Nursing Jobs in Central Tacoma, WA

DaVita Kidney Care Lakewood, WA

Registered Nurse

$40 - $56 / hour

Posting Date 05/14/2026 6111 Lakewood Towne Ctr Blvd SwSte F-1, Lakewood, Washington, 98499-6517, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-TA1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $40.00 - $56.00 per hour. Registered Nurse ICHD Experienced: $42.75 - $55.75 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

CRNA

Certified Registered Nurse Anesthetist GS-0610-12

$190,717 - $239,310 / year

Overview Seeking a Certified Registered Nurse Anesthetist - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA A recruitiment incentive maybe authorized Salary: $190,717-$239,310 per year Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. 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. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord 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 Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. 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 now 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 At Madigan Army Medical Center (MAMC) , located at Joint Base Lewis-McChord (JBLM), a Certified Registered Nurse Anesthetist (CRNA) operates as an Advanced Practice Nurse (APRN) within a high-volume, multi-specialty Level II Trauma Center. Madigan is a premier teaching facility, which means CRNAs there have a unique set of responsibilities involving both high-acuity clinical care and the instruction of residents and students. Pre-Anesthesia Clinic: Conducting comprehensive evaluations in the Surgical Services Center to optimize patients before surgery, a critical role given the high volume of bariatric and orthopedic procedures at Madigan. Independent Practice: Functioning with significant autonomy to develop and execute anesthetic plans, including the selection of pharmacological agents and invasive monitoring (arterial/central lines). Interdisciplinary Pain Management: Collaborating with the Interdisciplinary Pain Management Center (IPMC) to provide advanced pain relief techniques for both acute post-surgical recovery and chronic pain conditions. Rapid Response: Serving as a primary expert for difficult intubations and emergency resuscitations (ACLS/PALS) throughout the hospital and Emergency Department. Clinical Instruction: Providing oversight, bedside teaching, and formal evaluations for Student Nurse Anesthetists (SRNAs) and residents. Curriculum Support: Delivering in-services, workshops, and case studies to ensure the anesthesia staff remains current on the latest DoD anesthesia protocols. Research & QA: Participating in Quality Assurance (QA) and Peer Review processes to maintain the high standards required for Joint Commission (TJC) accreditation. Qualifications Must be a US Citizen A Graduate degree (or higher) in Nurse Anesthesia from an accredited program (CCNE, COA, or ACME). A current, active, and unrestricted license in the specialty of Anesthesia .

Outpatient

Virginia Mason Franciscan Health Tacoma, WA

Float Ambulatory RN Clinic

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.

Outpatient

Virginia Mason Franciscan Health Burien, WA

Float Ambulatory RN Clinic

$43.10 - $71.12 / hour

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.

Part-time

MultiCare Health System Edgewood, WA

GSH Float Pool RN

$56.13 - $97.17 / hour

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. FTE: .3, Shift: FTE, Schedule: TBD Position Summary We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. 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 organize patient care by prioritizing, delegating, delivering and evaluatingon an ongoing bases You will engage your critical thinking skills in making decisions regarding patient care, including knowledge and integration of relevant standards, resources, and data You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures, and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience, and cost reduction Foster a learning environment for patients/families, nursing staff, and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds 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 Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Current Registered Nurse license in Washington State or Multistate License endorsement (MLS) Current BLS Certification required Two (2) years of experience in an acute care setting About Good Samaritan Hospital MultiCare Good Samaritan Hospital is a 388-bed acute-care hub serving Puyallup and East Pierce County. As the area’s only hospital, it features a Family Birth Center, Level III Trauma and Neonatal ICUs, Level I Trauma Rehabilitation Center, Children’s Therapy Unit and a 24-hour Emergency Department. Innovative facilities like the LEED Gold-certified Dally Tower and Pulse Heart Institute make Good Samaritan a dynamic workplace for clinicians eager to advance their careers in a state-of-the-art environment. About the Puyallup Community Nestled at the foot of Mount Rainier along the Puyallup River, Puyallup offers a welcoming small-town feel just 10 miles from Tacoma and 35 miles from Seattle. Residents enjoy unique dining, an antique-filled downtown, excellent schools and abundant parks and recreation — all while being close to big-city opportunities. 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 you. Well-being and support Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. Belonging for all Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and 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 $56.13 - $97.17 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 .

