Nursing Jobs in Fife, WA

apartment Birch Creek Post Acute & Rehabilitation location_onTacoma, WA

Certified Nursing Assistant

Now Hiring: Compassionate CNAs to join Our Long-Term Care/Skilled Nursing Family! Birch Creek Post Acute and Rehab | Tacoma, WA Full-Time | Part-Time | Per Diem Shifts Available: FT Days | PRN Any Shift Rate of pay: $22/hr-$24.60 (plus Shift Diffs as applicable) Access to Daily Pay Are you a caring, dependable CNA who thrives in a team-focused environment? Do you want to make a meaningful difference in the lives of seniors every single day? Join our long-term care team and be the heart of our facility! Why You’ll Love Working With Us: Competitive hourly pay + shift differentials Paperless, quick onboarding Warm, family-like culture, supportive leadership Recognition programs & employee appreciation events Comprehensive benefits (health, dental, vision, retirement plan, same day pay, instant access to wages, PTO, holiday pay) Generous employee referral program Consistent scheduling and flexibility (full-time, part-time, PRN options) Annual performance reviews and bi-annual competitive pay reviews Support for personal well-being (EAP programs, mental health resources) Optimal staff-to-patient ratios to prevent burnout Opportunities for advancement (e.g., CNA to LPN/RN pathways) Tuition reimbursement, training programs, and CEU support Strong mentorship and orientation programs 360 communications for staff, residents & families What You’ll Do: Provide basic nursing care to residents within the scope of the nursing assistant responsibilities and perform basic nursing procedures under the direction of the licensed nurse supervisor Assist residents with daily care, including bathing, grooming, hygiene, and placement of adaptive equipment Keep residents dry (change gown, clothing, and linens when wet or soiled Handle linens and make beds according to infection control guidelines Assist residents with bowel and bladder functions Assist residents in preparation for and transporting them to appointments, activities, and social programs Assist with lifting, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, and lifts, meeting specific resident safety needs. Assist residents in ambulation with or without self-help devices as instructed Performs restorative procedures as instructed Accurately measure and record heights and weights, temperatures, pulses, respirations, and blood pressures as instructed Empty urinary drainage bags and record amount in the record as indicated; report any irregularities to nurse Ensure call lights are within reach of residents and answer call lights promptly Ensure that residents who are unable to call for help are checked frequently Report all changes in residents’ condition to supervisor as soon as practical Maintain cleanliness of resident units, central bathing area, treatment and supply rooms, workrooms, and linen closets; clean bedpans, urinals, and commodes; wash basins, sanitize bathtub after each resident’s use, clean floors Perform other related duties as assigned. Requirements: Certified Nursing Assistant (CNA) in good standing in relevant state Previous experience in long-term care or senior living (preferred) Compassionate, reliable, and patient-centered Strong team player with excellent communication skills Ability to lift up to 25 pounds - physical work is a primary part of the job Able to stand, bend and walk for extended time periods 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. Make Everyday Matter. Join a team where your care is felt, your work is valued, and your residents become like family. If you’re ready to bring comfort, dignity, and a smile to someone’s day— we’d love to meet you. 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.

