:  emergency department, inpatient hospitalist, home health, public health, nursing home and clinic settings.  Participates in routine on-call rotations including weekday and weekend shifts.


  • Graduate of an accredited nurse practitioner program
  • Current Board Certification as a Nurse Practitioner from the American Nurses Association (ANA) – American Nurses Credentialing Center (ANCC)
  • Approved to practice as a Nurse Practitioner with a current Montana and/or Wyoming Board of Nursing License as an advance practice nurse
  • Current Montana and/or Wyoming license as a Registered Nurse as appropriate to service area
  • ACLS, PALS and PEARS required
  • Prior clinical experience working in an emergency room or as inpatient hospitalist preferred