CNA

MultiCare Health System Tacoma, WA

CNA U - Float Pool

$22.64 - $34.46 / hour

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. FTE: 0.9, Shift: Days, Schedule: TBD Position Summary The Certified Nursing Assistant (CNA) is an excellent opportunity for those focused on providing high-quality care with an eye towards the comfort and well-being of both patient and family. If you are seeking a role to apply your commitment to care with your strong decision-making skills, a CNA position at MultiCare may be the right fit for you. Responsibilities You will manage basic care activities with a customer service oriented delivery of care to patients You will support the delivery of care and services to patients from diverse ethnic and social groups Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds You will create and provide a safe and supportive environment for patients Requirements Current Washington State CNA license Current BLS Certification One (1) year experience in physician's office or other medical facility preferred About Tacoma General Hospital MultiCare Tacoma General Hospital, in the heart of Tacoma, WA, is a 367-bed regional medical center delivering cutting-edge care. With a 24-hour Emergency Department, Level II Adult Trauma Center, advanced cardiac, neurological, orthopedic and robotic surgery, Tacoma General combines innovation with compassionate care. Home to the MultiCare Regional Cancer Center, a Family Birth Center and specialized neonatal care in partnership with Mary Bridge Children’s, our collaborative, mission-driven teams offer a rewarding environment for career growth and professional excellence. 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 you. Well-being and support Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. Belonging for all Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and 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 $22.64 - $34.46 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 .

CNA

MultiCare Health System Tacoma, WA

CNA U - Float Pool

$22.64 - $34.46 / hour

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. FTE: .9, Shift: Nights, Schedule: TBD Position Summary The Certified Nursing Assistant (CNA) is an excellent opportunity for those focused on providing high-quality care with an eye towards the comfort and well-being of both patient and family. If you are seeking a role to apply your commitment to care with your strong decision-making skills, a CNA position at MultiCare may be the right fit for you. Responsibilities You will manage basic care activities with a customer service oriented delivery of care to patients You will support the delivery of care and services to patients from diverse ethnic and social groups Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds You will create and provide a safe and supportive environment for patients Requirements Current Washington State CNA license Current BLS Certification One (1) year experience in physician's office or other medical facility preferred About Tacoma General Hospital MultiCare Tacoma General Hospital, in the heart of Tacoma, WA, is a 367-bed regional medical center delivering cutting-edge care. With a 24-hour Emergency Department, Level II Adult Trauma Center, advanced cardiac, neurological, orthopedic and robotic surgery, Tacoma General combines innovation with compassionate care. Home to the MultiCare Regional Cancer Center, a Family Birth Center and specialized neonatal care in partnership with Mary Bridge Children’s, our collaborative, mission-driven teams offer a rewarding environment for career growth and professional excellence. 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 you. Well-being and support Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. Belonging for all Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and 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 $22.64 - $34.46 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 .

MultiCare Health System Puyallup, WA

RN Registered Nurse - Pulse Float Pool

$48.15 - $90.83 / hour

About Pulse Heart Institute MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies. FTE: .9, Shift: Days, Schedule: 12 hour shifts rotating weekends Position Summary We’re seeking a cardiac staff RN to join our MultiCare Pulse Heart Institute team. This is a float pool position, supporting multiple departments and/or departments. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. 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 organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction Foster a learning environment for patients/families, nursing staff and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds 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 Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Current Registered Nurse license in Washington State or Multistate License endorsement (MLS) Current BLS Certification required ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department Certification in specialty area preferred Three (3) years of recent experience in acute care setting Why Pulse Heart Institute? Physician-led care Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration. Proven excellence Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction. Comprehensive cardiovascular care A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care. People-first culture We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed. Well-being and support Resources and programs designed to help you maintain balance and feel supported in your work and life. 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 $48.15 - $90.83 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 .

Urgent Care

MultiCare Health System Renton, WA

Physician Assistant (PA) or Nurse Practitioner (ARNP) Fellow - Urgent Care

$118,670.10 / 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: : Full time, Shift: : Day, Schedule: 12 hour shifts Salary: min $118,670.10 – max $118,670.10 Indigo Fellowship Program The Urgent Care Fellowship is a 14-week program to train nurse practitioners and physician assistants who have recently graduated or are new to urgent care. The fellowship will build upon graduate academic training to strengthen and develop skills in a variety of domains critical to successful, independent practice. Mentoring One-on-one mentoring with experienced providers who are passionate about both teaching and the future of healthcare. Excellence Ensuring academic, clinical, and procedural excellence through formal, evidence-based instruction using hands-on practice and repetition. Confidence and efficiency We provide the tools and guidance to build confidence and efficiency. Growth mindset Fostering resilience and a growth mindset by building community and access to resources. Improving healthcare Pairing technology, innovation, and the retail experience to radically improve how people access the care they need. Join our team Upon successful completion of the Indigo Fellowship, you’ll have developed the knowledge, skill, and attributes to independently and consistently provide evidence-based, patient-centered urgent care medicine, at an accelerated pace, delivering the Indigo Experience, to every patient, every time. For immediate consideration or questions, please contact Michelle at mbaker@multicare.org or click on the link and schedule a call https://calendly.com/mbaker-multicare/initial-call-with-recruiter #LI-MB1 Position Summary MultiCare Health System is seeking a Nurse Practitioner to join our comprehensive fellowship program. Providers at MultiCare are recognized as being among the best in the Northwest Region. Here, you’ll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates in partnering for healing and a healthy future. Requirements Washington State Nurse Practitioner license by the time of employment DEA, NPI & Prescriptive authority Current BLS for Healthcare Providers certification by the American Heart Association 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 all – 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 Associated benefit information can be viewed here .

