Nursing Jobs in North Bend, WA

CMA Outpatient Full-time
MultiCare Health System

Medical Assistant

MultiCare Health System Scenic Hill, WA
$24.83 - $35.71 / 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: 1 Shift: Day Schedule: Clinic hours Position Summary The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Work situations require performance of safe clinical skills within the scope of practice of the MA-C. The MA-C has continuous contact with physicians, APPs, nurses, front office staff, patients and their families/caregivers. Responsibilities: Fulfills patient care responsibilities as assigned which may include: Organizing patient flow in collaboration with the front office staff Interviewing patients Obtaining vital signs Assisting patients in preparing for exams or treatments Performing specimen collection, including venipuncture Administration of medications in compliance with Washington State Department of Health regulations and documented competency Relaying instructions/information to patients and their families/caregivers Fulfills clerical responsibilities as assigned which may include: Sending and receiving of patient medical records Facilitating patient referrals Preparing forms for patients Requirements: Washington State Medical Assistant-Certified (MA-C) Minimum of one (1) year of experience in a healthcare setting preferred Current BLS certification 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 $24.83 - $35.71 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 Full-time
Visiting Angels

Certified Nursing Assistant (CNA)

Visiting Angels Snoqualmie, WA
$23 - $24 / hour
**Certified Nursing Assistant (CNA)** **Job Summary** Visiting Angels, a leading provider of non-medical in-home care, is seeking a compassionate and dedicated **Certified Nursing Assistant (CNA)** to join our Snoqualmie, Washington team. As a CNA with Visiting Angels, you will have the opportunity to make a meaningful difference in the lives of seniors throughout the Snoqualmie Valley and Maple Valley areas. Our comprehensive home care services are tailored to meet the unique needs and preferences of each individual, providing a personal touch that sets us apart from other home care providers. **Responsibilities** As a **Certified Nursing Assistant (CNA)** with Visiting Angels, you will be responsible for: * Providing direct care to clients, including assistance with activities of daily living (ADLs) such as bathing, dressing, and grooming * Assisting with meal preparation and feeding, as needed * Monitoring and reporting any changes in client condition to the care team * Maintaining a safe and clean living environment for clients * Interacting with clients, families, and other caregivers in a compassionate and professional manner **About Us** As a locally-owned and operated Visiting Angels office, we are committed to providing exceptional care and support to seniors in our community. Our experienced and compassionate Caregivers are dedicated to helping older adults live independently and comfortably in their own homes. We offer a range of home care services, including senior care, companion care, memory care, respite care, elderly care, and in-home care. **Join Our Team** If you are a motivated and caring individual who is passionate about providing exceptional care to others, we encourage you to apply for this rewarding opportunity. As a **Certified Nursing Assistant (CNA)** with Visiting Angels, you will have the chance to make a positive impact in the lives of seniors and their families, while also enjoying a supportive and fulfilling work environment. **Apply Now** If you are interested in joining our team of compassionate caregivers, please submit your application today. We look forward to hearing from you and discussing how you can make a difference in the lives of seniors throughout the Snoqualmie Valley and Maple Valley areas. **Note:** Salary and benefits information will be discussed during the interview process.
RN School School Other
Kent School District

School Nurse - Leave Replacement (LR)

Kent School District Kent, WA
$75,276 - $146,936 / year
Position Type: Certificated/School Nurse Date Posted: 8/5/2026 Location: Health Services Closing Date: 08/12/2026 Contract Type Leave Replacement FTE 0.2 FTE - For SY 26-27 Only Calendar 185 KEA Calendar Annualized Salary Min: $75,276 Max: $146,936 *Prorated based off FTE and contract length Salary Schedule KEA Salary Schedule Benefits Employee Benefits | Kent School District School Description/Website About Kent School District Mission: Our mission explains our fundamental purpose as an organization. Kent School District's mission is successfully preparing all students for their futures. Vision: Our vision captures the future we seek to create for our students. Kent School District's vision is to produce graduates who are globally competitive learners. Through equitable access to high quality academic, social, and applied learning, students are ready to excel in college, careers, and in life. Values: Our core values drive our culture and answer the question, "How do we want to act, consistent with our mission, along the path toward achieving our vision?" Specific values are at the heart of our culture because they are levers that drive us towards achieving shared vision. Throughout this plan, three core values are prioritized: Equity: Student equity is ensuring that access to quality staff, courses, resources, activities, services and opportunities are provided for all students to succeed and grow based on their individual needs. Excellence: As a system and individuals, we strive for excellence through the intentional creation of student-centered and efficient actions that operate with coherence. Community: Partnership with our community prioritizes proactive involvement of those impacted by school district priorities and decision-making. Strategic Plan | Kent School District Non-Discrimination | Kent School District For more information on this position, please read the full description document KSD - School Nurse.pdf
RN Full-time
Virginia Mason Franciscan Health

SWAT RN

Virginia Mason Franciscan Health Enumclaw, WA
$47.83 - $80.75 / hour
Job Summary and Responsibilities As our SWAT RN, you will be a vital resource for ensuring the continuity of high-quality patient care across St. Elizabeth Hospital. This critical role involves navigating various clinical departments, including ICU and PCU, to provide expert nursing interventions, manage complex patient needs, and serve as a clinical leader during high-acuity periods. You will act as a bridge between nursing administration and bedside teams, ensuring that every patient receives prompt, evidence-based care while maintaining the highest standards of safety and regulatory compliance. Every day you will perform a wide range of specialized duties, including administering complex medications, managing Central Venous Access Devices (CVADs), and demonstrating clinical excellence in bedside ultrasound-guided PICC insertions. Your responsibilities will involve performing therapeutic phlebotomies, facilitating procedural sedation, and assisting with bed control and patient flow. You will also provide mentorship to novice clinicians, handle service recovery and incident reporting, and advocate for patient needs while coordinating with multidisciplinary teams to ensure optimal clinical outcomes. To be successful in this role, you will hold a Diploma of Nursing from an accredited school and possess 1–3 years of critical care or emergency department experience. You must be a licensed Registered Nurse (RN) in the state of Washington with active BLS and ACLS certifications. We are looking for a professional with exceptional critical thinking skills, a deep understanding of vascular systems and infusion therapies, and the ability to operate effectively in a fast-paced, heavy-demand hospital environment. If you are a collaborative leader dedicated to patient safety and clinical excellence. Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. Assesses patient to include physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs. Gathers data relevant for patient care. Implements appropriate patient interventions and evaluates outcomes. Plans care appropriately based on needs identified during initial and on-going assessments. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Prepares patient for discharge and assists with coordinating post discharge needs. Ensures management is apprised of concerns and incidents. Maintains and applies knowledge of quality and SafetyFirst-related initiatives and requirements. Assists with monitoring of regulatory and auditing requirements. Job Requirements Required Graduation from an accredited school of nursing Minimum of one (1) year of RN critical care and/or emergency department work experience or Completion of a critical care residency (or completion within first twelve months after hire in the position) Registered Nurse: WA (RN:WA) Basic Life Support - CPR (BLS-CPR) through the American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) Preferred Bachelors Of Science Nursing (BSN) Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
RN Outpatient Part-time
International Community Health Services

