RN Outpatient Other
Defense Health Agency (DHA)

NURSE (CLINICAL/AMBULATORY)

Defense Health Agency (DHA) Olympia, WA 98506, US

Overview

NURSE (CLINICAL/AMBULATORY)

Tacoma, WA

 

 

Puyallup Community Medical Home (Madigan AMC)

 

 

At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunties. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. 

 

Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State.

 

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Responsibilities

MAJOR DUTIES

 

1. Performs independent, comprehensive telephone and clinical triaging, and facilitates care coordination through a multidisciplinary approach. Establishes priorities for patient care and evaluates patients’ progress toward high-level wellness. Provides patient education as an integral part of the services offered. Acts as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Communicates with providers regarding determinations and situations, documents events appropriately. Screens patient charts to assess the medical history and determine health care needs. Makes psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Executes or ensures the completion of orders from health care providers. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Records data on patient charts. Assists health care providers with examinations and procedures. Oversees educating patients for high risk, painful or stressful procedures with education and support. Monitors or ensures the monitoring of patients pre, during and post-procedure per established protocols and SOPs. Assesses post-procedure patients prior to their release from the clinic. Ensures complete, thorough documentation for all procedures. Prepares and administers oral, subcutaneous, intra-muscular and intravenous medications. Independently instructs and demonstrates to patients how to provide self-care. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces health care provider instructions and encourages patient in the maintenance of health and self-care. Responds to emergency situations. 

 

2. Assists clinic with patient and staff education. Accepts consults for the education of patients in the outpatient setting. Assists with clinic orientation, and one-on-one patient, educational activities related to acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology. Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities. Evaluates the effectiveness of educational activities. Ensures nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and nursing standards of practice. Develops appropriate nursing plans. Ensures that nursing staff maintains current licenses and certification requirements. Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Ensures staff compliance with maintenance of competency folders in accordance with hospital and Joint Commission standards. Participates in hospital and clinic meetings, and performance improvement activities as assigned. 

 

3. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Assists patient to comply with medical treatment plan as necessary through telephone contact or through clinic visits.

 

PERFORMS OTHER DUTIES AS ASSIGNED.

 

 

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Outpatient Full-time
Virginia Mason Franciscan Health

Clinic RN

Virginia Mason Franciscan Health Tacoma, WA
Job Summary and Responsibilities Sign on Bonus for qualifying new external Clinic RNs available! As a Clinic Registered Nurse (RN), you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN for the Franciscan Women's Health Associates Clinic in Tacoma, WA. We are looking for an engaged, energetic and passionate RN interested in high quality patient care. This team of RNs supports our Pierce County Women's clinics for triage as well as NSTs & nurse visits. This positions requires critical thinking to provide triage support and patient education. Free parking, competitive pay, great schedule and no weekends or organizationally recognized holidays required. Every day you will collaborate on comprehensive screenings, conduct critical risk assessments, provide vital preventative health education, and expertly coordinate care for diverse patient populations, leveraging technology to streamline processes. You'll ensure patients feel informed and at ease, patiently guiding them through instructions and addressing their concerns. To be successful in this role, you will combine robust clinical knowledge and technological proficiency with genuine compassion, strong communication skills, and an adaptable approach to learning and patient-centered care. Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Performs a variety of patient assessment/care tests (e.g. EKG, Spirometry, vision/hearing screening, peak flow, color blindness, etc.) in accordance with established protocols. Makes independent wound assessments and performs complex wound care and dressing changes, including placement or changing of wound vac); removes sutures or staples after wound assessment by a Provider. Inserts and/or removes tubes, drains, urinary catheters, including removal of peripherally-inserted central catheter (PICC); applies splints/braces. Instructs patients in the collection of samples and other tests; ensures that patient or family understands follow-up and referral information. Informs patients of lab results, calls in prescriptions to pharmacies and returns practitioners’ phone messages. Job Requirements Required Graduation from an accredited school of nursing, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire Preferred One year RN work experience in a clinic setting OR two years of acute care RN work experience Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
RN Outpatient Full-time
Virginia Mason Franciscan Health

