Nursing Jobs in Milton, WA
$107,067 - $139,196 / year
Overview Seeking a Clinical Pediatrics Nurse located at Madigan Army Medical Center, Pediatric Unit, location Tacoma Washington. Nurse (Clinical/Pediatrics) A recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. Advanced Leave Accrual may be authorized. SALARY: $107,067 - $139,196 per year Benefits: https://civilianmedicaljobs.com/benefits/ 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. 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. Responsibilities Duties Will Serve as a member of the interdisciplinary pediatric care team, with responsibilities that include observing, assessing, and continuously monitoring the condition of pediatric patients to ensure timely and effective clinical interventions. Deliver nursing care tailored to the developmental and age-specific needs of pediatric patients. Operate pediatric medical and surgical equipment, ensuring safe, accurate, and effective use in specialized clinical settings. Partner with interdisciplinary healthcare teams to design and implement strategic initiatives aimed at enhancing the quality, efficiency, and outcomes of patient care services. Educate family members on comprehensive home care strategies nursing, and psychosocial needs to support optimal pediatric health outcomes. Conduct follow-up phone consultations with parents to provide education, support, and guidance on pediatric diseases and illness management. Serve as a mentor, clinical resource, and preceptor for newly assigned staff, fostering professional development, promoting best practices, and supporting a smooth transition into the pediatric care environment. Qualifications 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/Pediatrics): 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. 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 managing moderately pediatric cases; conducting comprehensive pediatric assessments; developing care plans; educating families on growth milestones, and preventive care. (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. 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 program. OR 3 full years of progressively higher level graduate education from a professional nursing program 
$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. $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 . 
