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RiverStone Health
Billings, Montana

Physician Assistant/Nurse Practitioner (Pediatric Focus)

Nurse PractitionerNo weekendsFull-Time Full Practice Authority

Listed compensation

$110k-$150k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1mo ago

Job Description

Working title: Physician Assistant or Nurse Practitioner- Pediatrics Focus

Classification title: Physician Assistants (29-1071) or Nurse Practitioner (29-1171)

Division: Community Health Center

Program: Various

Reports to: Assistant Medical Director/Lead APP

FLSA status: Exempt: Full-Time

Wage Range: $110,000 to $149,512 annually; depending on number of years of transferrable experience and internal equity

Riverstone Health

Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership, and Protection – HELP is what we do.

From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion, and quality in all interactions, RiverStone Health improves life, health, and safety for all of the communities we serve.

Job Summary

This position provides general primary and preventive health care counseling and treatment for patients in accordance with licensure and approved privileges.

The position works as a team member to support patients to achieve health goals and/or improvement in health outcomes. Providers primary focus will be with our pediatric patient population. Provider is expected to see all ages of patients.

Clinics include: Pediatric specialty clinic (Kids Journey), School Based Health Centers (Orchard, Medicine Crow, and Senior High) and Child Advocacy Clinic.

This position is expected to intermittently work with learners including APP students and resident trainees.

Essential Functions/Major Duties and Responsibilities

A. General Duties 95%

  • Counsel and educate patients about health issues such as diet, nutrition, emotional and mental health, sexually transmitted diseases, cancer, and contraceptives.
  • Assess patient’s health lifestyle, including taking a complete medical history of the patient.
  • Review medications patients are taking.
  • Perform physical examinations of patients.
  • Collect medical specimens and performs several basic medical tests.
  • Order medical laboratory tests and/or X-rays.
  • Evaluate medical test results and interpret them to patients.
  • Treat patient’s diagnosed conditions.
  • Provide surgical and/or other medical referrals as necessary.
  • Keep immediate supervisor and designated others accurately informed concerning work progress, including present and potential work problems and suggestions for new or improved ways of addressing such problems.
  • Attend meetings, conferences, workshops, and training sessions and review publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas.
  • Responds to patients’ and citizens’ questions and comments in a courteous and timely manner.
  • Communicate and coordinate regularly with appropriate others to maximize the effectiveness and efficiency of interdepartmental operations and activities.
  • Provide coverage at off campus clinics: Schools, Bridger, Joliet, etc.
  • Participates in fulfilling the vision, mission, goals and objectives of RiverStone Health including its focus on education.

NON-Essential Functions/Other Duties As

ASSIGNED ≤5%

  • Perform other duties as assigned in support of RiverStone’s mission and goals.

Education and Experience

Minimum Qualifications

  • Graduate from an accredited program in Physician Associate Studies or Advanced Practice Degree in Nursing
  • One year of clinical practice in primary care and/or pediatric experience
  • Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work.

Preferred Qualifications

  • Experience working with underserved population.

Required Certificates, Licenses, Registrations

  • Physician Assistant or Nurse Practitioner Licensed in the State of Montana, in good standing
  • Must be credentialed and privileged in accordance with RiverStone Health Clinic processes.
  • BLS Certificate

Knowledge, Skills, and Abilities

  • Computer literacy, in Microsoft Office Suite.
  • Ability to maintain a calm and positive demeanor during difficult client interactions.
  • Ability to display non-judgmental and empathetic listening skills.
  • High degree of detail-oriented skill level.
  • Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.
  • Ability to work collaboratively and maintain a positive work environment.
  • Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.
  • Ability to understand and adhere to required administrative policies and procedures.
  • Excellent communication skills to ensure efficiencies and quality customer service.

Customer Service Excellence

  • Doing things right the first time
  • Making people feel welcome.
  • Showing respect for each customer
  • Anticipating customer needs and concerns
  • Keeping customers informed
  • Helping and going the extra mile
  • Responding quickly
  • Protecting privacy and confidentiality
  • Demonstrating proper telephone etiquette
  • Taking responsibility for handling complaints
  • Being professional
  • Taking ownership of your attitude toward Service Excellence.

Supervision

  • This position does not have supervision authority over others.

Physical Demands and Working Conditions

  • Work is mainly performed in a clinic setting.
  • Standing, bending and lifting is required.
  • The position is regularly exposed to biological pathogens and contagious diseases where Personal Protective Equipment (PPE) and special precautions must be taken due to reduce exposure and mitigate risk.
  • Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, other vehicles, etc. Travel occurs in all weather conditions, including extreme heat and cold.
  • Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.

Freedom to ACT & Decision Making

  • Work is structured by public health regulations and established medical practices.
  • Decisions directly affect the quality of services provided to the public.
  • The work is performed under the supervision and direction of the Director, and considerable leeway is granted for the exercise of independent judgment and initiative in patient care.
  • Responsible for the treatment of 4-10 patients per session, up to 25 patients per day.

Communications & Networking

  • Daily written and verbal communication with patients, patient family members, co-workers, and providers.
  • Work directly with other team members to provide quality customer service for patients and customers.

Budget & Resource Management

  • This position does not have budget authority

Key Responsibilities

Provide general primary and preventive health care, counseling, and treatment with a primary focus on pediatric patients. Coordinate with team members to support patient health goals and participate in the education of students and trainees.

Requirements

Requires a degree from an accredited Physician Associate or Advanced Practice Nursing program and at least one year of clinical experience in primary care or pediatrics. Must hold a valid Montana license and BLS certification.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Pediatric carePatient counselingMedical history takingLaboratory test interpretationX-ray interpretationMedication reviewClinical documentationHIPAA complianceInterdisciplinary collaborationEmpathy

Pediatrics — Nurse Practitioner Career Context

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$130k midpoint carries the purchasing power of roughly $137k in an average-cost state. 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Nurse Practitioner listings this role was benchmarked against, 20% are remote, 65% have no call, 68% require no weekends.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Physician Assistant/Nurse Practitioner (Pediatric Focus) at RiverStone Health a 6.2 out of 10 for work-life balance — classified as good. This places the position in the Above average in Pediatrics (NP) — ranked against 255 active Pediatrics (NP) listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Nurse Practitioner Jobs

23 matches · ranked by pay

Salary Distribution23 jobs · 19 employers

6
<$135k
5
$135k-155k
6
$155k-175k
4
$175k-195k
2
$195k+

Annual compensation range

Benefits & Perks21 jobs · 19 employers

401k / retirement match
90%
Sign-on bonus
67%
CME allowance
52%
Loan repayment
24%
Relocation assistance
14%

Share of similar jobs offering each benefit

#1

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Kirkwood, Missouri

$205k-$230k
#2

Nurse Practitioner

Cerebro Care · Remote - Nationwide

$180k-$200k
#3

Urgent Care Nurse Practitioner or Physician Assistant Sign On Bonus

$139k-$187k
#4

Telehealth Nurse Practitioner

$156k-$187k
+ 21 more · ranked by pay

Work-life snapshot

median 6.0this job 6.2
Better work-life than 60% of Pediatrics (NP) listings

Listing-based score, 0–10, across 255 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Billings

Typical 3-bedroom home value
$387k≈ 3.5× annual pay
Typical market rent
$1,426/mo≈ 16% of gross pay
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.5
State income tax
Up to 6.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Billings, MT metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.