Registered Nurse (RN) Jobs in Washington State

Jefferson Healthcare

Surgical Circulator RN

$41.43 - $75.65 / hour
Registered Nurse - OR RN Surgical Circulator Announcement #308269 Are you a Registered Nurse looking for a challenging and exciting opportunity? Jefferson Healthcare is seeking a full-time Surgical Circulator to join our dynamic team in the Surgical Services department. As a Surgical Circulator, you will serve as a patient advocate and work inside the operating room to ensure that patients receive the best possible care. You will be involved in all phases of patient care, from admission to recovery, and even help in discharging patients or taking them to the inpatient floor. If you are motivated to learn and grow in your role, Jefferson Healthcare is the perfect place for you. What we can offer you: Competitive wage based on experience Sign-on and relocation available Medical, dental, vision, retirement, PTO, and more! Outstanding benefits , including 5 % employer contribution to your retirement account and low insurance premiums for individuals and families. Benefits package is ranked in the top 1% in the state! Jefferson Healthcare qualifies for Public Service Loan Forgiveness Monetary incentive for BSN and/or certifications Supportive and inclusive work environment What you'll need: Current Washington State RN license required Current AHA BLS/CPR (Healthcare Provider) certification 20 minutes on-call response time availability required ACLS required or to be obtained within 90 days of employment CNOR preferred Bachelor of Science in Nursing preferred Circulating experience preferred PACU/Med Surg/ICU/ED experience preferred Endoscopy experience preferred Schedule : 1.0 FTE; 40 hours/week; Day shift; 8 hour shifts To apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Jefferson Healthcare Surgical Services Surgical Services at Jefferson Healthcare is a place like no other. Our team operates in a tight-knit work environment where we prioritize not only the well-being of our patients but also each other. The OR hallway offers stunning views of the Cascade Mountain Range and Mount Rainier beyond Puget Sound, making it a serene and calming place to recover. We're open every weekday, and our team provides 24/7 call coverage after hours. Our Surgical Services include a Pre-Op Clinic, a Surgical short-stay unit, 3 OR Suites, 1 Endoscopy Room, PACU, and Sterile Processing. All the instrumentation used in Jefferson Healthcare, including the OR, the hospital, and all the clinics, is sterilized in our facility. We offer a wide range of services, including General, Ortho, Urology, OBGYN, Endoscopy, and minor Cardiology procedures. On average, we perform over 100 surgeries and 60 endoscopies each month, as well as over a hundred total hip and knee replacements every year. At Jefferson Healthcare, we strive to provide the highest quality surgical services available, and our team of experienced professionals is dedicated to ensuring comfort and safety every step of the way. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

ACU/Med Surg Registered Nurse - Night Shift

$41.43 - $75.65 / hour
Registered Nurse ACU/Med Surg Announcement #314057 Jefferson Healthcare is looking for a highly skilled and motivated Registered Nurse to join our Med/Surg team. As an integral member of the patient care team, our Registered Nurses play a crucial role in providing quality healthcare to our patients. From rooming and taking vital signs to assisting with procedures and conducting patient tests, our RNs are involved in every aspect of patient care. They are responsible for maintaining a seamless patient flow and ensuring efficient communication between the front desk and patients. In this fast-paced environment, our RNs must stay alert and focused, but their positive attitude and dedication to their work ensure their success in delivering exceptional care to our patients. What we can offer you: Competitive wage based on experience Bonus eligible position Outstanding benefits , including low insurance premiums for individuals and families. Opportunities for advancement Monetary incentive for BSN and/or certifications Differentials for weekends, nightshifts, and holidays Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Current Washington state RN license in good standing CPR/BLS Certification required Two years experience in hospital/clinic environment preferred Specialty areas may require additional experience and certifications Schedule: 0.9 FTE, 36 hours/week, Night shift To apply : please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Per Diem Family Birth Registered Nurse

$41.43 - $75.65 / hour
Per Diem Registered Nurse Family Birth Unit Announcement #326340 Jefferson Healthcare, in the charming town of Port Townsend, Washington, is currently seeking an experienced and empathetic per diem Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. What we can offer you: 15% wage increase in place of benefits Monetary incentive for BSN and/or certifications Differentials for weekends, night shifts, and holidays Supportive and inclusive work environment What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: Per Diem; 0-16 hours/week; Variable Shift To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Temporary Family Birth Registered Nurse - Night Shift

$41.43 - $75.65 / hour
Night Shift Registered Nurse - Temp Family Birth Center Announcement #322984 Jefferson Healthcare is currently seeking an experienced and empathetic temporary Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. If you are looking to spend your summer in charming Port Townsend, WA, we encourage you to apply! What we can offer you: Competitive wages $3,000 completion bonus 15% wage increase in place of benefits Monetary incentive for BSN, MSN, and/or Specialty Certifications Differentials for night shift and weekends Supportive and inclusive work environment What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: 0.9 FTE; 36 hours/week; Night Shift; Temporary; 13-week assignment To apply : please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Us: Jefferson Healthcare is one of the top employers on the beautiful Olympic Peninsula and near Seattle, Victoria, BC, and Vancouver. We are a DNV-accredited, 5-star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 33,000 residents of East Jefferson County. Port Townsend, Washington, is a vibrant coastal community that masterfully blends rich history, artistic flair, and natural beauty, making it a truly exceptional place to live. Nestled at the northeastern tip of the Olympic Peninsula, this charming town is renowned for its well-preserved Victorian architecture, earning it the nickname "The City of Dreams." Residents enjoy a thriving arts scene, with numerous galleries, theaters, and cultural events that cater to diverse interests. The town hosts several annual festivals, such as the Port Townsend Wooden Boat Festival and the Port Townsend Film Festival, which foster a strong sense of community and celebration. Nature enthusiasts are drawn to Port Townsend's stunning landscapes, from serene beaches to lush forests, offering ample opportunities for outdoor recreation. The town's maritime heritage is evident, with a bustling marina and a community deeply connected to the sea. With its unique blend of historical charm, artistic energy, and natural splendor, Port Townsend stands out as an inviting and enriching place to call home. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