In Home Caregiver

Family Resource Home Care University Place, WA

$22 - $23 / hour

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive. This position is for our Silverdale branch! Pay: $22 – $23 per hour Why Family Resource Home Care? Flexible Scheduling . We work with your availability. Work as little or as much as you want. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time. We pay you for your travel time and mileage in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Employee Referral Program – Earn up to $478 per Referral! Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! If you do not have a current HCA or CNA license, you will be required to enroll in our HCA training program we offer (due to state requirements). You will be able to complete the training while working and will have 120 days to complete it. Requirements 18 years+ Ability to pass a state and national background check Valid driver’s license, auto insurance and clean driving record Ability to complete state-required caregiver/HCA training as needed Family Resource Home Care is an equal opportunity employer.

MDS

Lacey Post Acute & Rehabilitation Olympia, WA

MDS Coordinator (RN)

Looking for flexibility, strong compensation, and a team that has your back? Lacey Post Acute & Rehab is hiring an experienced MDS Coordinator ( MDS experience required ) to join our supportive and collaborative team! ? What We Offer: • Competitive pay: $53–$58/hr DOE (based on experience & licensure – RN/BSN) • $15,000 sign-on bonus (paid quarterly over 12 months) • Flexible work options • Supportive leadership and team-oriented environment • Opportunity for growth and advancement ? Flexible Work Options: We understand the importance of work-life balance. Flexibility is based on experience: • New MDS Coordinators will be supported onsite for the first 6–12 months • Experienced MDS Coordinators may be eligible for flexible scheduling sooner ✅ Qualifications: • MDS experience required • Active LPN or RN license (BSN preferred) • Strong understanding of CMS regulations and reimbursement processes • Excellent attention to detail and organizational skills Elevate Your MDS Coordinator Career with Us! Are you a compassionate and skilled MDS Coordinator looking for an opportunity to provide exceptional care? Look no further! We offer experienced MDS Coordinators the chance to collaborate with some of the brightest minds in healthcare. Join our team and be part of a dynamic healthcare environment that values your expertise. Exciting Benefits Await You: Attractive Compensation: Enjoy competitive pay that truly values your contributions. Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO. 401(k) Plan: Secure your financial future with our strong retirement plan. Flexible Daily Pay: Access your earnings whenever you need them. Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance. Wellness Program Access: Prioritize your health with resources designed to support your well-being. Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration. Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement. Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence. Qualifications: Currently licensed in this state. Bachelor’s degree in nursing preferred. One year of MDS experience preferred. Salary/ Wage Range Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

In Home Caregiver

Family Resource Home Care Lakewood, WA

$22.50 - $23 / hour

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive. Our Tacoma branch services Tacoma, Fife, Lakewood, Gig Harbor and nearby surrounding areas! Our open shifts and needs are ever-changing. We are currently looking for caregivers that have a current HCA or CNA license, general day time availability, willing to work short shifts, and that can transport clients . We are looking for candidates available for DAY shifts, DAILY and WEEKENDS! Why Family Resource Home Care? Flexible Scheduling . We work with your availability. Work as little or as much as you want. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time & Mileage Reimbursement . We pay you for your travel time and mileage in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Generous Referral Program . We have a “Buddy Bonus” referral program that you are eligible for immediately! Refer someone to us and receive $150 when they have worked 30 days! Each referral increases by $25! Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients. Pay range is $22.50-$23/hr Requirements 18 years+ Ability to pass a state and national background check Personal vehicle for client transporting, valid driver’s license, auto insurance and clean driving record Family Resource Home Care is an equal opportunity employer.

Nurse (Operating Room)