Registered Nurse I

International Community Health Services Seattle, WA
$43.78 - $64.10 / hour
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 Paid Sick and Safe Leave accrual of one (1) hour for every 30 hours worked, which may be used beginning on the employee's 90th calendar day of employment. “Share the success” bonuses Automatic 4% retirement contribution Job Summary The Registered Nurse I plans, organizes, and implements nursing services to patients in conjunction with providers. Education - Completion of a BSN, or an ADN from an accredited institution. Experience - One (1) year ambulatory nursing experience preferred, in areas such as public health, community health, or equivalent and experience in multicultural nursing or other social service area and commitment to community health care preferred. Other Requirement(s) - Active Washington State Registered Nurse (RN) license. Active Basic Life Support (BLS) for Healthcare Providers.
CNA Full-time
SYNERGY HomeCare

Hiring CNA and HCA Caregivers for shifts on the Eastside

SYNERGY HomeCare Bellevue, WA
$23 - $28 / hour
SYNERGY HomeCare of Bellevue About Us At SYNERGY HomeCare of Bellevue, we support seniors and adults who want to remain safely and independently in their homes. Our caregivers bring compassion, professionalism, and heart to every visit — and we make sure you feel valued, supported, and appreciated every step of the way. Whether you’re an experienced caregiver or newly certified, we’d love to welcome you to our team. Why Caregivers Love Working With SYNERGY HomeCare We are a caregiver‑focused agency that prioritizes flexibility, respect, and real support . When you join our team, you can expect: What We Offer Competitive pay: $23–$28/hr Higher pay for 1‑hour shifts Time‑and‑a‑half for overtime and 7 holidays Paid sick time & PTO (after 90 days) Paid travel time 100% mileage reimbursement ($0.70/mile) 100% reimbursement for client parking Paid orientation 100% employer‑paid Continuing Education Units ($200 value) Flexible scheduling — full‑time or part‑time Client matching based on location and preferences Direct deposit PPE provided Employee & client referral bonuses 24/7 office support Recognition programs to celebrate your work Available Shifts We offer a variety of shift lengths to fit your lifestyle: 12‑hour shifts 8‑hour shifts 4‑hour shifts 2‑hour premium shifts (higher pay per hour) Daytime & weekend availability needed What You’ll Do Provide companionship and emotional support Assist with personal care (bathing, dressing, grooming) Support with meal preparation and light housekeeping Offer medication reminders Provide transportation to appointments and errands Maintain strong communication with clients, families, and the office Deliver reliable, professional, and compassionate care What You Need Valid WA State CNA or HCA license 1 year of caregiving experience preferred CPR/First Aid (within 30 days of hire) Food Handler Card (within 30 days of hire) Driver’s license & auto insurance preferred Ready to Join Our Team? We’d love to meet you! Please email your resume and availability to: sophiadeoliveira@synergyhomecare.com SYNERGY HomeCare is an equal opportunity employer.
CNM Part-time
MultiCare Health System

Certified Nurse Midwife (CNM)

MultiCare Health System Covington, WA
$95.49 / 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 : 0.00 Shift : Day Schedule : Variable Are you looking for a per diem hospital based opportunity to work as a Certified Nurse Midwife (CNM) with a well established team? Minimum of 1 year inpatient midwifery experience, post training required Experience as Surgical First Assist Work independently with Laborist back-up as needed Locations to include Tacoma General Hospital, Good Samaritan Hospital and Auburn Medical Center Hourly Rate: $95.49 Contact Sheree Keen for more information @sheree.keen@multicare.org #LI-SK1 Position Summary A Certified Nurse Midwife is an advanced practice registered nurse (APRN) who specializes in women's reproductive health and childbirth. CNMs provide care throughout the lifespan, with a focus on pregnancy, labor and delivery, postpartum care, and general gynecological services.Responsibilities • Provide prenatal, intrapartum, and postpartum care to women and their newborns. • Conduct routine gynecological exams, including Pap smears and breast exams. • Offer family planning services and contraceptive counseling. • Assist with labor and delivery, including natural and medically assisted births. • Monitor the health of mother and baby during and after childbirth. • Prescribe medications and order diagnostic tests as needed. • Collaborate with OB-GYNs, pediatricians, and other healthcare professionals. • Educate patients on reproductive health, childbirth preparation, and newborn care. • Maintain accurate and detailed medical records. • Advocate for holistic, patient-centered care and support maternal mental health • Document all patient interactions accurately and timely in the electronic health record (EHR) inclusive of direct patient encounters and asynchronous care. Requirements • Registered Nurse (RN) license and Advanced Practice Registered Nurse (APRN) license in Washington State. • Successful completion of an American College of Nurse-Midwives (ACNM)-accredited nurse-midwifery program • Current active certification by the American Midwifery Certification Board (or its predecessor, the American College of Nurse-Midwives (ACNM) Certification Council), or be actively seeking initial certification and obtain the same on the first examination for which he or she is eligible • Clinical experience in obstetrics, gynecology, or women’s health. • Strong interpersonal, communication, and decision-making skills. • DEA, NPI & Prescriptive authority • Current BLS for Healthcare Providers certification by the American Heart Association • Professional liability insurance coverage issued by a recognized company and in an amount equal to or greater than the limits established by the governing body. • Completion of Fetal Heart Monitoring education as per MHS Fetal Monitoring Requirements for Initial Applicants, which needs to be completed within 60 days of being granted privileges and remain current at the time of reappointment. 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 $95.49 - $95.49 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 .
CMA Urgent Care Part-time
MultiCare Health System