Med-Surg

Pediatric

apartment MultiCare Health System location_onTacoma, WA

Registered Nurse (RN) - Pediatric Med Surg

Where Kids and Families are Always First MultiCare Mary Bridge Children’s Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington’s South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children’s multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs. We’re continually recognized as a ‘Top Children’s Hospital’ by The Leapfrog Group, an independent hospital rating organization. FTE: 0.9 Shift: Nights Schedule: 12 hour night shifts. Benefits and Incentives Potentially up to $10k sign-on bonus (qualifying external candidates) Potentially up to $10k relocation bonus (depending on the distance of move) Tuition assistance (100% of tuition and fees or up to $5,250) Incentive pay and shift differentials Competitive benefits package Generous paid time off to support work/life balance Position Summary We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Responsibilities You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction Foster a learning environment for patients/families, nursing staff and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL) Current BLS Certification required ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department Certification in specialty area preferred One (1) year of experience in acute care setting preferred Why Mary Bridge Children's? Mission-driven: Partnering for healing and a healthy future for the patients and communities we serve Award-winning: Named ‘Top Children’s Hospital’ for five years by the Leapfrog Group; physicians consistently named on ‘Top Doctors’ lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune Growing: New pediatric hospital facility and medical office building opening in 2026 Leading research: MultiCare Institute for Research & Innovation partners with our pediatric providers, offering ground-breaking research and clinical trials Employee-centric: MultiCare is consistently ranked among “America’s Best Employers by State” by Forbes Lifestyle: Live and work in the Pacific Northwest surrounded by breathtaking mountain, forest and water views Explore our services at marybridge.org Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $46.80 - $90.30 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

Pediatric

apartment MultiCare Health System location_onTacoma, WA

RN - Pediatric ED

Where Kids and Families are Always First MultiCare Mary Bridge Children’s Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington’s South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children’s multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs. We’re continually recognized as a ‘Top Children’s Hospital’ by The Leapfrog Group, an independent hospital rating organization. FTE: 0.9, Shift: Nights, Schedule: 12hr Shifts, Rotating Weekends Position Summary We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Responsibilities You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction Foster a learning environment for patients/families, nursing staff and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL) Current BLS Certification required ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department Certification in specialty area preferred One (1) year of experience in acute care setting preferred Why Mary Bridge Children's? Mission-driven: Partnering for healing and a healthy future for the patients and communities we serve Award-winning: Named ‘Top Children’s Hospital’ for five years by the Leapfrog Group; physicians consistently named on ‘Top Doctors’ lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune Growing: New pediatric hospital facility and medical office building opening in 2026 Leading research: MultiCare Institute for Research & Innovation partners with our pediatric providers, offering ground-breaking research and clinical trials Employee-centric: MultiCare is consistently ranked among “America’s Best Employers by State” by Forbes Lifestyle: Live and work in the Pacific Northwest surrounded by breathtaking mountain, forest and water views Explore our services at marybridge.org Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $46.80 - $90.30 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

NICU

apartment MultiCare Health System location_onTacoma, WA

Registered Nurse (RN) - NICU

Where Kids and Families are Always First MultiCare Mary Bridge Children’s Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington’s South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children’s multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs. We’re continually recognized as a ‘Top Children’s Hospital’ by The Leapfrog Group, an independent hospital rating organization. FTE: 0.9 Shift: Nights Schedule: 12 hour night shifts. Benefits and Incentives Potentially up to $10k sign-on bonus (qualifying external candidates) Potentially up to $10k relocation bonus (depending on the distance of move) Tuition assistance (100% of tuition and fees or up to $5,250) Incentive pay and shift differentials Competitive benefits package Generous paid time off to support work/life balance Position Summary We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Responsibilities You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction Foster a learning environment for patients/families, nursing staff and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL) Current BLS Certification required ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department Certification in specialty area preferred One (1) year of experience in acute care setting preferred Why Mary Bridge Children's? Mission-driven: Partnering for healing and a healthy future for the patients and communities we serve Award-winning: Named ‘Top Children’s Hospital’ for five years by the Leapfrog Group; physicians consistently named on ‘Top Doctors’ lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune Growing: New pediatric hospital facility and medical office building opening in 2026 Leading research: MultiCare Institute for Research & Innovation partners with our pediatric providers, offering ground-breaking research and clinical trials Employee-centric: MultiCare is consistently ranked among “America’s Best Employers by State” by Forbes Lifestyle: Live and work in the Pacific Northwest surrounded by breathtaking mountain, forest and water views Explore our services at marybridge.org Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $44.13 - $85.17 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment MultiCare Health System location_onTacoma, WA

