Kaiser Permanente

Emergency Department Nurse (Per Diem Capitol Hill Seattle)

Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Virginia Mason Franciscan Health

OR Circulator RN

$45.49 - $74.35 / hour
Job Summary and Responsibilities As our Ambulatory RN, you will thoughtfully coordinate and oversee the clinical team, ensuring compassionate, high-quality care for clinic patients and families. Every day, you will actively support patients in meeting health goals, monitor outcomes, optimize service utilization, and maintain vital communication with patients, providers, and staff. To be successful in this role, you will combine strong clinical skills with leadership, excellent communication, and a patient-centered approach, driving optimal health outcomes. Job Requirements Required Current Washington state licensure as an RN CPR certification is required every two (2) years Graduation from an accredited school of nursing approved by the Washington State Board of Nursing Strong patient assessment skills, phone skills, ability to work collaboratively in team setting, current working knowledge of electronic medical records Where You'll Work Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Providence

Clinic RN

$37.41 - $58.08 / hour
Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all aspects of care and teaching needs via direct and telephonic/telehealth or electronic encounters. This role works in collaboration with other members of the health care team. The Clinic RN maintains compliance with professional nursing standards and regulatory requirements and supports clinicians in delivering quality health care to patients. Actions will reflect the organization's core values. Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Graduate of an accredited registered nursing school. Associate's Degree Nursing Or Bachelor's Degree Nursing Upon hire: Washington Registered Nurse License Upon hire: National Provider BLS - American Heart Association 18 months professional nursing experience Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act . About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 453632 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Per-Diem Job Shift: Day Career Track: Nursing Department: 3042 CARDIOLOGY WA PSHI Address: WA Spokane 62 W 7th Ave Work Location: Spokane Heart Institute-Spokane Workplace Type: On-site Pay Range: $37.41 - $58.08 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence

House Supervisor RN

$53.70 - $84.78 / hour
Description Under the supervision of the VP of Patient Care Services, the Nursing Supervisor is responsible for coordinating activities of hospital personnel assigned to a specific shift. Communicates and applies policies, practices, procedures, objectives and goals necessary for attainment of satisfactory patient care Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Mount Carmel Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Graduation from an accredited nursing program. Upon hire: Washington Registered Nurse License Upon hire: National Provider BLS - American Heart Association 1 year of Charge Nurse or leadership experience and demonstrated leadership abilities. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act . About the Team Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern. Requsition ID: 453610 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Per-Diem Job Shift: Variable Career Track: Leadership Department: 3044 PMCH NURSING ADMIN 3RD FLR Address: WA Colville 982 E Columbia Ave Work Location: Mount Carmel Hospital-Colville Workplace Type: On-site Pay Range: $53.70 - $84.78 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Confluence Health

Nurse Clinical Documentation - RN

$41.29 - $64.61 / hour
Salary Range $41.29 - $64.61 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please note: This is a pool position. No guarantee of hours. The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Required to maintain active Basic Life Support (CPR) certification. Performs 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 : Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience Experience in organizational, analytical, and writing skills. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. 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 - C Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement - C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Gentiva

Registered Nurse

$37 - $42 / hour
Overview Lead with Heart. Be the Difference. Transform End-of-Life Care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. Help patients and families understand and navigate topics such as: Medication administration Hospice philosophy and services Symptom and pain management End-of-life processes and expectations Essential Functions Job Responsibilities Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. Deliver skilled nursing interventions and symptom management aligned with goals of care. Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. Core Competencies Clinical excellence and sound judgment Patient-centered communication and empathy Interdisciplinary collaboration Accountability and regulatory compliance Adaptability and critical thinking Timeliness of patient visits and documentation Accuracy and completeness of clinical records Patient and caregiver satisfaction Compliance with regulatory and policy standards Participation in team collaboration and IDG activities Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece. Salary Range – $37.00/hour - $42.00/hour About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education: Registered Nurse Experience: A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred Licenses, Certifications and/or Registration: Current license to practice nursing in the state of requested employment CPR Certification Current automobile insurance and valid driver’s license Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-142090 Category: Registered Nurses Position Type: Flex/Per Diem Company: Gentiva Hospice
Confluence Health

Registered Nurse (RN) - Home Care Services

$49.01 - $92.08 / hour
Salary Range $49.01 - $92.08 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please note: This is a pool position. No guarantee of hours. 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: Nurse Clinical Supervisor - RN Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. 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 procedures. 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. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Actively participates in quality improvement programs. Adheres to Confluence Health policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Performs 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Current, valid driver's license and access to an insured vehicle with the minimum coverage by law. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Bachelor's Degree (BSN). Home Health, Hospice or Acute Care experience. 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 - C Repetitive Movement - O Working Conditions: Work is performed primarily in the patient's home environment or a facility. May also work from the office as needed. Involves continuous contact with patients. Interaction is constant with frequent interruptions. Contact involves dealing with ill people. Driving in all seasons of weather. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - Yes Cold - Yes Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
United Energy Workers Healthcare

Registered Nurse (RN) ( PRN )