Clinical Concierge Medical Assistant (MA-C) - Occupational Medicine

MultiCare Health System Redmond, WA
$24.83 - $35.71 / hour
About Indigo Urgent Care Indigo Urgent Care, a MultiCare Company, is the leading urgent care provider in the pacific northwest. With over 400,000 5-star reviews, Indigo is transforming health care through a truly people-centered approach to medicine. Our team is passionate about modernizing the health care experience by making it simpler, friendlier, and more accessible for all. With over 40 clinics across Washington and Idaho, and convenient virtual care services, Indigo delivers world-class health care when and where people need it most. Join our team as a Clinical Concierge Medical Assistant with Occupational Medicine in Redmond, WA. FTE: 0 Shift: Day Schedule: Per Diem Benefits & Incentives Tuition assistance program (100% of tuition and fees or up to $5,250 for full-time employees/$2,500 for part-time employees per year) Competitive health care coverage (medical, dental, vision, life) 403(b) retirement plan with employer contribution Growth and advancement programs Health and wellness programs Position Summary The Clinical Concierge Medical Assistant is an incredible opportunity to expand your role in health care through performing clinical tasks and coordinating patient care within the MA-C license scope. As a Clinical Concierge Medical Assistant, you will work in high-collaboration with your team to ensure the best possible health care outcomes and patient experiences. You will support the unit through excellent patient customer service and clinic management assistance Responsibilities: You will collaborate with physicians, clinical staff, front office staff and clinic management to ensure comprehensive health care outcomes You will perform a variety of functions within the clinic setting requiring specialized knowledge and integration of available standards, resources, and data 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: Washington State Requirements: Washington State Medical Assistant-Certified (MA-C) Washinton State Medical Assistant Interim Certification acceptable for up to one year from issue date or until MA-C is issued. Current BLS Certification or may be obtained through an in-house training program, depending on assignment Minimum one (1) year experience in physician's office or other medical facility preferred Exceptions may be made for applicants currently in an externship or residency program with an active or pending WA DOH MA-R certification within 7 days of hire Washington State Medical Assistant- Certified (MA-C) license within 45 days of hire. Idaho State Requirements: Current CMA certification by AAMA, NHA or NCCT WA state MA-C license, or WA state MA-R license required with endorsed by Indigo within the first 30 days of employment Current BLS Certification or may be obtained through an in-house training program, depending on assignment Minimum one (1) year experience in physician's office or other medical facility preferred Exceptions may be made for applicants currently in an externship or residency program with an active or pending WA DOH MA-R certification within 7 days of hire A Better Way to Work in Health Care Flexible schedule: Make a positive difference in your community and have time and energy to pursue your passions outside of work. Team-based care model: Be part of a team that is dedicated to excellence - not only for our customers, but for each other. No patient panels. Modern clinic environment: Technology-enabled clinics designed for today’s clinician and clinical staff. Unique earning potential: Competitive compensation enhanced by volume incentives, customer experience bonuses, sign-on bonuses, tuition assistance, and more. 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 $24.83 - $35.71 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 .
NP Outpatient Outpatient Part-time
HarmonyCares

Nurse Practitioner (NP) Primary Care

HarmonyCares Renton, WA
Overview Geriatric Chronic Condition Management, 3-days per week (Monday, Tuesday, & Friday). Value-based care model, delivering primary care to patients in Kent, Federal Way, Auburn and Renton areas. HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Competitive Base Salary Accountable Care Organization Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues Paid Subscription UpToDate for your tablet and company phone A+ rated malpractice coverage with tail coverage Additional Benefits No holidays, no hospital rounds Minimal call responsibilities Provide primary care to high acuity patients in their home Monday - Friday Assistant to support your appointments in select markets Company Car w/ Driver in select markets Responsibilities The Nurse Practitioners we seek are those who have directly related experience in home health, geriatrics, hospice and primary care. The Nurse Practitioner who wants to practice medicine with a focus on patient care, not volume. We want our clinicians to take the time needed to truly address the patient’s needs. Qualifications Licensed as a NP in the State where HarmonyCares Medical Group office located Federal DEA License/eligibility Geriatric training/experience preferred Active CPR/BLS Certification Board Certification Must maintain a valid driver’s license and good driving record Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
CMA Outpatient Full-time
EvergreenHealth

Medical Assistant - Perinatology

EvergreenHealth Kirkland, WA
$29.81 - $45.82 / hour
Wage Range: $29.81 – $45.82 per hour - Must have MA State & Nationally Certified Bonus: Up to $5,000 for those new to EvergreenHealth and a minimum of one year of experience. Bonus: Up to $2,500 for new MA graduates. Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Responsible for assisting providers in delivering quality patient care and promoting a culture of safety. Primary Duties: 1. Greets and rooms patients per standard. 2. Takes patients history and vital signs. 3. Prepares patients for exam. 4. Assists provider with exam/surgical procedures and diagnostic testing. 5. Maintains appropriate sterile environment for the clinical procedure or situation, adhering to the Washington State standard for transmission precautions. 6. Administers injections (intradermal, subcutaneous and intramuscular) per provider orders. Competencies: •Must utilize EMR efficiently and follow appropriate processes for entering and retrieving data from EMR. •Ability to communicate clearly and effectively both orally and in writing. License, Certification, Education or Experience: REQUIRED for the position: • High School graduate or equivalent or applicable coursework to be applied to obtain required WA State Medical Assistant Certification. • Current WA State Medical Assistant Certification. • Current national certification through the American Association of Medical Assistants (AAMA), American Medical Technologist (AMT), National Healthcareer Association (NHA), National Center for Competency Testing (NCCT) or American Medical Certification Association (AMCA) • Current Healthcare Provider BLS certification by date of hire • Proficient with medical terminology DESIRED for the position: •National certification through the American Associations of Medical Assistants (AAMA) strongly preferred. •1 year of MA experience in a medical office or healthcare setting. This position is covered by a collective bargaining agreement between EvergreenHealth and the SEIU which contains a "union security" provision. Union membership is optional. Benefit Information: Choices that care for you and your family At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being. Medical, vision and dental insurance On-demand virtual health care Health Savings Account Flexible Spending Account Life and disability insurance Retirement plans (457(b) and 401(a) with employer contribution) Tuition assistance for undergraduate and graduate degrees Federal Public Service Loan Forgiveness program Paid Time Off/Vacation Extended Illness Bank/Sick Leave Paid holidays Voluntary hospital indemnity insurance Voluntary identity theft protection Voluntary legal insurance Pay in lieu of benefits premium program Free parking Commuter benefits View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below. Kirkland Employee Benefits | Kirkland, WA | EvergreenHealth
NP Outpatient Outpatient Full-time
UHS

NURSE PRACTITIONER - OUTPATIENT (LYNNWOOD, WA)