RN - Operating Room

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: .8, Shift: Eves, Schedule: Evening shift - 1445-2315; call required, some holiday work required . Position Summary We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach. It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Responsibilities You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction Foster a learning environment for patients/families, nursing staff and members of the health care team Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL) Current BLS Certification required ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department Certification in specialty area preferred One (1) year of experience in acute care setting preferred Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration , Kindness and Joy . Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $44.13 - $85.17 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment MultiCare Health System location_onAuburn, WA

LPN NRU

$29.39 - $48.59 / HOUR

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0 , Shift: Days , Schedule: variable Position Summary The Licensed Practical Nurse (LPN) is an incredible opportunity to expand your role in nursing care through providing high-quality care focused on the comfort and well-being of patients and families. As an LPN at MultiCare you will work in collaboration with the nursing team to ensure the best possible health care outcomes and patient experiences. Responsibilities You will provide age-appropriate care utilizing nursing education and knowledge of growth, development, and aging You will deliver daily routine care and services to patients from diverse ethnic and social groups You will assist care team in implementing the nursing process utilizing your strong interpersonal skills Requirements Graduate of an accredited school or equivalent qualifying experience Current Licensed Practical Nurse in Washington State or Multistate license endorsement (MLS) Current BLS certification License to pass medications may be required Previous LPN experience in an acute care setting within the last three (3) years preferred Current experience in the assigned specialty, or successful completion of a specialty focused residency post hire Successful completion of appropriate competencies for assigned specialty Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $29.39 - $48.59 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment MultiCare Health System location_onGig Harbor, WA

Medical Assistant

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. *******URGENTLY HIRING!!!***** $5,000 sign on bonus for external applicants with 1 year experience and a 2- year commitment. FTE: 1 Shift: Day Schedule: Clinic hours Position Summary The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Work situations require performance of safe clinical skills within the scope of practice of the MA-C. The MA-C has continuous contact with physicians, APPs, nurses, front office staff, patients and their families/caregivers. Responsibilities: Fulfills patient care responsibilities as assigned which may include: Organizing patient flow in collaboration with the front office staff Interviewing patients Obtaining vital signs Assisting patients in preparing for exams or treatments Performing specimen collection, including venipuncture Administration of medications in compliance with Washington State Department of Health regulations and documented competency Relaying instructions/information to patients and their families/caregivers Fulfills clerical responsibilities as assigned which may include: Sending and receiving of patient medical records Facilitating patient referrals Preparing forms for patients Requirements: Washington State Medical Assistant-Certified (MA-C) Minimum of one (1) year of experience in a healthcare setting preferred Current BLS certification Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $24.58 - $35.36 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment MultiCare Health System location_onPuyallup, WA

Medical Assistant

$24.58 - $35.36 / HOUR

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1 Shift: Day Schedule: Clinic hours Position Summary The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Work situations require performance of safe clinical skills within the scope of practice of the MA-C. The MA-C has continuous contact with physicians, APPs, nurses, front office staff, patients and their families/caregivers. Responsibilities: Fulfills patient care responsibilities as assigned which may include: Organizing patient flow in collaboration with the front office staff Interviewing patients Obtaining vital signs Assisting patients in preparing for exams or treatments Performing specimen collection, including venipuncture Administration of medications in compliance with Washington State Department of Health regulations and documented competency Relaying instructions/information to patients and their families/caregivers Fulfills clerical responsibilities as assigned which may include: Sending and receiving of patient medical records Facilitating patient referrals Preparing forms for patients Requirements: Washington State Medical Assistant-Certified (MA-C) Minimum of one (1) year of experience in a healthcare setting preferred Current BLS certification Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $24.58 - $35.36 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

Infusion

Part-time

Infusion Registered Nurse - Issaquah

apartment Fred Hutchinson Cancer Center location_onIssaquah, WA

Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. The Registered Nurse is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation. This position is 0.75 FTE, 30 hours/week. Responsibilities Assesses physical, emotional, social, and spiritual needs and evaluates patients’ adaptation to health changes Develops a plan of care based on patients’ disease, symptoms, and response to treatment Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management Coordinates with inter-disciplinary team to ensure continuity of care Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc. Implements, evaluates and modifies plan of care Integrates research and evidence based knowledge into clinical practice In addition to primary responsibilities of the Registered Nurses (RN), the Infusion RN will have the following key responsibilities: Nursing Care and Assessment Demonstrate knowledge of standard treatment and medication side effects Perform nursing assessment, review relevant lab results, assess pain and other symptoms Administer IV hydration, electrolyte replacement, chemotherapy/biotherapy, and blood products Safe Handling of Hazardous Drugs Demonstrate an awareness of the potentially hazardous nature of many of the agents administered and uses correct precautions when handling them Follow all procedures regarding safe disposal of any materials used in the administration of chemotherapy or other hazardous agents and blood products Patient and Family Education Provide patient and family education in coordination with treatment and care plan Conduct learning needs assessment for patient and caregiver(s) Ensure patients have clinic contact information and understand when to call if symptoms arise or persist post-infusion therapy Communication and Teamwork Communicate or escalate patient symptoms and concerns to provider as needed Collaborate with the care team to provide effective and efficient patient care Request consultation from social work, dietician, spiritual care, and or any other supportive care teams when patient's situation indicates Professional Development and Clinic Engagement Participation in continuing education, departmental projects, committee work, and quality improvement initiatives Qualifications Required: Graduate from an accredited school of nursing Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and must upgrade to an MSL primary state of residence, WA, within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval. Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years ONS Chemotherapy Provider Card (required within 3 months of hire) Additional certification may be required dependent upon department. Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge Ability to develop clinical judgment. Time Management skills; the ability to organize and manage time and tasks independently Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response. Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill. Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response. Preferred: Bachelor of Science in Nursing Two years of nursing experience preferred. Certification in oncology or specialty practice area 2 years of RN Oncology experiencein an ambulatory infusion setting The hourly pay range for this position is from $47.64 to $88.19 and pay offered will be based on experience and qualifications. Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification. This position may be eligible for relocation assistance.This position is 0.75 FTE, 30 hours/week. This position is not eligible for H1-B sponsorship at this time. Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks). Paid time off is prorated for part-time positions. Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.

apartment MultiCare Health System location_onTacoma, WA

Pediatric

Part-time

MA - Pediatric Clinics Float Pool

Where Kids and Families are Always First MultiCare Mary Bridge Children’s Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington’s South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children’s multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs. We’re continually recognized as a ‘Top Children’s Hospital’ by The Leapfrog Group, an independent hospital rating organization. FTE: 0.6, Shift: Day, Schedule: Variable Position Summary The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Work situations require performance of safe clinical skills within the scope of practice of the MA-C. The MA-C has continuous contact with physicians, APPs, nurses, front office staff, patients and their families/caregivers. Responsibilities: Fulfills patient care responsibilities as assigned which may include: Organizing patient flow in collaboration with the front office staff Interviewing patients Obtaining vital signs Assisting patients in preparing for exams or treatments Performing specimen collection, including venipuncture Administration of medications in compliance with Washington State Department of Health regulations and documented competency Relaying instructions/information to patients and their families/caregivers Fulfills clerical responsibilities as assigned which may include: Sending and receiving of patient medical records Facilitating patient referrals Preparing forms for patients Requirements: Washington State Medical Assistant-Certified (MA-C) Minimum of one (1) year of experience in a healthcare setting preferred Current BLS certification Why Mary Bridge Children's? Mission-driven: Partnering for healing and a healthy future for the patients and communities we serve Award-winning: Named ‘Top Children’s Hospital’ for five years by the Leapfrog Group; physicians consistently named on ‘Top Doctors’ lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune Growing: New pediatric hospital facility and medical office building opening in 2026 Leading research: MultiCare Institute for Research & Innovation partners with our pediatric providers, offering ground-breaking research and clinical trials Employee-centric: MultiCare is consistently ranked among “America’s Best Employers by State” by Forbes Lifestyle: Live and work in the Pacific Northwest surrounded by breathtaking mountain, forest and water views Explore our services at marybridge.org Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $24.58 - $35.36 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Practical Nurse / Vocational Nurse