Float Ambulatory RN Clinic

Virginia Mason Franciscan Health Tacoma, WA
Job Summary and Responsibilities As a Float Clinic Registered Nurse (RN) , you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate on comprehensive screenings, conduct critical risk assessments, provide vital preventative health education, and expertly coordinate care for diverse patient populations, leveraging technology to streamline processes. You'll ensure patients feel informed and at ease, patiently guiding them through instructions and addressing their concerns. To be successful in this role, you will combine robust clinical knowledge and technological proficiency with genuine compassion, strong communication skills, and an adaptable approach to learning and patient-centered care. Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Performs a variety of patient assessment/care tests (e.g. EKG, Spirometry, vision/hearing screening, peak flow, color blindness, etc.) in accordance with established protocols. Makes independent wound assessments and performs complex wound care and dressing changes, including placement or changing of wound vac); removes sutures or staples after wound assessment by a Provider. Inserts and/or removes tubes, drains, urinary catheters, including removal of peripherally-inserted central catheter (PICC); applies splints/braces. Instructs patients in the collection of samples and other tests; ensures that patient or family understands follow-up and referral information. Informs patients of lab results, calls in prescriptions to pharmacies and returns practitioners’ phone messages. Answers questions and provides health care education and guidance to patients and/or families; explains/interprets results, findings, and diagnoses to patient and/or patient’s family within standards of practice. Provides direct assistance to provider in complex nursing care situations. Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. Administers approved medications (e.g. legend drugs, vaccines and schedule III-V controlled substances) via oral, subcutaneous, intramuscular or intradermal routes; administers IV fluids/medications, including antineoplastic agents, investigational drugs and/or blood products, in accordance with physician orders; performs installation of fluids or medications into bladder via catheter. Administers drops, topical ointments/pastes/creams and/or nebulizer treatments. Assists with point of care testing (CLIA-Waived Tests only)/lab tests following established protocols/instructions. Obtains samples for point of care tests including swabs and urine/stool; performs venipuncture to obtain venous blood samples. This position is based in Pierce County Job Requirements Required Graduation from an accredited school of nursing, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire and Driver's License: WA, upon hire Preferred One year RN work experience in a clinic setting or two years of acute care RN work experience Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
RN Outpatient Full-time
Virginia Mason Franciscan Health

Cardio Clinic RN

Virginia Mason Franciscan Health Tacoma, WA
Job Summary and Responsibilities Sign on Bonus for qualifying new external Clinic RNs available! Franciscan Medical Group, part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN-Cardio for our Franciscan Heart and Vascular Associates in Tacoma, WA. This position is full time with no weekends, nights or organizationally recognized holidays required. As our Cardiac Nurse, you’ll care for patients who may have life-threatening cardiac events or conditions while helping their families navigate daily care and the long-term plan for healing and maintenance outside of the hospital. You’ll never have the same day twice as your patients’ needs evolve. That’s why you must be adaptable and detail-oriented, observing vitals and reporting the warning signs early to our multidisciplinary team of cardiologists, EKG techs, and other cardiovascular professionals. Your success in this role comes from your enthusiasm to go the extra mile for your patients and your strong assessment skills. To further support your nursing career, we offer continuing education opportunities to help you advance your clinical nursing skills. Administers cardiovascular and pharmacological stress tests with the use of imaging modalities and IV therapy as appropriate; interprets EKG findings in accordance with standard protocols. Performs diagnostic procedures intended to estimate prognosis, assess for coronary artery disease and heart rhythm irregularities; continually monitors patient’s blood pressure/EKG throughout procedures to ensure patient safety and identify issues. Utilizes 12-lead ECG-Exercise treadmill-echocardiography-blood pressure and pulse oximetry equipment, IV equipment and pumps in administering, monitoring and evaluating patient stress tests. Executes the procedure hookups, performs a brief evaluation and obtains patient history/assessment prior to beginning of study. Starts IVs and administers inotropic and beta blocking pharmaceutical agents; assesses and evaluates patient condition as necessary during administration of IV and related therapies. Monitors and screens diagnostic information obtained during the study; halts study in accordance with established protocols and notifies physician of abnormal findings. Stocks and maintains crash cart to ensure rapid availability of equipment in the case of a code or other patient emergency. Completes cardiac risk assessment forms in response to requests from internal/external providers for cardiac clearance for new/additional clinical/diagnostic tests/protocols; forwards assessments to Cardiologist for final determination. Researches patient charts to respond to questions that impact on clinical decision-making on the advisability of cardiac clearance requests. Complete multiple request forms for FMLA, disability, CDL and disability forms, FAA and other documentation. Reviews protocols established for each procedure/study and provides patient with specifically-tailored training/information based on unique patient medical history and physician-specific protocols. Reviews patient medical records in detail to determine medication regimes (e.g. blood thinner medications, insulin, etc) and confirms what and how to take them prior to the procedure. Applies procedural guidelines as they relate to the patient’s medical history and concomitant morbidities; orders pre-procedural lab tests and medications per protocols. Coordinates and provides pre- and post-operative instructions on multiple different device implantations, watchman procedure as well as evaluate for wound infections post-procedure. Provides post-procedure instructions to patient with regard to what to do and who/when to call with questions or concerns. As initial point of patient contact, performs nursing triage activities based on direct patient contact or via phone within scope of licensure; independently triages cardiac patients/situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Assess complex patient health problems/needs utilizing disease specific elements; identifies potentially emergent or critical issues which require immediate action or interventions; determines whether patient acuity/symptoms warrant a clinic visit and/or immediate referral to the ER or physician/provider. Executes nursing interventions and/or plan of care to facilitate the patient’s achievement in acquiring their highest level of function. Applies professional clinical judgment in making recommendations to physician/providers for further testing and/or new/adjusted treatment modalities. Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. In collaboration with physician providers, reviews and assesses data from tools/equipment/devices (e.g. ECG, Holter Monitors, lab studies, remote device interrogation, etc.) relating to patient current health status and makes appropriate treatment decisions (e.g. starting IVs, nebulizer therapies, EKGs, medication adjustments, ordering imaging studies, etc.). Documents studies, procedures, and interactions in patient’s electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate. Responds to/triages patient telephone calls using approved protocols, ensuring documentation of phone call meets standards. Takes verbal orders from a provider in regard to urgent and/or emergent (not routine/non-complex care) patient safety issues; assures orders are signed off in accordance with established procedures. Job Requirements Required Graduation from an accredited school of nursing approved by the Washington State Board of Nursing and Two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire and Advanced Cardiac Life Support, upon hire Preferred Work experience in a cardiology-related field Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
RN Oncology Outpatient Full-time
Virginia Mason Franciscan Health