UHS Kirkland, WA
Responsibilities Fairfax Behavioral Health has been a cornerstone of mental health care in the Greater Seattle/Puget Sound areas since 1930. Our mission is to provide top-quality patient care through comprehensive mental health and co-occurring addiction treatment services for adolescents and adults. We offer a complete continuum of acute inpatient, PHP, IOP, Patriot Support Program for Active Duty, Veterans, and First Responders, and Women’s-focused programs. With over 94 years of service, we are dedicated to compassionate, patient-centered care. We prioritize patient recovery, offering a supportive environment and a comprehensive plan for long-term sobriety and improved mental health. Kirkland Campus: 157-bed standalone psychiatric hospital offering a full continuum of care. Everett Campus: 30-bed adult psychiatric facility in Everett at Providence Medical Center’s Pacific Campus. Monroe Campus: 34-bed facility located at Evergreen Health in Monroe. Bellevue - Outpatient Lynnwood - Outpatient (Fall 2026) Additional Outpatient - Expected 2027 Job Title: Psychiatric Nurse Practitioner - Outpatient Location: Lynnwood, Washington We are seeking a compassionate and dedicated Psychiatric Nurse Practitioner to join our growing behavioral health team. The Psychiatric Nurse Practitioner (PMHNP) provides advanced psychiatric care to patients in an outpatient setting. This role involves assessment, diagnosis, medication management, and therapeutic interventions for individuals experiencing mental health conditions. The PMHNP collaborates closely with psychiatrists and multidisciplinary teams to support stabilization and recovery. Join our growing behavioral health organization that is expanding access to high-quality outpatient mental health services across Washington State. As we continue to grow our established network of both inpatient and outpatient clinics, we are excited to welcome a new location in Lynnwood in 2026 , with another future expansion planned in 2027. This is an exciting opportunity for a Psych NP who is passionate about providing patient-centered care in a collaborative outpatient setting while helping meet the growing behavioral health needs of our communities. Check us out at Fairfax Behavioral Health | Where Hope and Healing Begin Qualifications Why Join Us? Our organization provides a comprehensive continuum of outpatient behavioral health services across multiple locations, allowing providers to focus on delivering exceptional care while enjoying the support of an experienced multidisciplinary team. Highlights include: Expanding outpatient footprint throughout Washington State New Lynnwood clinic opening this year Additional expansion planned for 2027 Comprehensive psychiatric treatment services Collaborative care model with Psychiatrists, Psychiatric Nurse Practitioners, Therapists, and Clinical Support Staff Advanced treatment options including Transcranial Magnetic Stimulation (TMS) Neurodivergent IOP for both adults and adolescents Modern outpatient practice environment In-person patient care with strong clinical support Responsibilities Conduct comprehensive psychiatric assessments and diagnostic evaluations. Develop individualized treatment plans utilizing evidence-based practices. Provide medication management, including prescribing, monitoring, and adjusting psychotropic medications. Evaluate and treat patients with depression, anxiety, bipolar disorder, PTSD, ADHD, schizophrenia, and other mental health conditions. Monitor patient progress and treatment outcomes. Collaborate with multidisciplinary team members to coordinate patient care. Educate patients and families on diagnoses, treatment plans, medications, and wellness strategies. Qualifications Master's or Doctoral degree in Nursing from an accredited program. Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) licensure in WA State. Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) . Strong assessment, diagnostic, and clinical decision-making skills. What Makes This Opportunity Unique? As our outpatient services continue to grow, providers have the opportunity to contribute to the development of expanding behavioral health programs while working within an established and supportive clinical environment. You'll be part of a team bringing innovative treatments, including TMS, to communities throughout the region. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
LPN Part-time
Arbor Village

Licensed Practical Nurse LPN

Arbor Village Kent, WA
$34.50 - $37 / hour
As a Licensed Practical Nurse (LPN) with Arbor Village you will provide medication management and skilled nursing procedures for residents in compliance with state regulations. What we look for in a Licensed Practical Nurse (LPN): Maintains a current state license as a professional Licensed Practical Nurse (LPN) Compassionate individuals who will represent our community in a positive and professional manner Effective communicator who connects with staff, residents and their families Ownership attitude who is able to stay focused despite interruptions throughout the day Demonstrate good judgment, problem solving and decision-making skills Ability to work flexible hours to include evenings and weekends What you can expect to do as a Licensed Practical Nurse (LPN) for Arbor Village: Make a significant contribution to the quality of life our residents by maintaining the highest possible quality and consistency Implement residents’ personal care plans, focusing on residents’ strengths, preferences and preferred routines Assisting in training and monitoring of medication care administration Demonstrate organizational skills around time management Monitor the performance of caregivers to assure quality care Educate residents and staff about health maintenance and disease prevention Promote the mission, values and beliefs of Cascade Living Required Certifications: Active and unencumbered Practical Nursing License $34.50 - $37.00/hour *Depending on Experience Job Type: Part Time and On-Call as Needed opportunities available Day Shift Swing Shift Weekend Availability Required Cascade Living Group Benefit Offerings: Competitive Wages Career Pathways Health Insurance (for those eligible) Voluntary Benefits (Disability, Accident, Life) Flexible Pet Insurance for cats and dogs 401k (with company match) Payroll advances on earned wages Perks at Work Discount Program Generous Paid Time Off Education Assistance Longevity Bonuses Cascade Living is committed to the quality of life around us as individuals and as a company. You'll find that we're different as our focus is to create a culture of wellness and purposeful living for both residents and employees alike. This is why our motto is: The Difference Between Living and Living Well... Arbor Village (Independent and Assisted Living and Memory Care) provides care for residents and their families coming from all over the region. We invite you to learn more about us at: https://www.cascadeliving.com/community/arbor-village/ Cascade Living Group is an Equal Opportunity Employer. We are committed to hiring and retaining a diverse workforce and do not discriminate against any employee or applicant on the basis of race, color, religion, gender, sexual orientation, gender identity, age, national origin, ancestry, disability, veteran status, marital status, or any other characteristic protected by applicable law. All offers of employment are conditioned on passing a background check. If you need assistance or accommodation due to a disability during the application process, please contact our Human Resources Department at 360-979-0149 or recruiter@cascadeliving.com .
RN Director of Nursing Hospice Full-time
AccentCare, Inc.