Overview Practical Nurse. Joint Base Lewis-McChord, Tacoma, WA This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DOD Workforce to recruit and appoint qualified candidates to positions in the competitive service. 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 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: Take vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length). Document patients' chief complaints and other pertinent information in the health record. Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups in accordance with established protocols. Perform teaching to patients and/or family regarding self-care procedures and document teaching. Recognize adverse signs and symptoms immediately and call for assistance if the situation warrants it. Set up, operate and monitor specialized equipment, such as cardiac monitor, and/or defibrillator. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Practical Nurse: Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. Note: Applicants must upload/submit a copy of their license with their application package. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing such duties as taking vital signs; assisting healthcare providers with medical procedures; utilizing a health care information system to input patient data/update records. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-04). Education Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Outpatient

apartment Defense Health Agency (DHA) location_onPuyallup, WA

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.

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

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

Outpatient

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Nurse (Clinical/Ambulatory)

Overview Nurse (Clinical/Ambulatory) Tacoma, WA 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 Provide professional nursing care to patients with acute and chronic renal failure. Administer blood transfusions, intravenous fluid, and special medications via intravenous push. Perform highly sophisticated therapies such as hemodialysis, therapeutic plasma exchange, peritoneal dialysis, metabolic testing, 24-hour blood pressure monitoring, and transplant education. Teach patient, family, and significant others the principles of dialysis and the different modalities available. Initiate appropriate measures to include resuscitation during cardiac or respiratory arrest or allergic reaction. Maintain records, develop and revise nursing care plan based on nursing and medical history, physical examination, and patients’ needs and/or problems. Performs other duties as assigned. Qualifications Must be a United States Citizen. Must possess a valid Registered Nurse License that has not elapsed/expired. Must have an Associates, Bachelors or Master’s Degree in Nursing. 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. Madigan is non-smoking facility.

apartment MultiCare Health System location_onKent, WA

Medical Assistant - Family Practice

$25.28 - $36.45 / HOUR

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. ****URGENTLY HIRING**** $5,000 SIGN on BONUS with 24 month commitment. Must have at least one year experience. FTE: 1.0, Shift: Day, Schedule: Monday - Friday Position Summary The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Work situations require performance of safe clinical skills within the scope of practice of the MA-C. The MA-C has continuous contact with physicians, APPs, nurses, front office staff, patients and their families/caregivers. Responsibilities: Fulfills patient care responsibilities as assigned which may include: Organizing patient flow in collaboration with the front office staff Interviewing patients Obtaining vital signs Assisting patients in preparing for exams or treatments Performing specimen collection, including venipuncture Administration of medications in compliance with Washington State Department of Health regulations and documented competency Relaying instructions/information to patients and their families/caregivers Fulfills clerical responsibilities as assigned which may include: Sending and receiving of patient medical records Facilitating patient referrals Preparing forms for patients Requirements: Washington State Medical Assistant-Certified (MA-C) Minimum of one (1) year of experience in a healthcare setting preferred Current BLS certification Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $25.28 - $36.45 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Advanced Practice Nurse ( Family Practice)

Overview Advanced Practice Nurse ( Family Practice) Tacoma, WA (Madigan AMC) A recruitment or relocation incentive may be authorized. Salary negotiations may be available for those candidates who are new to Federal service. 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 DUTIES: Provide health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis and treatment within personal credentials and privileges delineated by the MTF. Direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients. Perform a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Develop new techniques and establish criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plan with other professionals, and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Examine patient and performs initial patient work-up and assessment of patient's care and treatment; determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete assessment of the patient. Performs other duties as assigned. Qualifications US Citizenship required At least one year of licensed clinical experience AFTER finishing APRN program Applicants must have passed the National Council Licensure Examination and possess 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.