ACU/Med Surg Registered Nurse - Night Shift

$41.43 - $75.65 / hour
Registered Nurse ACU/Med Surg Announcement #319555 Jefferson Healthcare is looking for a highly skilled and motivated Registered Nurse to join our Med/Surg team. As an integral member of the patient care team, our Registered Nurses play a crucial role in providing quality healthcare to our patients. From rooming and taking vital signs to assisting with procedures and conducting patient tests, our RNs are involved in every aspect of patient care. They are responsible for maintaining a seamless patient flow and ensuring efficient communication between the front desk and patients. In this fast-paced environment, our RNs must stay alert and focused, but their positive attitude and dedication to their work ensure their success in delivering exceptional care to our patients. What we can offer you: Competitive wage based on experience Bonus eligible position Outstanding benefits , including low insurance premiums for individuals and families. Opportunities for advancement Monetary incentive for BSN and/or certifications Differentials for weekends, nightshifts, and holidays Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Current Washington state RN license in good standing CPR/BLS Certification required Two years experience in hospital/clinic environment preferred Specialty areas may require additional experience and certifications Schedule: 0.9 FTE, 36 hours/week, Night shift To apply : please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Surgical Circulator RN - Part Time

$41.43 - $75.65 / hour
Registered Nurse - OR RN Surgical Circulator Announcement #323987 Are you a Registered Nurse looking for a challenging and exciting opportunity? Jefferson Healthcare is seeking a part-time Surgical Circulator to join our dynamic team in the Surgical Services department. As a Surgical Circulator, you will serve as a patient advocate and work inside the operating room to ensure that patients receive the best possible care. You will be involved in all phases of patient care, from admission to recovery, and even help in discharging patients or taking them to the inpatient floor. If you are motivated to learn and grow in your role, Jefferson Healthcare is the perfect place for you. What we can offer you: Competitive wage based on experience Sign-on and relocation eligible Medical, dental, vision, retirement, PTO, and more! Outstanding benefits , including 5 % employer contribution to your retirement account and low insurance premiums for individuals and families. Benefits package is ranked in the top 1% in the state! Jefferson Healthcare qualifies for Public Service Loan Forgiveness Monetary incentive for BSN and/or certifications Supportive and inclusive work environment What you'll need: Current Washington State RN license required Current AHA BLS/CPR (Healthcare Provider) certification 20 minutes on-call response time availability required ACLS required or to be obtained within 90 days of employment CNOR preferred Bachelor of Science in Nursing preferred Circulating experience preferred PACU/Med Surg/ICU/ED experience preferred Endoscopy experience preferred Schedule : 0.8 FTE; 32 hours/week; Day shift To apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Jefferson Healthcare Surgical Services Surgical Services at Jefferson Healthcare is a place like no other. Our team operates in a tight-knit work environment where we prioritize not only the well-being of our patients but also each other. The OR hallway offers stunning views of the Cascade Mountain Range and Mount Rainier beyond Puget Sound, making it a serene and calming place to recover. We're open every weekday, and our team provides 24/7 call coverage after hours. Our Surgical Services include a Pre-Op Clinic, a Surgical short-stay unit, 3 OR Suites, 1 Endoscopy Room, PACU, and Sterile Processing. All the instrumentation used in Jefferson Healthcare, including the OR, the hospital, and all the clinics, is sterilized in our facility. We offer a wide range of services, including General, Ortho, Urology, OBGYN, Endoscopy, and minor Cardiology procedures. On average, we perform over 100 surgeries and 60 endoscopies each month, as well as over a hundred total hip and knee replacements every year. At Jefferson Healthcare, we strive to provide the highest quality surgical services available, and our team of experienced professionals is dedicated to ensuring comfort and safety every step of the way. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Night Shift Family Birth Registered Nurse - Bonus & Relocation Eligible

$41.43 - $75.65 / hour
Night Shift Registered Nurse Family Birth Center Announcement #326339 Jefferson Healthcare, in the charming town of Port Townsend, Washington, is currently seeking an experienced and empathetic Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. What we can offer you: Bonus and Relocation Eligible Outstanding benefits , including low insurance premiums for individuals and families. Medical, dental, vision, retirement, PTO, and more Monetary incentive for BSN and/or certifications Differentials for weekends, night shifts, and holidays Supportive and inclusive work environment Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: 0.9 FTE; 36 hours/week; Night Shift; 7:00 pm - 7:30 am To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Us: Jefferson Healthcare is one of the top employers on the beautiful Olympic Peninsula and near Seattle, Victoria, BC, and Vancouver. We are a DNV-accredited, 5-star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 33,000 residents of East Jefferson County. Port Townsend, Washington, is a vibrant coastal community that masterfully blends rich history, artistic flair, and natural beauty, making it a truly exceptional place to live. Nestled at the northeastern tip of the Olympic Peninsula, this charming town is renowned for its well-preserved Victorian architecture, earning it the nickname "The City of Dreams." Residents enjoy a thriving arts scene, with numerous galleries, theaters, and cultural events that cater to diverse interests. The town hosts several annual festivals, such as the Port Townsend Wooden Boat Festival and the Port Townsend Film Festival, which foster a strong sense of community and celebration. Nature enthusiasts are drawn to Port Townsend's stunning landscapes, from serene beaches to lush forests, offering ample opportunities for outdoor recreation. The town's maritime heritage is evident, with a bustling marina and a community deeply connected to the sea. With its unique blend of historical charm, artistic energy, and natural splendor, Port Townsend stands out as an inviting and enriching place to call home. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Night Shift Family Birth Registered Nurse - Part Time