$57 - $63 / hour
Overview: United Energy Workers Healthcare: Where Compassion Meets Care! We are a compassionate company driven by a personal commitment to exceptional care. Founded by the grandchildren of a former Department of Energy worker, we elevate the lives of energy workers with unwavering compassion and whole-person care. We're searching for dedicated and empathetic PRN Registered Nurses to join our team as 1099 Independent Contractors , bringing comfort and exceptional care directly to the homes of those who need it most. If you're driven by a desire to make a tangible difference in people's lives and thrive in a flexible, independent environment, we invite you to connect with us. This is more than just a nursing role; it's an opportunity to be a beacon of support and healing in your community. As an In-Home Health Care RN, you'll have the unique privilege of building meaningful relationships with your patients, providing holistic care that extends beyond medical needs to truly touch their lives. Responsibilities: Be a Pillar of Support: You'll conduct thorough assessments, ensuring each patient receives personalized, comprehensive care. Empower Through Education: Guide and educate patients and their families on health maintenance and disease prevention, empowering them to live healthier, more fulfilling lives. Compassionate Assistance: Provide gentle assistance with Activities of Daily Living (ADLs) as needed, always with dignity and respect. Harmonize Care: Coordinate your schedule directly with patients, aligning with their plan of care, approved hours, and personal preferences, ensuring their comfort and convenience. Vigilant Advocate: Monitor and promptly report any changes in patient symptoms or behavior, acting as a crucial link in their well-being. Healing Hands: Administer medications and treatments with precision and care, as prescribed by their treating physician. Collaborative Spirit: Communicate seamlessly with Case Managers and collaborating physicians or specialists, ensuring a unified approach to patient care. Diligent Documentation: Maintain accurate and heartfelt patient logging in our EMR system, reflecting the journey of care. Emotional Connection: Offer invaluable advice and heartfelt emotional support to patients and their family members, becoming a trusted presence in their lives. Your Voice Matters (Communication): Prepare and provide clear, compassionate clinical notes and charting that tell the patient's story. Qualifications: A valid and active RN License in the state of practice. A willingness to travel, bringing care directly to patients' homes. Graduation from an accredited school of nursing. Current BLS Certification. Ability to pass a state & federal background check, ensuring trust and safety. Malpractice Insurance is required . Strong problem-solving and critical thinking skills, coupled with a warm, empathetic approach. Apply Today and Make a Meaningful Difference! If you're a Registered Nurse with a passion for personalized care, a desire for flexibility, and a heart ready to make a profound impact, we would be honored to hear from you. Join United Energy Workers Healthcare as a 1099 Independent Contractor and become an essential part of our mission to bring comfort, healing, and hope to every home we serve. Your dedication will truly make a meaningful difference! Pay Range: USD $57.00 - USD $63.00 /Hr.
Gentiva

Registered Nurse

$37 - $42 / hour
Overview Lead with Heart. Be the Difference. Transform End-of-Life Care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. Help patients and families understand and navigate topics such as: Medication administration Hospice philosophy and services Symptom and pain management End-of-life processes and expectations Essential Functions Job Responsibilities Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. Deliver skilled nursing interventions and symptom management aligned with goals of care. Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. Core Competencies Clinical excellence and sound judgment Patient-centered communication and empathy Interdisciplinary collaboration Accountability and regulatory compliance Adaptability and critical thinking Timeliness of patient visits and documentation Accuracy and completeness of clinical records Patient and caregiver satisfaction Compliance with regulatory and policy standards Participation in team collaboration and IDG activities About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education: Registered Nurse Experience: A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred Licenses, Certifications and/or Registration: Current license to practice nursing in the state of requested employment CPR Certification Current automobile insurance and valid driver’s license Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece. Salary Range – $37.00/hour - $42.00/hour We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-141240 Category: Registered Nurses Position Type: Flex/Per Diem Company: Gentiva Hospice
Confluence Health

Nurse Navigator - Cardiology

$39.33 - $61.57 / hour
Salary Range $39.33 - $61.57 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please note: This is a pool position. No guarantee of hours. The Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longitudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Practice Manager Essential Functions Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the physician and the health care team, to determine the effective utilization of resources and outcome achievement. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action as necessary. This includes patient education on the disease, treatment options, procedures and medication regimens and side effects. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. Obtain, review and scan outside patient records for new newly referred cardiology patients. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally as well as with other members of the cardiovascular team. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Coordinate and continue to develop an established virtual care/telemedicine program for patients in the region, in conjunction with community clinical resources. Assist with patient registry work as it pertains to chronic disease management. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Provide triage services and symptom management to patients as needed, in-person, telemedicine or over the phone.Communicate symptomology to appropriate team members. Required to maintain active Basic Life Support (CPR) certification. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Current BLS Health Provider and ACLS card. Competent in basic computer skills. 3 years of clinical experience. Ability to work independently and perform role with minimal guidance Desired: Previous department experience. 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 – F Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O 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 - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Work is performed at a workstation desk and in patient exam/treatment rooms, where space may be limited and confined. Requires a combination of working independently and close communication with providers. Hours may be irregular at times; overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working. Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes
Jefferson Healthcare

Infusion Center Registered Nurse - Per Diem

$41.43 - $75.65 / hour
Registered Nurse - Infusion Center Per Diem Announcement #326961 Jefferson Healthcare is seeking a highly qualified and compassionate chemotherapy-certified Infusion RN to join our team. As an Infusion RN, you will play a vital role in providing exceptional nursing care tailored to the unique needs of each patient. This includes everything from conducting assessments to developing care plans to implementing and evaluating treatment plans. In this position, you will have the opportunity to ensure that patients receive seamless, coordinated care that enables them to achieve their desired outcomes. As a member of the team, you will also be responsible for delegating and supervising support nursing staff who participate in the provision of care. If you are a skilled RN with a passion for delivering high-quality patient care, we encourage you to apply for this exciting opportunity at Jefferson Healthcare. What can we offer you? Competitive wages based on experience 15% per diem wage premium Opportunities for growth and development Supportive and inclusive work environment What you'll need: Active Washington State RN license in good standing BLS Certification required Bachelor of Science in Nursing preferred 5 years of Oncology Nursing experience preferred Charge Nurse experience preferred 10 years of Nursing experience preferred ONS/ONCC Certification required 2 years of outpatient chemotherapy administration experience preferred Schedule : Per Diem ; 0-16 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.