Oncology Clinic RN

Virginia Mason Franciscan Health Tacoma, WA
Job Summary and Responsibilities Job Summary: This position is responsible for providing professional care specifically to adult, oncology/hematology patients. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. Essential Duties: Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. Administers chemotherapy. Applies knowledge of current cancer treatment modalities to patient care. Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Documents care delivered and patient status utilizing the nursing process in accordance with VMFH standards of care Job Requirements Education/Experience: Graduation from an accredited school of nursing; BSN preferred. Previous Oncology experience preferred. License/Certification: Current RN license from the Washington State Board of Nursing. Current Healthcare BLS Certification. OCN is preferred. Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
RN Outpatient Full-time
MultiCare Health System

Ambulatory RN Care Manager-Puyallup IM & PC

MultiCare Health System Tacoma, WA
$112,674 - $183,810 / year
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1 Shift: Day Schedule: Clinic hours Position Summary As an Ambulatory RN Care Manager you’ll be responsible for exemplary cross-continuum care coordination, orchestrating care across the health care system and identifying opportunities to improve patient care, services and overall population health. You’ll employ the nursing process in the delivery of patient-centered nursing care and work collaboratively with multiple disciplines and resources facilitating wellness, and transitions of care for patients in the ambulatory environment. This role offers you a great opportunity to apply your motivation, organization, substantial clinical competency, self-direction, interpretation of information and judgement skills and abilities to achieve the organization’s goal of providing safe, reliable, and effective heath care excellence, patient-centered care and community engagement. It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision- making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Responsibilities You will ensure the patient and family experiences seamless and safe transitions of care and engage with them as an integral and essential component of the care delivery process You will advocate for patients and families, ensuring sensitivity to cultural and ethnic practices and beliefs You will provide patient-centered education of disease processes and wellness opportunities You will assist patients and families toward self-management of care including goal setting for management of chronic disease, improving medication adherence, creating a plan for behavioral change and coordinating community resources via nurse visit, telephone management, or other contacts, as needed You will collaborate with leadership and the care team to identify opportunities, and develop a plan of action to promote appropriate utilization of resources across the continuum You will serve as resource for staff, colleagues, physicians and advanced practice providers to positively impact CMS core measures and National Patient Safety Goals. Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement Current Registered Nurse licenses in Washington State or Multistate license endorsement (MLS) Master’s degree in nursing preferred Certification as Certified Case Manager (CCMC), Accredited Case Manager (ACMA), Care Coordination and Transition Management (AAACN), Ambulatory Care Nursing (AAACN), or similar required or obtained within 3 years of hire ( E mployees hired prior to 8/1/2023 will have this requirement waived) Three (3) years of recent clinical hospital/ambulatory experience Knowledge of care continuum (inpatient, ambulatory, post-acute, etc.) preferred About Allenmore Hospital MultiCare Allenmore Hospital has served Tacoma since 1929, offering convenient access to primary and specialty care services. This 130-bed hospital provides advanced diagnostic and treatment technologies and a 24-hour Emergency Department, all located on a patient-friendly, easily accessible campus. About the Tacoma Community Tacoma, just 30 miles south of Seattle, blends big-city amenities with the beauty of the Pacific Northwest. From scenic waterfronts and mountain trails to vibrant arts, dining and brewery scenes, Tacoma offers something for everyone — outdoor enthusiasts, families and young professionals alike. With strong schools and universities, it’s a city where you can live, work and play. Why MultiCare? Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other Belonging for al l – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $112,674.00 - $183,810.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .