Nursing Jobs in Gig Harbor, WA
$145,080 - $227,064 / year
Job Description Harborview Medical Center LEAD APP, GENERAL SURGERY (LEAD NURSE PRACTITIONER OR PHYSICIAN ASSISTANT) This is a full time, 100% FTE Days position. The Lead APP (Lead ARNP or PA-C) will, in collaboration with an attending physician, examine, diagnose and treat acute health problems. Responsibilities include taking and recording health histories, performing physical examinations, initiating diagnostic procedures and managing minor trauma and acute health problems. The Lead APP also leads and mentors other APPs in 24 Hour/7 Days a week work in these environments. Standards of Performance Documentation – documents pertinent findings on chart and in dictation, completes pro-fee sheet when appropriate. Accuracy – orders appropriate diagnostic tests and accurately interprets results Thoroughness – does history and physical exam consistent with patient complaint and findings Discharge – makes discharge referrals to appropriate specialty clinics Prescribing – prescribes appropriate medications on an individualized basis Attending consultation – seeks consultation by attending physician as needed Ancillary Consults – orders PT, OT, Diabetic Ed. when needed Dictation – completes dictation in a timely manner Transcription – reads, signs or requests edit of transcription in a timely manner Specialty Consults – requests appropriate specialty consult when needed Procedures – performs suturing, line placement, lumbar puncture and other procedures as appropriate. Admissions – consults with appropriate admitting team and completes paperwork expeditiously (UCC Lab – Uses lab resources appropriately) This is specific to the ED Neatness – keeps work area clean, cleans lab resources after using Productivity – sees an appropriate number of patients each shift Use of Time – uses time at work in job related activity with minimal personal use of clinic time Students – shares knowledge with students in clinical training, precepts students and gives objective appropriate feedback Working Relationships – works well with superiors, colleagues & subordinates Reliability – arrives to work in a timely manner, uses sick time appropriately Resources – attempts to conserve clinic resources Policies – demonstrates knowledge of and adherence to policies and procedures of HMC Confidentiality – protects written and verbal patient information according to policy and procedure Respect – demonstrates an attitude of respect for human dignity and the uniqueness of each patient, visitor and staff member Growth & development – completes all mandatory education programs in a timely manner Evaluation Process – actively participates in Annual Performance review Education Mentors new employees. Assures new employees received orientation to HMC, PCS, and unit operations. Orients new staff to the department. Assures employees have access to policies, procedures and other references to facilitate their work. Assures that employee performance is evaluated in writing at 6 months and annually there after. Assures that all staff is scheduled for mandatory education and appropriate inservices. Facilitates access to and use of e-mail, CIS, and voicemail. Assists with needs assessment and facilitates scheduling of unit based education. Participates in the evaluation of unit-based education. Implements education pertinent to unit Facilitates introduction and training to new products and equipment. Assures communication of management information, changes, new and revised policy and procedures for HMC and PCS. Human Resources Management Participates in the interview process for new applicants. Prepares annual evaluations that represent the performance and developmental goals of the employees. Oversees the master schedules. Oversees the weekly schedules. Reviews and processes requests from staff for time off appropriately. Provides appropriate and timely coaching and counseling. Collaborates with managers to implement and monitor employee development. Participates in the analysis of budget variances related to staffing resources utilization, such as monitoring the use of overtime. Other duties as assigned. Daily Operations Ensures staff uses safety, infection control, emergency, and equipment guidelines. Proactively assesses staffing needs, resources and takes appropriate action. Collaborates with the managers on special projects based on unit needs. Unit specific projects and assignments are completed in a timely manner Performs delegated duties in the absence of the manager. Serves as a role model and mentor to staff. Facilitates and models effective interdisciplinary collaboration related to patient care and unit operations. Acts as an advocate for on-going care management initiative. Proactively facilitates discharge planning; anticipates obstacles and intervenes effectively. Alerts managers to actual or potential problems in a timely manner. Investigates complaints and initiates corrective action within scope of authority. Suggests and conducts audits and QA projects (formal and informal) to monitor unit standards. Utilizes incident reports to assess and improve patient care, including counseling staff and addressing system issues as needed. Recognizes ethical dilemmas and initiates use of appropriate resources. Facilitates and models the use of clinical pathways as appropriate. Suggests improvements in clinical pathways or operations based on analysis of variance data and observations. Develops and prepares reports and coordinates preparation of statistics; e.g. productivity, continuing education, etc. Leadership/Management/Role Modeling Effectively solves problems intra- and inter-departmentally. Contributes to the professional development of staff, colleagues and others. Acts as liaison to the Director of Care Management for group planning and communicating of administrative information and updates back to the group. Meets attendance standards. Continually seeks to improve own professional practice and promotes professional practice in others. Maintains current licensure & certification. Consistently wears identification badge. Functions within PCS, HMC policies, procedures and guidelines. Considers factors related to safety, effectiveness and cost in coordinating patient care for the unit. Is a role model in clear & courteous communication w/staff & other departments. Willingly offers assistance and expertise to other departments. Acts as a unit liaison with community agencies. Demonstrates willingness and ability to motivate co-workers to