Working as a CRNA in Montana

Montana is one of the most favorable states in the country for CRNAs because it has long allowed independent practice and opted out of the federal physician-supervision requirement. CRNAs frequently serve as the primary anesthesia providers in many hospitals and clinical settings, particularly in rural and frontier regions. Major employers include Billings Clinic, St. Patrick Hospital, Benefis Health System, Bozeman Health, and Logan Health, offering opportunities in trauma care, surgical services, and critical access facilities.

Montana’s healthcare infrastructure places a strong emphasis on rural access and provider autonomy, which allows CRNAs to utilize the full scope of their training in perioperative care, emergency anesthesia, and outpatient surgery. Hospital credentialing and staffing models vary by facility, but CRNAs commonly practice independently or lead anesthesia services in community hospital settings.

With continued demand for anesthesia professionals and broad clinical responsibilities across large health systems and rural hospitals, Montana provides strong opportunities for CRNAs seeking independent practice, high professional autonomy, and access to diverse clinical environments statewide.

Education and Certification

• Educational Requirement: CRNAs must complete a doctoral degree from an accredited nurse anesthesia program.
• Certification: After graduation, candidates must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Licensure

• Montana License: CRNAs must hold a valid Montana Registered Nurse (RN) license and apply for CRNA certification through the Montana Board of Nursing.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: CRNAs in Montana can practice independently, providing anesthesia care without physician supervision.
• Prescriptive Authority: CRNAs may be authorized to prescribe medications as part of their practice.

Collaboration

CRNA-only model, Collaborative Care Model, and Anesthesia Care (ACT) Model.

State Regulations

CRNAs should stay updated on any changes in state laws and regulations affecting their practice. For current information, check out the Montana Association of Nurse Anesthesiology and Montana Board of Nursing as well as other relevant professional organizations.