Clinical Operations Director RN, Hospice

AccentCare, Inc. Renton, WA
Overview Director Clinical Operations Location: Renton, WA Position: Hospice Director of Clinical Operations Registered Nurse Job ID: 2026-90724 Remote/Virtual Position: No Coverage Area: King County, WA Find Your Passion and Purpose as a Director of Clincial Operations Salary: $140k - $170k / year Schedule: M-F / Limited On call support as needed Competitive Health Benefits Generous PTO, Matching 401k Mileage Reimbursement WA RN License Required Compensation Based on Experience What You Need to Know Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Director of Clinical Operations You Can Be If you meet these qualifications, we would love to meet you: Bachelor’s degree or commensurate work experience accepted 5 years of home based care experience preferred Role may require travel up to 80% of business days in supported territory Comprehensive knowledge of theories, concepts and practices and ability to use in complex, difficult and/or unprecedented situations Licensed to practice as a registered nurse in the state of agency operation Must be a licensed driver who can travel to all business locations Responsibilities: As a Director of Clinical Operations, you will: Supervises all direct patient/family care team members, including nurses, Supportive Care, home health aides and counselors, in collaboration with Site Leadership. Responsible for oversight of and/or scheduling, payroll and other administrative duties Assures that all initial assessments and required reassessments are conducted by qualified team members within required time frames, including documentation completion, submission and /or synchronization. Ensures that all patient/family services comply with federal, state(s) and local regulatory requirements and with accepted professional standards. Ensures protocols are utilized to guide operations and promote adherence to regulatory and internal process requirements. Monitor expenses related to patient/family services to ensure budgetary compliance in collaboration with IDG and Site Leadership. Serve as a resource person and liaison for the Social Worker, Volunteer, Music Therapy and Bereavement Departments. Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
CNA Full-time
Visiting Angels

Fri/Sat/Sun OVERNIGHT Caregiver Needed in Maple Valley (CNA/HCA)

Visiting Angels Maple Valley, WA
$22 - $24 / hour
Award-winning Visiting Angels Senior Home Care Maple Valley is seeking an Overnight Caregiver (7:00 pm to 7:00 am on Fridays, Saturdays, and Sundays) to join our Visiting Angels family. You'll help support one of our amazing clients based in Maple Valley in the comfort and privacy of their own home. We offer industry-leading pay, flexibility, training, support, and advancement opportunities, all in a Caregiver-centric environment like no other. Successful candidates must hold a Certified Nursing Assistant or Home Care Aide license, proven caregiving experience, a strong work ethic, commitment to excellence, and a positive attitude. Our Angels work 1-on-1 with our valued Clients in their own homes. Full and part-time positions are also available in Snoqualmie, North Bend, Fall City, Duvall, Maple Valley, Enumclaw, Buckley, Black Diamond, and surrounding areas. As “ America’s Choice in Senior Home Care ” we pride ourselves on serving the needs of our Clients, as well as those of our Caregivers, earning us the Best of Home Care Provider of Choice , Employer of Choice , and Leader in Experience awards, as well as Caring.com's Caring Star award (with over 100 5-Star Caring.com reviews), and Nextdoor.com's Fave award, multiple years running. Pay: $22.00 to $24.00 per hour Benefits: • Industry-leading pay and bonuses • Paid time off / vacation • Flexible schedules, work near your home • Options for bi-weekly, weekly, or even daily pay • Performance bonus program • Referral bonus program • Health, dental, and vision benefits • Employee assistance program • Employee discount program • Free continuing education training • Tuition reimbursement Requirements: • Active CNA or HCA in the state of Washington • Proven Caregiving experience • Must have a valid Driver's License, proof of auto insurance, and reliable transportation. • Must be able to pass a criminal background check and fingerprint check • Must have the ability to read, write, and follow oral and written directions in English • US Work authorization (Mandatory) • A strong commitment to reliability and punctuality Duties / Skills (includes, but is not limited to): • Assist with: - Ambulation and transfers - Bathing and dressing - Toileting and incontinence • Perform light housekeeping duties • Prepare meals • Provide pleasant and supportive companionship • Assist Client with errands and/or shopping If this sounds like you, apply today to become our newest Angel and join our Visiting Angels family!
RN New Grad Outpatient
Kaiser Permanente

KP WA RN Residency Program - Winter Cohort

Kaiser Permanente Renton, WA
Our KPWA RN Residency cohort is for new grads and RN's with less than six months of experience. The Winter cohort will hire on a rolling basis between October and December. Depending on your preferred geographic location(s), opportunities are available in the following units: Med/Surg, ED, and various ambulatory clinics. Our Primary Care and Specialty Care Clinics are NO WEEKENDS OR HOLIDAYS! Please include in your application date of graduation, WA RN license and AHA BLS #-s with issue and expiration dates. If you have not yet received your WA license, please provide test date. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy. #RNRSD
CNA Full-time
A Place at Home Kirkland

Live in Caregiver with CNA or HCA

A Place at Home Kirkland Kirkland, WA
A Place At Home – Kirkland is actively hiring live-in caregivers with Certified Nursing Assistant (CNA) or Home Care Aide (HCA) credentials who want meaningful, stable work supporting seniors in their homes. Competitive Pay! $20.00 – $24.00 / hour (based on experience + certification) Weekly direct deposit Mileage reimbursement Private, dedicated living quarters in the client's home About the Role This is a full-time, on-site live-in caregiver position in King, Pierce and Snohomish County. As a live-in CNA or HCA, you will reside in the client's home with your own private living quarters, providing one-on-one care on a consolidated schedule that gives you multiple full days off every week. Who We're Looking For We welcome passionate live-in caregivers who are: CNA or HCA certified in the state of Washington Compassionate and dependable Experienced in home care, assisted living, or a related setting (1 year preferred) Able to pass a background check, work authorization verification, and any required health screenings Capable of assisting with ADLs, including safe transfers and mobility support CPR/First Aid certified (preferred) Holders of a valid driver's license with reliable transportation Committed to client dignity, privacy, cultural sensitivity, and professional boundaries If you are a certified nursing assistant or home care aide looking for live-in work, you are strongly encouraged to apply. What You'll Do As a live-in caregiver with CNA or HCA, you will support your client with: Companionship & conversation Bathing, grooming, dressing, toileting & mobility support Meal prep & medication reminders Monitoring vital signs & reporting changes in condition to the care team Light housekeeping (laundry, tidying, maintaining a safe home environment) Transportation to appointments & errands Creating a safe, comfortable home environment Performing specialized care engagement programs we designed Accurate documentation & collaboration with the care team and family Benefits of Joining A Place At Home – Kirkland We support our live-in caregivers, CNAs, and home care aides with: $20.00–$24.00/hr pay range (based on experience + certification) Private living quarters — no commute on your working days Paid orientation Paid training & continuing education Referral bonuses & rewards program Paid time off & paid sick time Supportive office team available 7 days a week Growth opportunities for CNAs and certified home care aides Monthly Caregiver Awards celebrating exceptional caregivers every month National Caregiver of the Year Program: one outstanding caregiver from all A Place At Home locations wins an all-expenses-paid trip to Omaha to be honored at our National Conference About Us At A Place At Home – Kirkland, we believe every senior deserves dignified, personalized care. Our "CARE" philosophy — Compassionate, Accountable, Reliable, Ethical guides everything we do. Our caregivers make a difference every day, helping older adults live safely and happily in their own homes across the Eastside: Kirkland, Redmond, Bothell, Woodinville, and Sammamish. We value our caregivers as the heart of our agency. Apply Now If you are CNA or HCA looking for a rewarding live-in caregiver role with a supportive home care agency, apply today. Your compassion makes all the difference!
CMA Outpatient Full-time
Gastro Health