continually improve performance and professionalism as appropriate. Contributes to positive staff morale. Effectively works with medical staff to promote positive patient outcomes. Lead APP Skills Assigns patients based on skill mix of staff, patient needs, and while recognizing budget implications. Knows general conditions of patients on the unit and uses the information to make appropriate changes and reprioritize as indicated. Demonstrates calm, efficient demeanor, and is tactful and positive. Available to staff for consultation and assistance. Assists, resolves, or appropriately refers customer service issues. Reports environmental safety issues to appropriate persons in a timely manner. Utilizes chain of command appropriately. Standards of Daily Practice Provides direction and support for preceptors and orientees. Acts as a clinical and administrative resource. Promotes positive image to other units, patients, families, other departments and administration. Aware of unit needs and responds effectively, (e.g. educational, clinical, operation, and teamwork). Promotes calm, supportive atmosphere. Handles conflict appropriately. Uses critical thinking skills in decision making process. Consistently demonstrates and promotes high standards of care. Facilitates interdisciplinary care that improves patient outcomes and care mgmt. Requirements Licensure as either an Advanced Registered Nurse Practitioner (ARNP) in the State of Washington; or as a Physician Assistant (PA-C) in the State of Washington; Master's Degree; and two years of experience as an APP (ARNP or PA-C); must be eligible to receive hospital staff appointments for adjunct staff membership by the organized medical staff of the hospital under Medical Staff By-Laws for Hospital-based positions. (If ARNP, requires national certification as Acute Care ARNP; or, if FNP, must have APP/provider level experience in position specialty area.) Lead experience desirable. About Harborview Medical Center As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. Challenge. Collaboration. Compassion. About Uw Medicine - Where Your Impact Goes Further UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team . Join our mission to make life healthier for everyone in our community. Compensation, Benefits And Position Details Pay Range Minimum: $145,080.00 annual Pay Range Maximum $227,064.00 annual Benefits Other Compensation: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ Shift First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent) 100.00% Union/Bargaining Unit SEIU 1199NW HMC PA-ARNP About The UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. $125,000 - $130,000 / year
Overview Expand Access. Support Families. Elevate After-Hours Care. Schedule: Monday - Thursday 5:00 p.m. - 3:00 a.m. We are seeking a dedicated Afterhours RN Care Manager to provide high-quality, compassionate hospice care outside standard business hours. This role ensures seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours. About the Role The Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. This includes routine visits, admissions, death visits, urgent after-hours calls, and any visit assigned per the patient’s plan of care. This role serves as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team. Clinical administrative responsibilities, workflow auditing, and survey readiness support are also part of this role. Essential Functions Ensure appropriate delivery of hospice services to eligible patients and families. Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges. Conduct initial and ongoing assessments of physical, emotional, psychosocial, and spiritual needs. Support the IDG process through chart reviews, plan of care updates, and interdisciplinary communication. Develop and revise the Hospice Plan of Care in collaboration with physicians and IDG members. Educate patients and families on disease progression, symptom management, medications, and hospice philosophy. Communicate significant changes in patient condition promptly to hospice and attending physicians. Maintain accurate, timely clinical documentation including assessments, care plans, and notes. Assist with rescheduled, missed, or reassigned visit requests based on triage direction. Participate in calendar and scheduling modifications, including service codes and clinician assignments. Support administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection. Assist with TPE reviews, QAPI efforts, and regulatory compliance. Ensure infection control standards and universal precautions are consistently followed. Provide leadership and guidance to field staff; conduct supervisory visits when appropriate. Participate in required meetings, after-hours updates, and trainings. Maintain proficiency in pain and symptom management for hospice and end-of-life care. Promote the organization’s core values and maintain a culture of compassion, professionalism, and teamwork. Perform other duties as assigned. Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece. Salary Range – $125,000.00 - $130,000.00 About You Education and Experience Current RN license in the state of employment Graduate of an accredited nursing program Minimum one year of RN experience in acute care, oncology, long-term care, hospice, or home health Must meet any state-specific requirements Licenses and Certifications Active RN license CPR certification (in-person) Valid driver’s license, reliable transportation, and current auto insurance Skills and Competencies Strong knowledge of hospice principles, Medicare/Medicaid regulations, and best practices Ability to conduct thorough patient assessments and develop individualized care plans Effective communication with patients, families, physicians, and interdisciplinary team members Strong time-management and prioritization skills in a fast-changing environment Proficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes Leadership skills to support and guide field staff Ability to manage administrative, documentation, and compliance responsibilities accurately Personal Traits Sensitivity to end-of-life needs and the emotional realities families face Flexibility to shift tasks and respond to urgent needs Professionalism, maturity, teamwork, and resilience under pressure Ability to communicate effectively with individuals from diverse background We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet stage specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-138426 Category: Registered Nurse Position Type: Full-Time Company: Gentiva Hospice 