$41.43 - $75.65 / hour
Night Shift Registered Nurse Family Birth Center Announcement #320063 Jefferson Healthcare, in the charming town of Port Townsend, Washington, is currently seeking an experienced and empathetic Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. What we can offer you: Bonus eligible Outstanding benefits , including low insurance premiums for individuals and families. Medical, dental, vision, retirement, PTO, and more Monetary incentive for BSN and/or certifications Differentials for weekends, night shifts, and holidays Supportive and inclusive work environment Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: 0.6 FTE; 24 hours/week; Night Shift; 7:00 pm - 7:30 am To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Us: Jefferson Healthcare is one of the top employers on the beautiful Olympic Peninsula and near Seattle, Victoria, BC, and Vancouver. We are a DNV-accredited, 5-star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 33,000 residents of East Jefferson County. Port Townsend, Washington, is a vibrant coastal community that masterfully blends rich history, artistic flair, and natural beauty, making it a truly exceptional place to live. Nestled at the northeastern tip of the Olympic Peninsula, this charming town is renowned for its well-preserved Victorian architecture, earning it the nickname "The City of Dreams." Residents enjoy a thriving arts scene, with numerous galleries, theaters, and cultural events that cater to diverse interests. The town hosts several annual festivals, such as the Port Townsend Wooden Boat Festival and the Port Townsend Film Festival, which foster a strong sense of community and celebration. Nature enthusiasts are drawn to Port Townsend's stunning landscapes, from serene beaches to lush forests, offering ample opportunities for outdoor recreation. The town's maritime heritage is evident, with a bustling marina and a community deeply connected to the sea. With its unique blend of historical charm, artistic energy, and natural splendor, Port Townsend stands out as an inviting and enriching place to call home. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Per Diem Family Birth Registered Nurse

$41.43 - $75.65 / hour
Per Diem Registered Nurse Family Birth Unit Announcement #296296 Jefferson Healthcare, in the charming town of Port Townsend, Washington, is currently seeking an experienced and empathetic per diem Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. What we can offer you: 15% wage increase in place of benefits Opportunities for advancement Hands-on training Shift differential What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: Per Diem; 0-16 hours/week; Variable Shift To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Night Shift ICU Registered Nurse

$41.43 - $75.65 / hour
Registered Nurse ICU - Night Shift Announcement #314056 Jefferson Healthcare is currently seeking a Critical Care RN to join our ICU team. As an ICU RN, you'll be responsible for providing individualized care to patients, utilizing the nursing process, which includes assessment, planning, implementation, and evaluation of patient care. In this role, you'll work as part of a team to ensure that patient needs and expected outcomes are met and confidently guide support staff to achieve patient-centered collaborative care. If you're looking for a fulfilling career with a team that is passionate about serving the community and dedicated to advancing the mission of Jefferson Healthcare, we invite you to apply for this exciting opportunity. What will you need? Current Washington state RN license in good standing BLS Certification required ACLS Certification required NIHSS Certification required within 6 months of hire Bachelor of Science in Nursing preferred One-year ICU experience preferred What can we offer you? Competitive wages based on experience Bonus eligible position Night shift differential Low premiums for Medical, Dental, Vision, and Prescription coverage for employees and their families Comprehensive benefits package , including PTO, PSL, Employee Assistant Program, Voluntary benefits, and Retirement plans. Opportunities for growth and development Supportive and inclusive work environment Jefferson Healthcare qualifies for Public Student Loan Forgiveness Schedule : 0.9 FTE; 36 hours/week; Night Shift; 7:00 pm - 7:30 am To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Why Port Townsend? Port Townsend, Washington, is a vibrant coastal community that masterfully blends rich history, artistic flair, and natural beauty, making it a truly exceptional place to live. Nestled at the northeastern tip of the Olympic Peninsula, this charming town is renowned for its well-preserved Victorian architecture, earning it the nickname "The City of Dreams." Residents enjoy a thriving arts scene, with numerous galleries, theaters, and cultural events that cater to diverse interests. The town hosts several annual festivals, such as the Port Townsend Wooden Boat Festival and the Port Townsend Film Festival, which foster a strong sense of community and celebration. Nature enthusiasts are drawn to Port Townsend's stunning landscapes, from serene beaches to lush forests, offering ample opportunities for outdoor recreation. The town's maritime heritage is evident, with a bustling marina and a community deeply connected to the sea. With its unique blend of historical charm, artistic energy, and natural splendor, Port Townsend stands out as an inviting and enriching place to call home. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Connections Health Solutions

Registered Nurse (RN) - Kirkland, WA (0.75 Days)