Medical Assistant - Gastroenterology - Kirkland, WA

Gastro Health Kirkland, WA
$24 - $31 / hour
Gastro Health is seeking a Full-Time Medical Assistant to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings – Monday thru Friday Paid holidays and paid time off Rapidity growing team with opportunities for advancement Competitive compensation Benefits package $1,000 sign on Bonus Duties you will be responsible for: Greet and room patients, ensuring appropriate patient flow Update patient's medical chart with accurate and timely documentation Manage phone triage and take appropriate action under the direction of the provider Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders Provide patient education as well as personal patient care to provide comfort and well-being to acknowledge physiological and psychological needs Under direction from providers, process refills for prescriptions following clinic protocol Demonstrates positive interpersonal relationships in dealing with fellow clinic employees, managers and providers Take direction and initiate actions that will allow cross-functional duties to ensure seamless patient care Follow safety procedures in compliance with OSHA and state health department guidelines Minimum Requirements: High school diploma or GED equivalent 2+ years' experience as Medical Assistant preferred Certified Medical Assistant (AAMA) preferred Benefits: Medical Dental Vision Spending Accounts Life / AD&D Disability Accident Critical Illness Hospital Indemnity Legal Identity Theft Pet 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees Interested in learning more? Click here to learn more about the location. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!
CMA Outpatient
Planned Parenthood Great Northwest, HI, AK, IN, KY

Medical Assistant - Phlebotomy (WA)_Health Center

Planned Parenthood Great Northwest, HI, AK, IN, KY Bellevue, WA
$21.30 - $29.14 / hour
Why Planned Parenthood? Working at Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work. In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services. About our Medical Assistant Phlebotomy position The Medical Assistant – Phlebotomy provides support to patients and co-workers by performing a variety of clinical and administrative tasks in different areas of the health center. What you will be doing! Performing back-office responsibilities as required by the health center, room patients, stock rooms, phlebotomy, injections, labs, patient education, assists NP’s, RN’s, and MD’s. Providing non-judgmental, client-oriented care, and providing accurate information by answering questions and providing appropriate resources. Assisting with optimizing patient flow to keep appointments on schedule. Establishing and preparing documents for patient records and patient services. Providing patients and co-workers excellent customer services in all interaction and tasks. Key Responsibilities: Demonstrating a high degree of professionalism and ability to maintain client confidentiality. Value teamwork, flexibility, and adaptability, embrace change. Must be team oriented, adaptable to changes, able to learn and implement knowledge the Planned Parenthood way, excellent attendance, and timeliness. Must be okay with providing abortion care. Completing patient intake, preparing exam rooms, rooming patients, assisting the clinician, performing lab tests, providing injections, ordering and maintaining supplies, and variety of tasks which require demonstrating a knowledge of universal precautions, sterile techniques and hazardous waste disposal. Minimum Qualifications: High school diploma or equivalent. National Medical Assistant Phlebotomy Certification Preferred Qualifications: 1-2 years in a healthcare setting. Proficiency in Microsoft Office Suite and other software applications. Experience with electronics health records. Salary Range: $21.30 - $29.14 hourly Position Type: Full-time – 37.5 hours/Week This is a union role – United Food & Commercial Workers 3000 Benefits Eligibility: This position is eligible for PPGNHAIK benefits. As part of our total compensation, we provide a comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance. For additional information about our benefits program, please send an email to hre.contacts@ppgnhaik.org . Other Information: All new hires are strongly recommended to have the COVID-19 vaccination, including boosters. All new hires hired between September and April must present proof of receiving a current flu shot. What we expect from you. That you adhere to our code of conduct, policies, procedures, and protocols. That you always demonstrate a high degree of professionalism. That you take action to support our commitment to diversity, equity, and inclusion. That you always support and model our customer service standards. That you value continuous learning and seek ongoing training and development. Our commitment to diversity: At PPGNHAIK , we’ve outlined our priorities and goals as we continue to cultivate and promote a diverse, equitable, & inclusive culture that champions dignity, care, and respect, and where employees feel welcomed and motivated to do their best. These priorities reflect our promise to support programs and initiatives that promote continuous learning and organizational development and discussions on DEI topics; recruit diverse qualified candidates of different backgrounds, lived experiences, and talents; provide internal developmental opportunities; and assess what more we can do to nurture a supportive and equitable work environment. Equal Employment Opportunity PPGNHAIK is an Equal Opportunity Employer. Equal Opportunity will be provided to all employees and applicants for employment on the basis of their ability and competence without unlawful discrimination on the basis of their race, color, ethnicity, national origin, gender, gender identity, gender expression, sexual orientation, religion, protected veteran status, marital status, age, disability, or any other status protected by applicable state and federal laws.
RN Outpatient Full-time
Fred Hutchinson Cancer Center