Overview Nurse (Operating Room), Joint Base Lewis-McChord, WA (Madigan) Joint Base Lewis-McChord, WA Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. DHA Benefits: https://civilianmedicaljobs.com/benefits/ Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Tacoma-Pierce County Chamber of CommerceMadigan Army Medical CenterJoint Base Lewis McChord 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: Incumbent serves as an Operating Room Nurse providing perioperative nursing care in a multi-service operating room providing a full range of surgical nursing services supporting complex and extensive surgical procedures. Intra-operatively manages nursing care of patients of all ages undergoing major surgical procedures of various types such as dental rehabilitation, cesarean childbirth, general, gynecological, orthopedic, neurological, genitor-urology, ophthalmology, plastic and reconstructive, podiatry, thoracic, vascular, and ears, nose and throat. Patients range in age from pediatric to geriatric and civilian traumas at select locations or specific circumstances. Performs duties in support of all phases of perioperative care (e.g., preoperative care, intraoperative, and Post Anesthesia Care Unit - PACU) and sterile processing. 1. Performs circulating roles of a perioperative nurse. Ensures sterile technique and anticipates the surgical team’s needs. Collaborates with surgeons in one or more surgical services to assess, coordinate, plan, and implement the newest approaches and practices to deliver efficient, cost-effective surgical care for the beneficiary population. May circulate or scrub to support surgical cases. Coordinates with physicians and other staff, preoperatively, to develop a multi-disciplinary, intra-operative plan of care. Responsible for aseptic technique during the preparation for and duration of the operative procedure, accuracy of sponge, instrument and needle counts and adequacy of supplies. Opens all sterile packs and supplies, according to aseptic technique. Notes and responds to breaches of standard procedures that compromise the patient or staff members. Reviews and edits surgeon's preference cards for desired medications, equipment, and surgical supplies. Sets up, uses, reprocesses, and maintains all unit/department-specific equipment. Monitors and utilizes simple and highly technical equipment, such as lasers, electrosurgical generators, sterilization equipment, video towers, operative microscopes, endoscopes, multiple complex surgical instruments and drills, implants, positioning devices, insufflators, and robotic equipment. Ensures equipment is working properly, preoperatively, and throughout surgical procedures. Monitors all operative processes; anesthesia, surgery, sterile technique, equipment functioning, and patient responses. Initiates and intervenes with immediate corrective action. Responsible for process improvement and risk management in the clinical areas. Engages in evidence-based practice, quality improvement, and process improvement projects. Conducts initial perioperative assessment, acquiring pertinent information, such as allergies, NPO status, and consent. Implements individualized nursing care plans to include safety precautions, correct positioning, infection control precautions, aseptic and/or sterile practices, dispensing and/or administering medications. Logs out and prepares controlled drugs and administers to the patient as prescribed. Utilizes the perioperative nursing process to identify patient problems and generate a nursing diagnosis. Implements individualized nursing care plans to include safety precautions, correct positioning, infection control precautions, aseptic and/or sterile practices, dispensing and/or administering medications. Logs out and prepares controlled drugs and administers to the patient as prescribed. Documents patient's status, on a continual basis, and revises plan of care as needed. Prepares nursing notes indicating medications given, prosthesis used, patient positioning, draping and padding of pressure points. Maintains medical record, keeping a log of implants, devices, instructions, and product information. Responds to the needs of the surgeon, anesthesia provider, and patient during each surgical procedure. Assists physician with examination, as well as treatment prior to, during, and following invasive procedures. Assists with patient positioning for surgical procedures. Assures patient is free from skin injury and burns. Assists anesthesia providers with administering local, regional, and general anesthesia as well as assisting with the insertion of invasive monitoring lines. Assists the anesthesia team with induction and extubation. Communicates progress and/or changes to the patient, family, and members of the health care team, throughout surgical procedures. Provides oversight of sedated patients prior, during, and post-procedures. Initiates emergency measures, as appropriate. Assists during codes and emergencies. Promptly reports abnormal assessments, or changes in patient’s status, to the anesthesiologist and surgeon. Administers topical, intravenous, and intraoperative medications. Schedules and manages post-procedure cases, as required. Incumbent may perform all, or one or more functions, involving preoperative, intraoperative, or postoperative duties, as directed. Preoperatively provides for psychological and physical needs of patient. Provides for the physical needs of the patient to include helping to transport, lift, move and position the patient. Provides information and patient/family teaching about disease processes, pre-a and post-operative care, and surgical procedures. Before entering the surgery or pre-op areas, nurse talks to patient and answers any final questions prior to surgery and ensures the patient understands the procedure and has signed all the appropriate consent forms. 2. Provides direction and on-the-job training to military and civilian personnel, para- professionals, medical students, residents, and other healthcare professionals. Orients and welcomesinterdisciplinary staff members. Serves as role model, preceptor, and teacher for personnel. Acts as patient education facilitator, providing individual and family teaching/counseling. Influence policy and procedural documents in accordance with national standards, best practices, and emerging evidence. Identifies, implements and/or monitors quality, process, and evidence-based practice improvements. Delegates duties and tasks to others, following assessment of patient needs and capabilities, and determines the scope of responsibilities, with awareness of staff members skills and abilities. Operates and assists in the care and handling of a variety of supplies and highly specialized equipment to include pneumatic and electric saws and drills, electrosurgical units, cavitron, fiberoptic lighting systems, etc. Ensures electrical equipment is properly grounded; and that equipment is dissembled, cleaned, oiled, if necessary, reassembled, sterilized, and stored correctly. Maintains specialty materials, supplies, and equipment and communicates adequate levels to meet the surgery schedule demand. Coordinates care, handling, assembly and sterilization of instruments. Arranges with vendors for equipment demonstrations and training programs on new equipment. 3. As required, functions as charge nurse of a particular shift, assuming the responsibility for promoting quality, cost-effective nursing care, within the framework of the medical treatment facility (MTF) philosophy and mission objectives. Within that function, incumbent is delegated authority and as the responsibility to implement, coordinate, and direct nursing care for assigned shift. Identifies, distributes, and balances workload and tasks among personnel, based on their competency level and experience; makes adjustments to assignments to ensure timely accomplishment of tasks and procedures. Monitors and reports on status and progress of work, reviews completed work to ensure supervisor's instructions on work priorities, methods, quality, and deadlines have been met. Resolves simple, informal complaints of employees, patients, and other interdisciplinary team members, and refers unusual issues to supervisor or appropriate management person. Completes all training requirements designated by facility, supervisor, or accrediting agencies; participates in continuing education programs to update and/or maintain skills and knowledge to meet licensing requirements. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical/Operating Room ):Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education (Note: You must attach a copy of your transcripts.) Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experienceOR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing programOR3 full years of progressively higher level graduate education from a professional nursing program

Operating Room Nurse

$147,260 / year

Overview Seeking an Operating Room Nurse- Madigan Army Medical Center, Tacoma, Washington. Joint Base Lewis-McChord, WA “Join a balanced, well-resourced, and collaborative surgical team at Madigan Army Medical Center in the scenic Pacific Northwest (PNW). In this role, you will practice alongside premier civilian and military healthcare experts, providing world-class perioperative care to active-duty military, their families, and retirees. We offer a highly supportive clinical setting that values both clinical excellence and professional growth. Enjoy a varied clinical caseload spanning multiple surgical specialties, including routine outpatient procedures, obstetrics, spine, trauma, and pediatric cases. This provides a dynamic, yet manageable environment tailored for dedicated Operating Room Nurses seeking a fast-paced, highly collaborative, and multidisciplinary team setting. Madigan provides a highly competitive and comprehensive compensation package designed for long-term career satisfaction. This includes opportunities for night, and weekend differential pay, potential yearly retention bonuses of base pay, and performance incentives. Additionally, employees receive access to top-tier health insurance benefits and a secure, vested pension plan achieved after just five years of employment. As a premier military medical treatment facility, we emphasize academic and teaching excellence in perioperative care. We actively seek and give hiring preference to highly capable Operating Room Nurses who are motivated by clinical leadership, dedicated to patient safety, and passionate about mentoring the next generation of military surgical staff.” Recruitment Bonus Up to $10,000”, and “Relocation Assistance Maybe” authorized Salary: Up to-$147,260 per year Benefits: https://civilianmedicaljobs.com/benefits/ Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. Tacoma is an innovative city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord 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 Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. 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 now sports are a way of life in Washington State. Responsibilities Intraoperative & Clinical Duties Perform circulating or scrub roles for diverse, complex surgical cases across all age groups. Enforce strict aseptic/sterile techniques and conduct accurate instrument, needle, and sponge counts. Actively assist surgeons and anesthesia providers (including induction, extubation, and invasive line placement). Administer prescribed medications and controlled substances. Continuously monitor patient status, respond to emergencies/codes, and maintain meticulous documentation (nursing notes, implant logs). Equipment & Supply Management Set up, operate, and troubleshoot highly technical surgical equipment (e.g., lasers, robotics, operative microscopes, electrosurgical generators). Oversee the handling, assembly, sterilization, and reprocessing of surgical instruments. Manage unit inventory, review surgeon preference cards, and coordinate with vendors for new equipment training. Leadership & Unit Operations Function as Charge Nurse when required, distributing workload, delegating tasks, and monitoring work quality. Precept, train, and mentor military personnel, civilians, medical students, and residents. Drive process improvement, risk management, and update facility policies in accordance with national evidence-based practices. Qualifications Must be a US Citizen Education - Graduate degree, Bachelor's, Associate's, or Diploma from a CCNE-accredited nursing program. (Note: Official transcripts required. Foreign degrees require CGFNS certification). Licensure - Current, active, full, and unrestricted RN license from a U.S. State, D.C., or Territory, AND a passing score on the NCLEX. Experience OR Advanced Education - At least one (1) full year of professional operating room nursing experience OR a PhD or equivalent doctoral degree in nursing or a related medical science field.

ADVANCED PRACTICE NURSE (GASTROENTEROLOGY)

Overview ADVANCED PRACTICE NURSE (GASTROENTEROLOGY) - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. 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. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord 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 Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. 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 now 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 Serves as a credentialed Nurse Practitioner, providing services to adult patients within the Gastroenterology Clinic of a Medical Treatment Facility (MTF). MAJOR DUTIES 1. Performs a variety of professional, direct, clinical healthcare duties within the field of Gastroenterology. Specific duties range from evaluation of routine colon cancer screenings to the management of moderately complex acute and chronic illnesses related to Gastroenterology. Utilizes appropriate ancillary services and consultants, as needed to provide treatment. Records outpatient records to include admission and discharge paperwork and progress notes required by hospital regulations and standards of practice. 2. As part of primary clinical evaluation, takes health and medical history from patients or family members and records findings for the record. Examines patients and performs initial patient work-up and assessment of care and treatment; determines the need for and orders laboratory tests, X-rays and other procedures to include endoscopic evaluation when necessary as well as appropriate referrals to specialties or subspecialties, ensuring a complete patient assessment. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Provides surveillance of chronically ill patients, adjusting regimens within established protocols, recognizing conditions which require referral to a Gastroenterology Physician. Works collaboratively with physicians in patient management, evaluation and revision of therapeutic plans. Decides on specific methodology based on the needs of patients; refers extremely and selected complex gastroenterological problems for physician management. Diagnoses disease, illness, disorder, or injury, instituting treatment of patients. Seeks advice of appropriate physicians for more serious or uncommon conditions. Prescribes medications and treats a variety of diseases, disorders, and injuries. Treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in medical records. Writes routine orders on outpatients. Orders administration of and dispenses medications and prescribed controlled substance in accordance with approved treatment protocols. Records treatment, progress notes including tests and procedures, and notations of prescriptions and drugs dispensed or administered. Provides consultation, teaching, and coordination with patients and their family members of treatment and medical care. 3. Collaborates with physician advisor regarding management of the most complex gastroenterology patients, such as Inflammatory Bowel Disease, requiring biological therapy or administration of corticosteroid treatment, in evaluating and revising therapeutic plans. Refers unstable patients to physician. Plans with other healthcare professionals and agencies involved in providing services to patients and their families. Coordinates health care, as appropriate. Receives referrals from other healthcare professionals. Documents all observations, plans, treatments, teaching, and other important findings in patient records. Identifies components of the nursing regimen that may be delegated to other nursing personnel. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse: Degree : A graduate or higher level degree from an accredited professional nursing educational progra is requiired. This education must have been accredited by the Commission on Collegiate Nursing Education, Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure : A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Anesthesia or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience at the GS-12: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Veterans Health Administration (VA) Greater Duwamish, WA

Nurse Practitioner - Neurology

$99,766 / year

The Mann-Grandstaff VA Medical Center is recruiting for one Advanced Practice Nurse to perform duties with the Neurology service at the VA hospital in Spokane, WA. This is an open continuous announcement. Applications will be accepted on an ongoing/rolling basis and qualified candidates will be considered as long as a vacancy remains unfilled. The announcement may be closed at any time after the initial open period once all vacancies have been filled.

Manager/Supervisor

Supervisory Infection Control Registered Nurse (GS-12)

Overview Madigan Army Medical Center is seeking a Supervisory Infection Control Registered Nurse (GS-12) to join our growing team! This is a Direct Hire Solicitation A Recruitment or Relocation Incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. Non-Federal work experience may be creditable for leave purposes. 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 POSITION DUTIES:Serves as a Nurse (ADMIN/INF CONTROL) in the Quality Services Division (QSD) of Madigan Army Medical Center, Joint Base Lewis-McChord, WA. MAJOR DUTIES:1. Responsible for sole technical and authoritative responsibility for the planning, designing and performance of the functions of the MAMC Infection Control Program. This includes responsibility for meeting the Joint Commission (TJC) requirements in this area, adherence to authorized guidelines and recommendations from the Centers for Disease Control (CDC) and adherence to any local, state and federal regulations. Serves on some or all of the following committees: Infection Control Committee, Quality Management Group’s Product Evaluation and Standards, Hospital Safety. Plans and provides educational programs, training, consultation and research regarding the complex issues surrounding the safe provision of health care for patients with blood borne pathogens and multipleinfectious diseases including AIDS and HIV infection. Plans and supervises expenditures for the Infection Control budget and recommends major expenditures to the command. Directs the development, writing, evaluating, modifying, improving, and implementing of hospital-wide Infection Control objectives, policies, instructions, and procedures in the Hospital Infection Control Policy & Procedure Guide. Monitors compliance and maintains Standard Precautions, and standards for sterilization, disinfection, and sanitation. Serves as technical and authoritative consultant for infection control issues to executive leaders within MAMC and Regional Health Command Pacific (P). 2. Responsible for supervising and conducting the tasks related to surveillance for hospital acquired infections (HAI) infections including authoritative recommendations for the management and follow-up of HAI epidemics and outbreaks for inpatients and outpatients. Responsible for conducting/supervising epidemiological investigations and devising appropriate control measures to eliminate an outbreak or epidemic. Identifies the presence of bacterial or other pathogens related to the threat of HAI outbreak potential, and recommends appropriate isolation procedures. Reviews appropriate microbiologic and pathologic, environmental, admission diagnosis, and other relevant data. Contributes toTJC accreditation of the program by formulating, revising, evaluating, and improving the hospital's Infection Control policies and procedures. Conducts risk assessments, incorporating local and regional geographical/population risks, as well as assessments for specific areas or situations. 3. Responsible for all Infection Control reports and data presented to the Infection Control Committee. Ensures accuracy of same and data provided to outside agencies including the CDC and the National Healthcare Safety Network. Provides professional,technical, and authoritative consultation support to MAMC staff regarding clinical research projects in the field of hospital epidemiology. Assists MAMC researchers with study design, data collection, management, and analysis pertinent to the conduct of epidemiological studies. Participates in monitoring of occupational illnesses within the MTF, in collaboration of the Occupational Health and Preventive Medicine. Designs new techniques to be used in evaluating the efficacy of education, prevention, surveillance, and other Infection Control programs, and advises the Chairman, Infection Control Committee accordingly through the use of program review, observation and user feedback. 4. Independently develops new techniques to detect the occurrence of HAI, to benefit both MAMC and Regional Health Command Pacific (P) and the academic infection control community. Independently implements developed techniques, both to track the occurrence as well as to predict the occurrence of nosocomial infections. Advises hospital contract services in reference to contractual agreements in the area of infection control policies. Recommends or evaluates new products and advises to their desirability and efficacy. Collaborates with representatives of community health agencies and other civilian and federal facilities to provide a coordinated service to detect, prevent, and control infections. 5. Attends professional conferences and seminars, and prepares and gives oral and written reports of activities, findings and recommendations to the Chairman, Infection Control Committee, Medical Staff Executive Committee, QMG's, and individuals as appropriate. Serves as a member or chairman for the Army Infection Control Working Group at APIC conference annually (involving exchange of information between APIC professionals from military and civilian hospitals, a leader in the proposed Tri-service working group. Instructs and advises nursing services and other departments in the development of patient care plans and educational programs relevant to infection prevention and control. 6. Supervises Infection Control and Prevention assigned staff, including infection control and prevention registered nurse(s) and technicians. Plans, schedules, and organizes the work on a daily basis to ensure prioritization is appropriate for mission accomplishment and prepares schedules for completion of work. Assigns work based on scope of practice, priorities, and competencies of subordinates. Explains work requirements, methods and procedures; provides consultation and serves as subject matter expert for assigned infection control staff, establishes performance standards for subordinates, and evaluates work performance of employees. Keeps subordinates informed of management goals and objectives. Provides advice, counsels, and instructs employees on both work and administrative matters. Interviews candidates for positions and makes recommendations on selection. Hears and resolves complaints from employees, referring more serious complaints to a higher level supervisor. Effects minor disciplinary measures, such as warnings and reprimands, recommending other action in more serious cases. Identifies the training needs of employees and arranges for needed development and training. Explores methods to improve productivity and increase quality of the work directed. Performs other duties as assigned. Qualifications US Citizenship required Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Supervisory Nurse: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.).Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience: One or more full years of professional nursing experience in an infection control environment . This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11 or above).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Education FOREIGN EDUCATION: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

NURSE (CLINICAL/CASE MANAGEMENT)

Overview NURSE (CLINICAL/CASE MANAGEMENT) , Tacoma, WA About the Position: These 2 positions are within the Directorate of Mental Health, Psychiatry Services and & Department of Behavioral Health located at Army Medical Center Madigan, Joint Base Lewis MChord Washington.This is a Direct Hire Solicitation A Recruitment or Relocation Incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. Non-Federal work experience may be creditable for leave purposes. 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 POSITION DUTIES: Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. A Personnel Security Investigation (Tier 1) is required. Appointment to this position is subject to a one year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315 Employee will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption. This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing. Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position. Applicants must be able to fulfill non-privileged professional credential requirements. Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross. Advanced certification (e.g., ALS) does not supersede BLS. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical/ Case Management): Degree : A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure : A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools Exemption : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017, or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. I n addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes performing comprehensive health assessments, developing, and implementing patient care and treatment plans, and delivering education to patients and healthcare staff. (Note: You must attach a copy of your transcripts.) OR Education: Successful completion of two and a half years of progressively higher-level graduate education leading towards a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Nurse (Clinical/Emergency)

Family Resource Home Care Orting, WA

Overview **RECRUITMENT OR RELOCATION INCENTIVE UP TO 25% OF NEGOTIATED SALARY MAY BE OFFERED** Madigan Army Medical Center is seeking Emergency Department RNs to join our growing team! This is a Direct Hire SolicitationA recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. This job is open to The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. 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 Provide comprehensive nursing care and treatment to a variety of patients, from newborn to geriatric, arriving with conditions ranging from minor to emergent. Assist physicians in the performance of specialized procedures including, but not limited to, Advanced Cardiac Life Support, insertion of chest drainage tubes, tracheotomies, emergency thoracotomies, gastric lavage, and suturing lacerations. Operate specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, rapid intravenous infusers, and infant servo-warmer. Change dressings, prep wounds, remove sutures, insert catheters, apply splints and dressings, and collect urine, stool, sputum, genital, and blood specimens. Arrange transfer of patients to appropriate inpatient care areas and higher levels of care as well as coordinate patient referrals to ancillary healthcare services including, but not limited to, Community Health, Dietary, and Social Work. Follow quality improvement and internal control activities for the ambulatory setting to include risk appraisals, chart audits, trend identification and reporting corrective actions.Performs other duties as assigned. Qualifications Who May Apply: US Citizens Basic Requirements: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. One year of licensed experience required.