Overview We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support. Our values shape our decisions, define our culture, and foster continuous learning and growth. We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference. Responsibilities What You'll Do: We are hiring a Registered Nurse (RN) who assesses consumers and documents pertinent information including Triage, Behavioral Health, Physical Health, and/or Substance Abuse issues. Demonstrates knowledge of Crisis Intervention and the ability to de-escalate potentially aggressive situations and will provide education to consumers and their families regarding Behavioral Health diagnosis, medications, and treatments. Completes detailed Nursing Assessments with individuals and documents pertinent information including Triage, Medical/Behavioral Health assessments, and medication administration utilizing appropriate assessment tools. Accurately record all medication brought in by individual on medication reconciliation/storage form. Plans individual treatment as part of the Multidisciplinary Clinical team. Provides education concerning Psychiatric diagnosis, treatment options, psychopharmacology, and overall health literacy to individuals, families, and all others involved in the individual’s care. Intervenes with appropriate verbal interventions to diffuse out of control or potentially dangerous behaviors. Demonstrates ability to effectively use therapeutic option theory and technique and can describe and demonstrate their roles and responsibilities. Demonstrates a thorough knowledge of Seclusion/Restraint standards, guidelines, techniques and initiates documentation and debriefing with individuals for any seclusion/restraint incidents as required. Accurately transcribes Provider orders and administers medications as prescribed. Attempts to have individual sign medication consent form. Performs chart checks and signs off as a second noted on medications prescribed. Draw labs and provide wound care as ordered by Providers when required. Completes nurse to nurse at discharge or when accepting individual from another facility. Performs all other duties as assigned. Qualifications What You'll Bring: Graduated from an accredited Nursing program Unrestricted active license as Registered Professional Nurse through State Board of Nursing or hold a multistate licensure privilege Must be able to perform Safe Clinch patient restraint techniques American Heart Association BLS The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment Complete all credentialing requirements within the required time period, including but not limited to obtaining a National Provider Identifier (NPI), Medallion enrollment, Medicare enrollment, and any other necessary credentials as required for the role It would be great if you had: Bachelor’s degree in Nursing At least 3 years of psychiatric, behavioral health or relevant experience Previous emergency room or crisis psychiatric care experience Experience working with individuals with addiction and addiction management What We Offer: Full-time only: Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity CHS pays for Basic Life, AD&D, Short and Long-Term Disability Voluntary Life insurance option for employees and their families Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan) Flexible Spending Accounts (health care and dependent care) 401k company match after 6 months (50% of deferrals up to 6% of compensation) Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays All employees (Pool, Part-time and Full-time): Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support After 90 days, you are auto enrolled in the 401k Plan The typical hiring range for this role in Washington is $45.00 - $70.75 per hour. EEO Statement Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.
Connections Health Solutions

Registered Nurse (RN) - Kirkland, WA (Full-Time Days)

Overview We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support. Our values shape our decisions, define our culture, and foster continuous learning and growth. We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference. Responsibilities What You'll Do: We are hiring a Registered Nurse (RN) who assesses consumers and documents pertinent information including Triage, Behavioral Health, Physical Health, and/or Substance Abuse issues. Demonstrates knowledge of Crisis Intervention and the ability to de-escalate potentially aggressive situations and will provide education to consumers and their families regarding Behavioral Health diagnosis, medications, and treatments. Completes detailed Nursing Assessments with individuals and documents pertinent information including Triage, Medical/Behavioral Health assessments, and medication administration utilizing appropriate assessment tools. Accurately record all medication brought in by individual on medication reconciliation/storage form. Plans individual treatment as part of the Multidisciplinary Clinical team. Provides education concerning Psychiatric diagnosis, treatment options, psychopharmacology, and overall health literacy to individuals, families, and all others involved in the individual’s care. Intervenes with appropriate verbal interventions to diffuse out of control or potentially dangerous behaviors. Demonstrates ability to effectively use therapeutic option theory and technique and can describe and demonstrate their roles and responsibilities. Demonstrates a thorough knowledge of Seclusion/Restraint standards, guidelines, techniques and initiates documentation and debriefing with individuals for any seclusion/restraint incidents as required. Accurately transcribes Provider orders and administers medications as prescribed. Attempts to have individual sign medication consent form. Performs chart checks and signs off as a second noted on medications prescribed. Draw labs and provide wound care as ordered by Providers when required. Completes nurse to nurse at discharge or when accepting individual from another facility. Performs all other duties as assigned. Qualifications What You'll Bring: Graduated from an accredited Nursing program Unrestricted active license as Registered Professional Nurse through State Board of Nursing or hold a multistate licensure privilege Must be able to perform Safe Clinch patient restraint techniques American Heart Association BLS The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment Complete all credentialing requirements within the required time period, including but not limited to obtaining a National Provider Identifier (NPI), Medallion enrollment, Medicare enrollment, and any other necessary credentials as required for the role It would be great if you had: Bachelor’s degree in Nursing At least 3 years of psychiatric, behavioral health or relevant experience Previous emergency room or crisis psychiatric care experience Experience working with individuals with addiction and addiction management What We Offer: Full-time only: Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity CHS pays for Basic Life, AD&D, Short and Long-Term Disability Voluntary Life insurance option for employees and their families Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan) Flexible Spending Accounts (health care and dependent care) 401k company match after 6 months (50% of deferrals up to 6% of compensation) Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays All employees (Pool, Part-time and Full-time): Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support After 90 days, you are auto enrolled in the 401k Plan The typical hiring range for this role in Washington is $45.00 - $70.75 per hour. EEO Statement Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.
Defense Health Agency (DHA)

Nurse (Progressive Care Unit Nurse)

Overview Madigan Army Medical Center is seeking Progressive Care/Step Down RNs to join our growing team! About the Position: This position is located within the Department of Nursing, management of critical care patients. Tacoma, Washington. Relocation or Recruitment incentives May be authorized to highly qualify candidates. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/. Responsibilities Duties: Provide specialized nursing care to assigned patients. Monitor patient condition and implement timely interventions to prevent complications and promote recovery. Initiate appropriate emergency interventions upon recognizing and assessing life-threatening conditions to deliver timely, life-saving care. Initiate advanced cardiovascular life support (ACLS) protocols by preparing and administering high-potency medications such as Nipride, dopamine, atropine, nitroglycerin, and dobutamine to manage life-threatening cardiac conditions. Support physicians during complex and potentially life-threatening procedures, including cardioversion and the placement of invasive lines such as arterial, central venous, and pulmonary artery catheters. Evaluate patient responses by monitoring cardiac output, vital signs, peripheral perfusion, and level of consciousness. Coordinate referrals to appropriate allied health professionals such as Chaplains, Community Health Nurses, and Social Workers based on patient and family needs Administer a combination of high-potency and potentially life-threatening medications through invasive lines as part of critical care interventions. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical/Critical Care): Degree: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credential's evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education and Experience: A diploma, associate degree, or bachelor's degree in nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing care to moderately stable, less complex patients requiring moderate resources and intermittent nursing care, as well as stable patients with a high potential for becoming unstable who require increased monitoring and intensity of care and performing detailed assessments specific to acutely ill patients, administer medications via oral, intramuscular, subcutaneous, intradermal, and intravenous routes, and actively engage in patient advocacy to ensure the highest standards of care and ethical practice are upheld. (Note: You must attach a copy of your transcripts. ) OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to such as e.g., Doctor of Nursing Practice (DNP), Doctor of Public Health (DrPH), or Doctor of Medical Science (DMSc), or other specialties identified for the position. (Note: You must attach a copy of your transcripts.) EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher-level graduate education from a professional nursing program Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Degree from Foreign Nursing School : Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.
NaphCare, Inc.

Registered Nurse (RN)-PRN

Overview NaphCare is hiring a Registered Nurses (RNs ) to join our team of medical professionals in Tacoma, WA, where we manage all aspects of healthcare for the individuals who are currently incarcerated in the Pierce County Jail As a Correctional Registered Nurse (RN ), you will work alongside correctional officers and other medical professionals to provide care to the individuals in residence. Working within a controlled environment, where security is top priority and the days are never dull, you will have various duties to keep you engaged including performing physical assessments, administering medications, managing chronic illnesses, and responding to emergencies. This is a unique position where you can make a difference to this diverse population of patients with complex medical needs. Pay rates range from $49.50 to $52.25 per hour based on employment status, shift, specific facility, site needs, licensure, and experience. *New grads are encouraged to apply - we'll train you in the exciting field of correctional healthcare!* Responsibilities As a Registered Nurse you will play a critical role in our continued mission to provide quality care that protects the rights, dignity, and health of our unique patient population. Duties and responsibilities may include and are not limited to: Performing initial health screenings and physical assessments of newly detained individuals. Monitoring and documenting patient health including vital signs, medical histories. Providing direct patient care, triaging, assessing patient needs, developing care plans, and coordinating services. Managing acute and chronic conditions such as asthma, hypertension, and diabetes. Responding to medical emergencies, providing first aid, and ensuring timely transport to appropriate healthcare facilities. Educating patients on preventative care, healthy lifestyle choices, and substance abuse prevention. Understanding and adhering to correctional facility security protocols, while working closely with correctional officers and other healthcare professionals, to ensure the safety and well-being of patients. Maintaining accurate medical records, documenting treatment plans, and reporting any relevant information. Qualifications New grads are encouraged to apply! Education / Licenses / Certifications / Requirements Holds a current, unrestricted license as a Registered Nurse within Washington Possess an active CPR certification Must pass the facility’s criminal background check and drug screening Experience / Skills Knowledge of nursing practice principles and techniques, occupational health and safety standards, infectious disease management, applicable health care laws, regulations, and procedures for direct health care services. Ability to maintain confidentiality of all proprietary and/or confidential information Excellent communication, organizational, and problem-solving skills Able to work independently and in a team Flexible schedule and availability to work overtime when needed Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements Physical Capabilities: Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift. Why Join NaphCare? NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time! In addition to competitive salaries and generous employee benefits, we have opportunities for new graduates and experienced medical professionals, promote educational growth, and strongly support career advancement within the company. NaphCare Benefits for Full-Time Employees Include: Health, dental & vision insurance that starts day one! Prescriptions free of charge through our health plan, beginning day one Lowest Cost Benefits! Employee Assistance Program (EAP) services 401K and Roth with company contribution that starts day one! Tuition Assistance Referral bonuses Term life insurance at no cost to the employee Generous paid time off & paid holidays Free continuing education and CMEs Want a better idea of what it’s like to work in a jail? See what our RNs do: NaphCare - Life as an RN - YouTube If you would like to s peak with me to learn more about this position and NaphCare, please first apply directly to the position to initiate the application process , and I’ll be in touch. Equal Opportunity Employer: disability/veteran Follow Us: Instagram | Facebook | LinkedIn | Advancing Correctional Healthcare | NaphCare #NCNH
Jefferson Healthcare

ED Registered Nurse - Evening Shift

$41.43 - $75.65 / hour
Registered Nurse Emergency Department Announcement #323972 Jefferson Healthcare is currently seeking a full-time evening shift Registered Nurse to join our team. As an Emergency Department RN, you will be responsible for providing nursing care tailored to individual patient needs, following the nursing process, which includes assessment, planning, implementation, and evaluation. You will also be required to promote continuity of care to ensure that patient needs and expected outcomes are met. As a team member, the RN must be comfortable delegating and supervising support nursing staff who participate in the provision of care. What You'll need: Current Washington state RN license in good standing 3 years of Emergency Department experience preferred Current CPR/BLS (Healthcare Provider) required and ACLS may be required Advanced current certification required or preferred for specific patient population: Pediatric Advanced Life Support (PALS), Emergency Nursing Pediatric Course (ENPC), Trauma Nurse Care Course (TNCC), Neonatal Resuscitation Program (NRP), Wound Care, Procedural Sedation Bachelor of Science in Nursing preferred What we can offer you: Competitive wages based on experience Medical, dental, vision, retirement, PTO and more! Outstanding benefits , including 5% employer contribution to your retirement account and low insurance premiums for individuals and families. Benefits package is ranked in the top 1% in the state! Jefferson Healthcare qualifies for Public Service Loan Forgiveness Opportunities for growth and development Supportive and inclusive work environment Monetary incentive for BSN and/or certifications Differentials for weekends, evening shift, and holidays Schedule : 0.9 FTE; 36 hours/week; Day shift To Apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

ED Registered Nurse - Per Diem

$41.43 - $75.65 / hour
Registered Nurse Emergency Department Announcement #324795 Jefferson Healthcare is seeking an experienced per diem Registered Nurse to join our Emergency Department. In this role, you will be responsible for delivering nursing care tailored to individual patient needs based on the nursing process, which encompasses assessment, planning, implementation, and evaluation. You will promote continuity of care to ensure that patient needs and expected outcomes are met. As a member of the team, the Registered Nurse will be expected to delegate and supervise the support nursing staff involved in the provision of care. In this role, you will be responsible for delivering nursing care tailored to individual patient needs based on the nursing process, which encompasses assessment, planning, implementation, and evaluation. You will promote continuity of care to ensure that patient needs and expected outcomes are met. What we can offer you: Competitive salary 15% increase in place of benefits Shift differential Supportive team environment Flexible scheduling Supportive and inclusive work environment Direct support from your Director & Clinical Supervisor What you'll need: Current Washington state RN license in good standing 2 years of Emergency Department experience preferred Current CPR/BLS (Healthcare Provider) required and ACLS may be required Advanced current certification required or preferred for specific patient population: Pediatric Advanced Life Support (PALS), Emergency Nursing Pediatric Course (ENPC), Trauma Nurse Care Course (TNCC), Neonatal Resuscitation Program (NRP) Bachelor of Science in Nursing preferred Specialty areas may require additional experience, certifications and licenses Schedule : Per Diem; 0-16 hours/week; Schedule will vary To Apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Family Birth Registered Nurse - Day Shift

$41.43 - $75.65 / hour
Night Shift Registered Nurse Family Birth Center Announcement #322370 Jefferson Healthcare, in the charming town of Port Townsend, Washington, is currently seeking an experienced and empathetic Registered Nurse to join our Family Birth Center team. The ideal candidate will provide exceptional nursing care during the labor and delivery process, which is individually tailored to meet the unique needs of each patient using the nursing process. This includes assessing, planning, implementing, and evaluating patient care while ensuring that patient needs and expected outcomes are met through promoting continuity of care. As a valued member of the team, you will also have the opportunity to utilize your skills to support neighboring departments and contribute to the overall success of the facility. What we can offer you: Bonus eligible Outstanding benefits , including low insurance premiums for individuals and families. Medical, dental, vision, retirement, PTO, and more Monetary incentive for BSN and/or certifications Differentials for weekends and holidays Supportive and inclusive work environment Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Washington state RN license in good standing required BLS Certification required NRP Certification required ACLS Certification required within 6 months of hire STABLE Certification required within 6 months of hire AWHONN Fetal Heart Monitoring Intermediate and Advanced Certification required within 6 months of hire Bachelor of Science in Nursing preferred Two (2) or more years of labor & delivery nursing experience Schedule: 0.9 FTE; 36 hours/week; Day Shift To apply : Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Us: Jefferson Healthcare is one of the top employers on the beautiful Olympic Peninsula and near Seattle, Victoria, BC, and Vancouver. We are a DNV-accredited, 5-star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 33,000 residents of East Jefferson County. Port Townsend, Washington, is a vibrant coastal community that masterfully blends rich history, artistic flair, and natural beauty, making it a truly exceptional place to live. Nestled at the northeastern tip of the Olympic Peninsula, this charming town is renowned for its well-preserved Victorian architecture, earning it the nickname "The City of Dreams." Residents enjoy a thriving arts scene, with numerous galleries, theaters, and cultural events that cater to diverse interests. The town hosts several annual festivals, such as the Port Townsend Wooden Boat Festival and the Port Townsend Film Festival, which foster a strong sense of community and celebration. Nature enthusiasts are drawn to Port Townsend's stunning landscapes, from serene beaches to lush forests, offering ample opportunities for outdoor recreation. The town's maritime heritage is evident, with a bustling marina and a community deeply connected to the sea. With its unique blend of historical charm, artistic energy, and natural splendor, Port Townsend stands out as an inviting and enriching place to call home. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Jefferson Healthcare

Oncology RN Navigator

$42.23 - $77.10 / hour
Oncology RN Navigator Announcement #323626 Jefferson Healthcare in Port Townsend, WA, is currently looking for a full-time Oncology RN Navigator to join our growing team. The ideal candidate will possess specialty-specific clinical knowledge and have a passion for providing individualized assistance to patients, families, and caregivers. In this pivotal role, you will help patients navigate healthcare system barriers, ensuring a seamless care experience from referral to specialty care and beyond, including survivorship and end-of-life care. As an RN Navigator, you will utilize your advanced clinical skills and expertise to coordinate patient care along the specialty continuum. You will employ critical thinking and decision-making abilities to guide specialty care teams, addressing the complex needs of patients throughout their healthcare journey. If you're ready to make a meaningful impact in patients' lives and enhance their care experience, we want to hear from you! What we can offer you: Bonus eligible position Competitive wages based on experience Medical, dental, vision, retirement, PTO, and more Outstanding benefits , including low insurance premiums for individuals and families. Hybrid work environment after onboarding Jefferson Healthcare qualifies for Public Service Loan Forgiveness What you'll need: Current Washington state RN license in good standing Bachelor of Science in Nursing preferred 3-5 years of experience in Oncology Nursing preferred Oncology Navigation experience preferred ONS Certification required BLS Certification required ACLS Certification may be required Schedule : 0.9 FTE; 36 hours/week; Day Shift To apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Shriners Children's

Perioperative, Pediatric RN (On-Call)

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The registered professional nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Shriners Children's Professional Practice Model (FOCUSED), which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability and availability of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching, and may participate on committees or projects. Shrines Spokane is looking for a PRN RN to join the team. The pay range for this position is $41.04-$70.35/hourly. Compensation is determined based on years of experience and departmental equity. This position qualifies for Shriners Children's Nursing School Loan Forgiveness Program. Responsibilities Provides nursing care to our pediatric patients in all of the perioperative areas, including Pre-op Holding, the Operating Room, and Phase I Recovery Room. Performs assessments, interventions, circulating, IV starts, airway management, aseptic technique, and various other high acuity skills designed to keep the patients safe before, during, and immediately after surgery. Collects and analyzes assessment data to determine diagnosis/issuesAssesses comprehensive data including but not limited to physical, psychosocial, emotional, cognitive, and spiritual needs and interprets assessment information to derive the diagnosis or issues as defined by the patient’s condition. Identifies expected outcomes and develops a plan that prescribes strategies which address health promotion and restoration, health maintenance, or health related problems or issues and alternatives to attain expected outcomesInvolves patient, family and healthcare team members in formulating a culturally appropriate individualized plan of care and identifies expected outcomes based on nursing assessment and diagnosis. Implements the identified plan and coordinates care delivery This is not an all inclusive list of this job's responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required RN licensure in WA Basic Life Support (BLS) PEAR, PALS, ACLS: obtain within 1 year of employment as required by hospital Preferred Bachelor in Nursing Perioperative/Procedural or Acute Care/ICU experience
Confluence Health

Registered Nurse (RN) - Emergency Services

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000 with recent Emergency Department experience. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. ER Experience preferred. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Emergency Services Clinical Manager Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedure. Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jefferson Healthcare

Surgical Circulator RN

$41.43 - $75.65 / hour
Registered Nurse - OR RN Surgical Circulator Announcement #323473 Are you a Registered Nurse looking for a challenging and exciting opportunity? Jefferson Healthcare is seeking a full-time Surgical Circulator RN to join our dynamic team in the Surgical Services department. As a Surgical Circulator, you will serve as a patient advocate and work inside the operating room to ensure that patients receive the best possible care. You will be involved in all phases of patient care, from admission to recovery, and even help in discharging patients or taking them to the inpatient floor. If you are motivated to learn and grow in your role, Jefferson Healthcare is the perfect place for you. What we can offer you: Competitive wage based on experience Sign-on and relocation available Medical, dental, vision, retirement, PTO, and more! Outstanding benefits , including 5 % employer contribution to your retirement account and low insurance premiums for individuals and families. Benefits package is ranked in the top 1% in the state! Jefferson Healthcare qualifies for Public Service Loan Forgiveness Monetary incentive for BSN and/or certifications Supportive and inclusive work environment What you'll need: Current Washington State RN license required Current AHA BLS/CPR (Healthcare Provider) certification 20 minutes on-call response time availability required ACLS required or to be obtained within 90 days of employment CNOR preferred Bachelor of Science in Nursing preferred Circulating experience preferred PACU/Med Surg/ICU/ED experience preferred Endoscopy experience preferred Schedule : 0.9 FTE; 36 hours/week; Day shift; 12-hour shifts To apply: Please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/ About Jefferson Healthcare Surgical Services Surgical Services at Jefferson Healthcare is a place like no other. Our team operates in a tight-knit work environment where we prioritize not only the well-being of our patients but also each other. The OR hallway offers stunning views of the Cascade Mountain Range and Mount Rainier beyond Puget Sound, making it a serene and calming place to recover. We're open every weekday, and our team provides 24/7 call coverage after hours. Our Surgical Services include a Pre-Op Clinic, a Surgical short-stay unit, 3 OR Suites, 1 Endoscopy Room, PACU, and Sterile Processing. All the instrumentation used in Jefferson Healthcare, including the OR, the hospital, and all the clinics, is sterilized in our facility. We offer a wide range of services, including General, Ortho, Urology, OBGYN, Endoscopy, and minor Cardiology procedures. On average, we perform over 100 surgeries and 60 endoscopies each month, as well as over a hundred total hip and knee replacements every year. At Jefferson Healthcare, we strive to provide the highest quality surgical services available, and our team of experienced professionals is dedicated to ensuring comfort and safety every step of the way. Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. Disclaimer : As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.
Confluence Health