Registered Nurse - Clinical Nurse Coordinator - Evergreen Clinic

Fred Hutchinson Cancer Center Kirkland, WA
$47.64 - $88.19 / hour
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 Registered Nurse – Clinical Nurse Coordinator is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation. This position will be 1.0FTE/full-time Monday-Friday, four 10 hour shifts from 7:30am-6pm, days of the week to be determined. This position will be located at the Evergreen Clinic in Kirkland, WA. Responsibilities Primary Assesses physical, emotional, social, and spiritual needs and evaluates patients’ adaptation to health changes Develops a plan of care based on patients’ disease, symptoms, and response to treatment Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management Coordinates with inter-disciplinary team to ensure continuity of care Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc. Implements, evaluates and modifies plan of care Integrates research and evidence based knowledge into clinical practice In addition to above primary responsibilities of the Registered Nurses (RN), the Clinical Nurse Coordinator (CNC) will have the following key responsibilities: Direct Patient Care Education patients and families: chemotherapy, central lines, injections, home care Telephone, email and in person symptom triage New patient orientation Caregiver support Assessment of needs for additional supportive care resources Prescription refills Result reviews Perform blood draws Room patients: obtained VS and required screening assessment Indirect Patient Care Supportive care referrals Assist with FMLA paperwork, disability paperwork, Ferry passes Coordination of outside clinical care Ensuring continuity of care with outside providers Collaboration with research team for patients on trial Communication and Teamwork Attend regular team meetings with provider and nursing teams. Coordination of care with ancillary services. Delegation of tasks to appropriate team members Coordinating patient schedules with clinic team. Collaboration with infusion RN and other members of the care team to assure patient needs are met. Real-time management and escalation of issues in clinic. Professional Development and Clinic Engagement Document all nursing care activities accurately and in a timely fashion. Demonstrate knowledge and understanding of patient privacy rights. Active participation in continuing education, departmental projects, committee work, and quality improvement initiatives. Qualifications Required: Graduate from an accredited school of nursing Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and MSL primary state of residence must be updated to WA within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval. Applicants that do not have previous oncology experience will be provided additional training and support Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years Additional certification may be required dependent upon department. Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. Ability to develop clinical judgment. Time Management skills; the ability to organize and manage time and tasks independently. Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response. Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill. Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response. Good communication skills. Skilled at multitasking and organization. Preferred: BSN prepared nurse. OCN (Oncology Certified Nurse) or BMT RN. 2 years of oncology nursing experience. Previous telephone triage experience. Previous outpatient clinic experience. The hourly pay range for this position is from $47.64 to $88.19 and pay offered will be based on experience and qualifications. Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification. 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 (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 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.
RN Outpatient Part-time
Crossover Health

PRN RN

Crossover Health Bellevue, WA
$52.07 - $68 / hour
About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Registered Nurse (RN) is an essential part of the collaborative patient care team that supports an exceptional patient experience. Our RNs are empowered to practice and contribute throughout the care experience. At its core, the RN provides direct patient care while demonstrating servant leadership, leading clinic-wide huddles and leveraging our interdisciplinary approach to integrated care. The RN promotes a level of care that goes beyond industry standards and strives for excellence at every step. Job Responsibilities Performs evidence-based nursing care and patient education Performs care management by connecting patients with specialists and following up to ensure patients are getting the care they need Utilizes population management tools to ensure patients receive optimal care based on industry-wide recommendations Provides phlebotomy services, performs in-house laboratory tests and works with the provider to determine how and when to send out specialty labs Screens for vaccine-preventable diseases and administers primary care and travel-related immunizations Manages RN schedule and appropriateness of appointments. Takes initiative to contact patients when needed and demonstrate knowledge of when to consult with a provider Complies with all policies, procedures, and protocols of the practice, including performing specific care under standing orders Provides general triage services to walk-ins and over the phone. Assesses patient’s needs, consult provider when needed and direct appropriate care Provides occasional on-site care at client-sponsored events such as flu clinics and biometric screenings Participates in quality improvement programs to ensure the practice is performing efficiently and in accordance with Crossover’s policies Demonstrates proficiency in the use of healthcare analytic tools, systems, and analysis Participates in implementation of new health technologies, products, services, and programs that establish the Crossover Medical Group as a recognized thought leader for employer-based health care and lifestyle medicine programs Manages population health programs and clinic outreach initiatives Serves as a resource to other nurses and the care team, and participate in the training and onboarding of new nurses Assists in performing Quality and Compliance checks required on a daily, weekly and monthly basis Contributes to reporting requirements related to incident reporting and compliance Performs other duties as assigned. Required Qualifications Graduate from an accredited school of nursing Minimum 3 years of clinical experience Current Registered Nurse license in the state you are practicing Current BLS (Basic Life Support) certification Preferred Qualifications Bachelor of Science Degree in Nursing (BSN) Outpatient care and urgent care experience Knowledge of Apple and Google-based technology or client technologies such as Microsoft or HP Passion for delivering a best-in-class patient care experience in an integrated patient-centered primary care model Creative, flexible and easily adapts to changing priorities Energetic, takes initiative and able to work in a team environment as well as autonomously when needed Embraces new ways of delivering healthcare Physical Job Requirements Requires standing, walking and sitting for extended periods of time Includes full range of body motion including potential of handling and lifting patients Requires corrected vision, hearing and speech within normal ranges Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions The base pay range for this position is $52.07 to $68 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position will be eligible for 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com . To all recruitment agencies : We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite
CNA Home Health Full-time
SYNERGY HomeCare

Hiring CNA/HCA for a variety of shifts on the Eastside

SYNERGY HomeCare Bellevue, WA
$23 - $28 / hour
Are you looking for an impactful career? SYNERGY HomeCare, an independently owned and operated, award-winning agency, is seeking experienced caregivers who want to make a difference in their community. Experience the SYNERGY HomeCare difference, and feel valued in a purpose-driven career. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If so, read on to learn more about working with SYNERGY HomeCare. As an experienced caregiver, you will have the opportunity to provide meaningful care to people of all ages and abilities, ensuring their well-being where they are happiest and most comfortable—in their own homes. SYNERGY HomeCare offers: Competitive pay ($23.00 - $28.00 per hour) Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching experienced caregivers with nearby clients Employee recognition programs As an experienced caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
CNA Home Health Full-time
SYNERGY HomeCare

Caregivers Needed CNA and HCA (WA State Certified)

SYNERGY HomeCare Bellevue, WA
$23 - $28 / hour
SYNERGY HomeCare of Bellevue About Us At SYNERGY HomeCare of Bellevue, we support seniors and adults who want to remain safely and independently in their homes. Our caregivers bring compassion, professionalism, and heart to every visit — and we make sure you feel valued, supported, and appreciated every step of the way. Whether you’re an experienced caregiver or newly certified, we’d love to welcome you to our team. Why Caregivers Love Working With SYNERGY HomeCare We are a caregiver‑focused agency that prioritizes flexibility, respect, and real support . When you join our team, you can expect: What We Offer Competitive pay: $23–$28/hr Higher pay for 1‑hour shifts Time‑and‑a‑half for overtime and 7 holidays Paid sick time & PTO (after 90 days) Paid travel time 100% mileage reimbursement ($0.70/mile) 100% reimbursement for client parking Paid orientation 100% employer‑paid Continuing Education Units ($200 value) Flexible scheduling — full‑time or part‑time Client matching based on location and preferences Direct deposit PPE provided Employee & client referral bonuses 24/7 office support Recognition programs to celebrate your work Available Shifts We offer a variety of shift lengths to fit your lifestyle: 12‑hour shifts 8‑hour shifts 4‑hour shifts 2‑hour premium shifts (higher pay per hour) Daytime & weekend availability needed What You’ll Do Provide companionship and emotional support Assist with personal care (bathing, dressing, grooming) Support with meal preparation and light housekeeping Offer medication reminders Provide transportation to appointments and errands Maintain strong communication with clients, families, and the office Deliver reliable, professional, and compassionate care What You Need Valid WA State CNA or HCA license 1 year of caregiving experience preferred CPR/First Aid (within 30 days of hire) Food Handler Card (within 30 days of hire) Driver’s license & auto insurance preferred Ready to Join Our Team? We’d love to meet you! Please email your resume and availability to: sophiadeoliveira@synergyhomecare.com SYNERGY HomeCare is an equal opportunity employer.
NP Outpatient Part-time
International Community Health Services