In Home Caregiver

$22.50 - $23.50 / hour

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive. This position is for our Everett branch! Pay Rate: $22.50-$23.50/hr – with additional shift differential rates! Example shifts include (but are not limited to): 6 a.m.–10 a.m. 8 a.m.–12 p.m. 10 a.m.–12 p.m. 12 p.m.–2 p.m. 2 p.m.-4 p.m. MOST SHIFTS END BY 2 p.m. OR 4 p,m, Why Family Resource Home Care? Flexible Scheduling . We work with your availability. Work as little or as much as you want. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time. We pay you for your travel time and mileage in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Employee Referral Program – Earn up to $478 per Referral! Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! If you do not have a current HCA or CNA license, you will be required to enroll in our HCA training program we offer (due to state requirements). You will be able to complete the training while working and will have 120 days to complete it. Pay range is $22.50-$23.50 Requirements 18 years+ Ability to pass a state and national background check Valid driver’s license, auto insurance and clean driving record Ability to complete state-required caregiver/HCA training as needed Family Resource Home Care is an equal opportunity employer.

Labor and Delivery

Labor & Delivery Nurse (Inpatient/RN)

Overview Labor & Delivery Nurse (Inpatient/RN) , Tacoma, WA About the Position: This position is a GS-12 staff RN position on the Labor and Delivery Unit at Madigan Army Medical Center in Tacoma, WA. This is a Direct Hire Solicitation Salary negotiation is available for candidate A Recruitment and relocation incentive is available to candidates that qualify 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 POSITION DUTIES: Provide sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. Coordinate case management needs with the case and outcomes management team. Participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Perform procedures, treatments, and medication administration. Serve as Charge Nurse on a rotational basis. Conduct an advanced level of specialized obstetrical and gynecological nursing care to patients based on a provider’s medical care plan and the physical, mental, and emotional needs of the patient and family. Provide comprehensive professional nursing care to OB/GYN patients and their newborns with medical conditions ranging from routine care to those having complex complications requiring sophisticated, highly technical care and treatment. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Inpatient Clinical/Obstetrics-Gynecology): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.) Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:Nursing Experience: One or more full years of professional nursing experience (equivalent to the GS-11 grade level or above) in the federal service which includes providing intrapartum and gynecological care to adult and adolescent patients; educate patients on care plans and assist in clinical procedures. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Advance Practice Nurse (Internal Medicine)

Overview Advance Practice Nurse (Internal Medicine - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. 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. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord 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 Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. 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 now 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 Serves as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients ranging in ages from 18 years old through geriatric for the Madigan Army Medical Center at Joint Base Lewis-McChord, Washington. Duties include health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis, and treatment within personal credentials and privileges delineated by the Military Treatment Facility (MTF). The Nurse Practitioner provides comprehensive primary care services and auxiliary practices in general medicine to the military and their family members. MAJOR DUTIES 1. The incumbent performs varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the adult and geriatric patients in specialty areas. The Nurse Practitioner makes independent decisions regarding the medical care required and in the interpretation and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements. The Nurse Practitioner performs a variety of complex duties involving the full range of medical care that consists of isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Duties are typical of, but not limited to, the following: a. Secures health and medical history from the patients or family member, record findings and makes a clinical evaluation. Examines patient and performs initial patient workup and assessment of patient's care and treatment; and determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete evaluation of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provides surveillance of adherence to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members. Makes decisions concerning primary care needs of patients that impacts the care of other healthcare professionals and ancillary staff; works independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans; and refers extremely or selected complex medical problems to medical management by subspecialist. b. Diagnoses disease, illness, disorder, or injury, institutes treatment of patients. Prescribes for and treats a variety of diseases, disorders and injuries, treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patients’ medical records; writes routine orders on outpatients, performs medical histories; and document encounters appropriately in the electronic medical records. Provides a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures to stabilize a patient within the scope of practice and approved protocols. Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substance per scope of practice. The Nurse Practitioners performs a variety of physical examinations including but not limited to: school, employment, sports, retirement, discharge, reenlistment, disability separation, or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Orders laboratory tests, X-rays, etc. and arranges for physician consultation if required. Records entries into patient's charts including progress notes, treatment rendered, tests, or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered per approved protocols including computer-based progress notes. In a timely fashion, evaluates the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. The Nurse Practitioners provides primary care and preventive services to healthy individuals and evaluates the total health care needs of patients and develops plans to meet clients' needs. Participates in disease management of typical internal medicine patients, which includes the following conditions: hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, etc. The individual may be asked to train mid-level students and residents. 2. The Nurse Practitioner independently develops new techniques and establishes criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plans with other professionals, and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Develops and recommends new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. The Nurse Practitioner provides consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse: Degree : A graduate or higher level degree from an accredited professional nursing educational progra is requiired. This education must have been accredited by the Commission on Collegiate Nursing Education, Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure : A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Anesthesia or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience at the GS-12: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

PCU

6 months ago

Nurse (Progressive Care Unit Nurse)