Registered Nurse (RN)

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Sign On Bonuses and Relocation Allowances Available for Full Time Positions (Dependent on Experience, Department and Shifts) *Requires a one or two year commitment to Confluence Health Hospital* Essential Functions A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). We have positions posted in the following Departments : Emergency Services Operating Room/Surgery Medical/Oncology Progressive Care Unit Surgical Unit Intensive Care Unit Labor and Delivery Pediatrics Qualifications Required: RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Required to maintain active Basic Life Support (CPR) certification. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN.
Alderwood Post Acute & Rehabilitation

Registered Nurse

Registered Nurses (RNs) – Be the Heart of Skilled Care! Alderwood Health & Rehab Lynnwood, WA Full-Time | Part-Time | Per Diem Shifts Available: 6am-2pm, 2pm-10pm, 10pm-6am Rate of pay: $45.75 to $52.31(plus Shift Diffs as applicable) Access to Daily Pay You chose nursing for a reason. Let that reason thrive here. At Alderwood we don’t just provide care — we build connections. We’re a compassionate, resident-centered Skilled Nursing and Long-Term Care Facility, and we are looking to hire Registered Nurses (RNs) who want to make a difference every single day. What You’ll Love: · Competitive hourly pay + shift differentials · Paperless, quick onboarding · Comprehensive benefits (health, dental, vision, retirement plan, same day pay , instant access to wages ) · Predictable scheduling and flexibility (e.g., full-time, part-time, PRN options) · Paid time off, holiday pay · Generous employee referral program · Annual performance reviews and competitive bi-annual pay reviews · Support for personal well-being (EAP programs, mental health resources) · Respectful, supportive leadership and strong focus on teamwork · Optimal staff-to-patient ratios to prevent burnout · Opportunities for advancement · Tuition reimbursement, training programs, and CEU support · Strong mentorship and orientation programs · Strong school partnerships · 360 communications for staff, residents & families What You’ll Be Doing: · Provide nursing care to ensure resident needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines · Plan nursing interventions for each resident based on individual needs and monitor the implementation · Evaluate the effectiveness of care interventions, identify problems and trends and develop alternative interventions. · Conduct family and resident education · Administer medications and treatments timely and according to center policy · Transcribe physician’s orders and chart progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response · Identify and report changes in condition to supervisor, physician and family · Accurately identify skin changes and follow skin management protocols · Order and report diagnostic tests timely · Follow Pharmacy policy and procedures for ordering and delivering medications. · Coordinate resident’s rehabilitation program with therapists to ensure rehabilitation needs are met · Monitors that CNA documentation is completed daily · Ensures CNA assignments are completed on time · Perform additional nursing care responsibilities as required and based on State Nurse Practice Act. · Requirements: · Active state RN license · CPR/BLS Certification · Experience in Long Term Care or Skilled Nursing preferred · Excellent technical, assessment and documentation skills · Strong analytical and problem-solving skills · Ability to lift 25 or more pounds · Ability to stand, bend, and walk for extended time periods · Team player, strong communicator, passionate about senior care Salary/ Wage Range Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, competencies and experience, and may fall outside of the range shown. Your next shift could change a life. Apply today! We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.
Defense Health Agency (DHA)

Nurse (Operating Room)

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

NURSE (CLINICAL/AMBULATORY)

Overview NURSE (CLINICAL/AMBULATORY) Tacoma, WA Puyallup Community Medical Home (Madigan AMC) At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunties. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities MAJOR DUTIES 1. Performs independent, comprehensive telephone and clinical triaging, and facilitates care coordination through a multidisciplinary approach. Establishes priorities for patient care and evaluates patients’ progress toward high-level wellness. Provides patient education as an integral part of the services offered. Acts as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Communicates with providers regarding determinations and situations, documents events appropriately. Screens patient charts to assess the medical history and determine health care needs. Makes psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Executes or ensures the completion of orders from health care providers. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Records data on patient charts. Assists health care providers with examinations and procedures. Oversees educating patients for high risk, painful or stressful procedures with education and support. Monitors or ensures the monitoring of patients pre, during and post-procedure per established protocols and SOPs. Assesses post-procedure patients prior to their release from the clinic. Ensures complete, thorough documentation for all procedures. Prepares and administers oral, subcutaneous, intra-muscular and intravenous medications. Independently instructs and demonstrates to patients how to provide self-care. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces health care provider instructions and encourages patient in the maintenance of health and self-care. Responds to emergency situations. 2. Assists clinic with patient and staff education. Accepts consults for the education of patients in the outpatient setting. Assists with clinic orientation, and one-on-one patient, educational activities related to acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology. Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities. Evaluates the effectiveness of educational activities. Ensures nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and nursing standards of practice. Develops appropriate nursing plans. Ensures that nursing staff maintains current licenses and certification requirements. Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Ensures staff compliance with maintenance of competency folders in accordance with hospital and Joint Commission standards. Participates in hospital and clinic meetings, and performance improvement activities as assigned. 3. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Assists patient to comply with medical treatment plan as necessary through telephone contact or through clinic visits. PERFORMS OTHER DUTIES AS ASSIGNED.