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Nursing jobs in Montana 2026

Vacancies, salaries, EB-3 demand and licensing — verified against BLS OEWS 2025 + HRSA NCHWA 2026.

RN Shortage
1,800
Moderate 7.9%
Median Annual Salary
$91,510
$44/hr
COL-Adjusted
$86,624
COL index: 94.4
Compact State?
Yes
NLC multistate eligible

Key insight

In Montana, there is a shortage of 1,800 registered nurses as of 2026 — 7.9% of the state's nursing workforce demand. Median RN salary is $91,510 per year. After cost of living adjustment, purchasing power equals $86,624 in national terms. Moderate EB-3 activity in this state.

Top hiring cities

  • • Billings
  • • Missoula
  • • Great Falls

State nursing board

Montana Board of Nursing
Endorsement fee: $100 · NCLEX attempts allowed: 8/year
Licensing portal