Advanced Practice Provider

International Community Health Services Seattle, WA
$116,979 - $171,267 / 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 SIGN-ON BONUS UP TO $5000 This position provides direct patient care and health care services within the framework of established medical guidelines and the ICHS’ Principles of Practice and approved by the appropriate licensing board in the State of Washington. **After hours clinic** Education - Graduation from an accredited Physician Assistant Program or an Advanced Registered Nurse Practitioner program with an emphasis on clinical experiences in Family Practice. Experience - Two years of experience in the practice of medicine. Other Requirement(s) -National Board Certification (PAC) and current Physician Assistant license to practice in the State of Washington or Advanced Registered Nurse Practitioner license to practice in the State of Washington. BLS Certified.
CMA Outpatient Full-time
Crossover Health

Medical Assistant- Microsoft: M-F, 8-5 ($30-$34 an hour)

Crossover Health Redmond, WA
$25.89 - $34 / hour
About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Crossover Health Medical Assistant role is a key player in creating the unique patient experience we seek to deliver. The Medical Assistant provides clinic guests with above-and beyond service to ensure an exceptional patient experience. As a Medical Assistant, you ensure that guests are delighted and happy from the moment they step into the clinic and continue to extend the service experience beyond the clinic walls to ensure superior service delivery. The Medical Assistant plays a crucial role in creating a unique and exceptional patient and member experience within our clinic. This position is responsible for providing guests with above-and-beyond service, ensuring they are delighted from the moment they step into the clinic and continuing to extend the service experience beyond the clinic walls. As the Medical Assistant, you assist members with checking in, demonstrating an in-depth knowledge of self-insured employer health insurance, including copays, co-insurance, and related benefits. You are at the forefront of facilitating the patient and member experience throughout our health center, ensuring superior service delivery and a welcoming environment. Clinical Responsibilities Take medical histories, measure patient vitals, and other pertinent information to assist the clinician with care of the patient. Handle inventory, orders, and replenish medical supplies and materials. Provides phlebotomy services and immunization services Performs other duties as assigned Member Service Responsibilities Welcomes each member and handles all member interactions with the highest level of hospitality and professionalism. Demonstrates a commitment to quality, delivering uncompromised service and outcomes. Accommodates special requests for member support whenever possible and helps to promptly resolve member questions. Assists with assigned projects and special provider or patient requests. Assists with the member check-in process, including a basic understanding of benefit eligibility files, check-in technology and overall clinic workflows within the context of care delivery. Processes transactions required to begin or complete the visit. Demonstrates an in-depth knowledge of employer-sponsored health insurance, including copays, co-insurance, and related benefit specific requirements, in order to support members. Engages with members by answering calls, scheduling appointments, responding to emails, and following up with member needs. Collaborates with providers and staff members to deliver an exceptional seamless patient-centered care experience. Performs other duties as assigned Required Qualifications Graduate of an accredited medical assistant or surgical technician program. Minimum of 2 years comparable clinical back office medical assistant experience. BLS (Basic Life Support) certification required. Preferred Qualifications Excellent computer skills and familiarity with Microsoft products. Reading, writing, and excellent oral proficiency in the English language. Strong organizational and follow-through skills. Excellent communication and interpersonal skills. High level of ownership, accountability and initiative. Proven organizational skills, great interpersonal skills, and ability to work as a key team member. Comfort and efficiency with multi-tasking, issue resolution, and conflict management. Physical Job Requirements May require standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Includes full range of body motion including potential of handling and lifting patients. Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. The base pay range for this position is $25.89 to $34 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position will be eligible for a comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com . To all recruitment agencies : We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite
RN Aesthetic Full-time
LaserAway

Registered Nurse – Aesthetic Training Provided

LaserAway Kirkland, WA
$50 / hour
Aesthetic Registered Nurse $50/hr base + $5/hr weekend differential No overnights You'll be the clinical expert patients trust to achieve results they didn't think were possible without surgery — owning every treatment relationship from first consult through long-term results. About LaserAway LaserAway is the nation's leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology. Our clinics run at high volume with a team-first culture — clinicians here help build loyal patient books and have a real voice in how care is delivered. What You'll Own Your patient's full clinical journey — from initial skin assessment and treatment planning through follow-up care and long-term results. You'll partner with Patient Care Coordinators and Location Directors to deliver seamless, individualized care on a busy clinic floor. Day-to-day: performing laser, injectable, and skin rejuvenation treatments; documenting accurately; and staying engaged in a high-volume environment. You'll work with a custom EMR built for LaserAway — fully digital and designed to simplify charting so you stay focused on patients, not paperwork. And as we continuously add the latest FDA-cleared technologies to our treatment menu, you'll always be practicing at the forefront of aesthetic medicine. Who Thrives Here Current, active unencumbured RN license (state-issued) Background in acute care (ER, ICU, Med-Surg) or aesthetics practice preferred, but not required Professional, dependable, and genuinely patient-centered Weekend and evening availability Comfortable in a high-volume clinic environment treating 15–25 patients per day Ability to work at up to 3 assigned locations Compensation & Benefits Competitive base pay + $5/hr weekend differential Full-time hours available (32–40 hrs/week, 8-hour shifts) Scheduling flexibility to balance clinical volume with your lifestyle Medical, dental, and vision insurance 401(k) with company match Paid time off Free Figs scrubs Employee discounts on treatments and products Growth Path Comprehensive hands-on training across all aesthetic modalities from day one Clear advancement into Lead Nurse and Regional Clinical Trainer roles Clinicians who excel here become the clinical voice that shapes how we train the next wave of practitioners LaserAway is an Equal Opportunity Employer. We're committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.