Pediatric Respiratory Therapist-Clinic

  • Billings Clinic
  • Billings, Montana
  • Full Time

Youll 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 youll 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-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 or download 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!

Pediatric Respiratory Therapist-Clinic
Billings Clinic (Billings Clinic Main Campus)
req11686

Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 0.80 = 64 hours every two weeks (Non-Exempt)
Starting Wage DOE: $29.08 - 36.34

The RRT performs duties within defined scope of practice for Pediatric Specialty Medicine. Based on therapy driven protocols, instructs, administers, and monitors full range of respiratory care services and treatments to patients, airway and ventilator management, emergent respiratory care, bronchoscopy assistance, bedside electrocardiograms (EKG) monitoring and testing, arterial punctures, arterial line draws, blood gas analysis, pulmonary diagnostic testing, patient education, and rehabilitation. Recognizes and reports any unusual reactions to treatment, contraindications to treatment, or inappropriate use of therapy to the healthcare and/or physician team.

This position may be eligible for a $15,000.00 sign on incentive, relocation, and tuition loan reimbursement.

Essential Job Functions

GENERAL.
Collaborates with the interdisciplinary care team toexecute a plan of care appropriate to the needs of the patients utilizingevidence based and best practice. Incorporates the respiratory process into thegoal-directed plan of care for the patient.
Adheres to Billings Clinic safety standards, policies,and practices. Anticipates and identifies problems and safety issues, theninitiates appropriate action. This includes complying with hand hygieneadherence, isolation practices, clean/dirty equipment process, reassemble ofequipment, and processes associated with Sterile Processing Department ifneeded.
Ensures complete, accurate, and timely entry intopatient medical record as indicated by patient condition and documentationguidelines, consistent with departmental policies and procedures.
Checks and maintains respiratory therapy equipment.Maintains appropriate skill, knowledge, and application of relevant andcommonly used equipment specific to the area based on disease process orphysiological status.
Ensures complete, accurate, critical value reporting,and timely entry into patient medical record for all Pulmonary Laboratoryvalues. Performs arterial puncture, arterial line draws, and blood gas analysisconsistent with departmental policies and procedures. Completes Laboratoryequipment maintenance and regulatory logs as assigned.
Takes responsibility for own professional growth,punctuality, and developmental needs. Meets all system/departmentaleducational, competency, and meeting requirements. Participates in departmentalcommittees and activities to positively contribute skills and ideas for betterdepartmental advancements and processes.

Additional NICU Essential Functions
Attends all high risk deliveries. Participates inmultidisciplinary rounds including x-ray rounds. Initiates, monitors, and makesnecessary changes based on provider orders or established guidelines formechanical ventilation techniques and related procedures. Sets up and assistswith diagnostic and therapeutic procedures such as surfactant administrationand airway management. Performs walking rounds when giving and receivingreport. Completes all necessary logs assuring that logs and kits are checked,signed, & locked.

Additional Outpatient Pediatric Clinic EssentialFunctions
Performs PFTs (Pulmonary Function Tests), EIBs(Exercise Induced Bronchospasm testing), EIB with laryngoscopy, MethacholineChallenges and Asthma Education for pediatric patient populations.
Educates patients and families on all aspects ofoutpatient respiratory care in the home (medication and equipment) in regardsto asthma, cystic fibrosis, interstitial lung disease, neuromuscular diagnoses,sleep apnea and sleep hygiene, etc.
Responsible for rooming clinic patients, taking vitalsand history, reviewing medication history, schedules appointments anddiagnostic tests and procedures as ordered by physician.
Reviews sleep study results and nocturnal oximetryresults and informs provider of patients who require immediate attention.
Travels with providers to provide support for outreachclinics within the service area.
Researches and provides articles and data regarding bestpractice for respiratory care and cystic fibrosis and all aspects ofrespiratory care. Serves as the RRT for the Adult cystic fibrosis clinic.Performs daily visits with inpatient cystic fibrosis patients (adult andpediatric). Educates patient and family on all aspects of respiratory care inregards to cystic fibrosis. Educates hospital RTs on cystic fibrosis care andassure all respiratory orders are followed.
Assists with laryngoscopies (with or without exercise)including sterilizing scope, setup and restocking of cart and medications.
Participates in the development of policies andprocedures for the pediatric respiratory care program.

Supports and models behaviors consistent with Billings Clinics 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

Graduate of an AMA-approved school for Respiratory Care

Experience

Two years of respiratory care experience; desire experience in pulmonary function testing, sleep, asthma education.

Certifications & Licenses

Certified Pulmonary Function Therapist (CPFT)certification or ability to complete within 2 years of hire
Must be a Registered Respiratory Therapist by the National Board forRespiratory Care within six (6) months of employment
Must be a Registered Respiratory Therapist by the National Board forRespiratory Care within six (6) months of employment

Billings Clinic is Montanas 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 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, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, 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.

Job ID: 518158944
Originally Posted on: 4/21/2026

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