Nursing Jobs in Milton, WA
$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 
$131,000 - $201,456 / year
Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. The ARNP/PA-C is a certified physician assistant or advanced registered nurse practitioner who provides evaluation and medical management to GI Oncology patients and patients at Fred Hutch Cancer Center. They follow patients during their chemotherapy, post operative care, provide medical supportive care, and surveillance after completion of treatment. The ARNP/PA-C assesses and manages basic health needs of patients, addresses treatment toxicities, performs procedures, monitors for cancer progression or recurrence, and consults with professional peers as needed. They work collaboratively with the treatment team to coordinate care of their patients. All clinical responsibilities are performed within the scope of practice, institutional privileges and under the supervision of an attending physician. Responsibilities Provide care for complex patients with GI malignancies in curative and end of life settings. Performs complex and problem-focused H & P’s Evaluates and manages on-treatment and post-treatment side effects, as well as long-term surveillance and survivorship issues. Performs procedures according to licensure, credentialing, and scope of practice Collaborates and consults with other disciplines and services to ensure safe, effective, and timely treatment as well as continuity of patient care. Participates in the conduct of cancer clinical research Provides patient, caregiver, and peer education Communicates effectively with inpatient and outpatient teams Participates in patient rounds, conferences and committees Other duties as assigned Qualifications Required: Must be a graduate of an accredited Physician Assistant or Nurse Practitioner training program awarding a Master’s degree. Certified as a Physician Assistant or Nurse Practitioner. Licensed to practice in the state of Washington. DEA license upon credentialing/start. ACLS within 3 months of hire. Preferred: One year of ARNP or PA-C experience in Medical Oncology preferred. The annual base salary range for this position is from $131,000 to $201,456, and pay offered will be based on experience and qualifications.Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position. This position may be eligible for relocation assistance.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (22 days if working 8 hours, 5 days per week or 18 days if working 10 hours, 4 days per week.), CME (5 days), paid sick leave, paid holidays (11 days per year), paid parental leave (up to 4 weeks). Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700. 
$107,067 - $139,196 / year
Overview Seeking a Pediatric Intensive Care Unit Registered Nurse - Madigan Army Medical Center, Tacoma, Washington. Joint Base Lewis-McChord, WA Salary: $107,067 - $139,196 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. 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. Responsibilities Duties Deliver advanced, specialized nursing care to critically ill pediatric patients ranging in age from neonate to 18 years. Provide support to physicians during complex and potentially life-threatening procedures, including cardioversion and the insertion of invasive lines such as arterial, venous, and pulmonary artery catheters. Prepare and administer high-risk medications as well as intravenous fluids, in support of initiating advanced cardiovascular life support interventions. Assess patients cardiac output, vital signs, peripheral perfusion, and level of consciousness, and evaluate blood gas results, including arterial and mixed venous oxygen saturation. Assess the effectiveness of nursing interventions based on patient responses and modify the care plan as needed to ensure optimal outcomes. Design Family Nursing Care Plans to support critically ill patients and their families in achieving the highest possible level of physiological, sociological, and psychological. Qualifications 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 Nurs e (Clinical/Critical Care Expanded Functions): 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: 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 providing critical care nursing in an Intensive Care Unit (ICU) or Pediatric Intensive Care Unit (PICU); delivering care to pediatric, adult, or medical-surgical patients; administering medications; and operating specialized medical equipment. (Note: You must attach a copy of your transcripts.) OR 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.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher level graduate education from a professional nursing program 
$93,704 - $137,197 / year
Join the ICHS Team! Discover how you can make a difference in people’s lives and help strengthen communities. International Community Health Services (ICHS) is a nationally recognized community health center. For over 50 years, we have provided medical, dental, and wellness care to individuals and families from all regions and all walks of life many of whom face significant barriers to receiving the care they need. We believe that quality health care supports stronger families, healthier communities, and a more just society. At ICHS, we are proud of our team-based approach and the shared commitment that drives our work. We value respect, collaboration, and compassion in everything we do. When you join ICHS, you become part of a mission-driven team that believes everyone deserves the opportunity to thrive. We offer Competitive salary for the Seattle/Puget Sound region “Share the success” bonuses Insurance premiums 100% paid by ICHS Paid time off accrual up to 200 hours annually with up to 264 hours rollover year to year Automatic 4% retirement contribution 9 paid holidays a year, including 2 personal holidays Reimbursement for professional licensure Eligible for a SIGN ON BONUS UP TO $5000 Job Summary The Assistant Nurse Manager is responsible for the supervision and coordination of activities related to nursing services within an assigned facility. This position assists in meeting patient care requirements in accordance with physician instructions, and in compliance with federal, state, and local laws and agency policies and regulations. The Assistant Nurse Manager performs clinical hours 0. 2 FTE and administrative 0.8 FTE. Education – Completion of a BSN, or an ADN, from an accredited institution. Experience – Three (3) years nursing experience with BSN or/and an ADN with one (1) year of those years in a leadership role in areas such as ambulatory, outpatient, public health, community health, or equivalent required and experience in multicultural nursing or other social service area and commitment to community health care preferred. Other Requirement(s) – Active WA State Registered Nurse (RN) license. Basic Life Support (BLS) for Healthcare Providers. Ambulatory certification within 12 months of hire required. 