OB/GYN

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Advanced Practice Nurse (OB/GYN)

Overview Advanced Practice Nurse ( OB/GYN) Tacoma, WA 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 1. Serve as an Advanced Practice Nurse (APRN) for Madigan Army Medical Center (MAMC) at Joint Base Lewis McChord (JBLM). As an APRN, serve as a direct Obstetrics and Gynecology (OB-GYN) health care provider in the capacity of a credentialed Nurse Practitioner to provide OB-GYN care services to female patients; making independent decisions regarding the medical care required and in the interpretation and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements. The APRN performs a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Provide independent, primary, comprehensive and therapeutic health care services, to include examining, assessing, diagnosing, and treating patients in the OB-GYN Clinic. Identify and manage, according to outlined protocols, own case load of antepartum and postpartum patients, and those with gynecologic problems: counsel on menopausel, infertility, contraceptive and related health concerns. See unscheduled walk-in patients at specified times for identification and management of acute minor gynecologic or obstetric illnesses. See patients with abnormal pap screens. Obtain and record a problem oriented health history, to include chief complaint, a history of present illness, past medical history, family history and review of systems. Perform a systematic physical examination and interpret abnormal and normal findings. Perform routine gynecologic examinations, to include abdominal palpation, breast examination, and pelvic examination. Pap smears, and laboratory specimens to rule out vaginal infections. Order and interpret related laboratory and diagnostic tests. Discriminates between normal and abnormal findings in order to make a nursing diagnosis regarding physical, emotional, or social disabilities. Develop a problem list if indicated, implementing a therapeutic plan for each problem. Prescribe medications approved by the Therapeutic Agents Board. Provide teaching to patients and their families regarding the disease process, diagnostic tests, the therapeutic regimen including medication, diet and follow-up care; methods of adapting medication and treatment to current life styles; pregnancy, labor and delivery, and postpartum; methods of contraception; infertility, menopause, and prevention and treatment of sexually transmitted diseases. Provide counseling to patients for prevention of illness and maintenance of health; in order to assist patients in attaining physical, mental and social well-being. Secure a health and medical history from the patients or family member, record findings and make clinical evaluation. Examine patients and perform initial patient work- up and assessment of patient's care and treatment; and determine the need for and order laboratory tests, X-rays and other procedures necessary to complete assessment of the patient. Discriminate between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provide surveillance of adherence to medical and primary care practices and procedures to care for OB-GYN patients; adjust regimens within established protocols recognizing when to refer the patient to the physician or other primary care members. Make decisions concerning care needs of patients that impacts the care of other healthcare professionals and ancillary staff; work independently and collaboratively with physicians in patient management, evaluation and revision of therapeutic plans; and refer extremely or selected complex medical problems to physician. 2. Independently develop new techniques and establish criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Collaborate with other professionals, and agencies involved in providing OB-GYN care services to patients and their family members, and coordinate the care provided. Develop and recommend new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. Provide consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Document in patients’ record all observations, plans, treatments, and other important findings. Identify those components of the care plan which may be appropriately delegated to other nursing personnel. 3. Consult with other professional and paraprofessional staff throughout the institution on women’s health issues. Supervise and instruct students in clinical experiences. Coordinate or conduct in-service education programs for other health care professionals. Serve as advisor/member of committee as needed. Participate in ongoing peer review with other APRNs. Develop protocols in collaboration with physicians. Involved in continuous professional self-growth through attendance at seminars and classes and by subscription to professional journals. Initiate emergency care as appropriate. Perform other duties assigned. Qualifications US Citizenship required At least one year of licensed clinical experience AFTER finishing APRN program Applicants must have passed the National Council Licensure Examination and possess 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.

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

ADVANCED PRACTICE NURSE (NURSE MIDWIFE) GS-12

Overview ADVANCED PRACTICE NURSE (NURSE MIDWIFE) GS-12 Tacoma, WA About the Position: This position is located at Madigan Army Medical Center (MAMC), Tacoma, WA.This is a Direct Hire Solicitation 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 Duties: Provide independent, preventive, therapeutic, and comprehensive obstetric and gynecologic care. Collaborate with Obstetricians and Gynecologists when caring for women with obstetric, gynecologic, and general medical complications in both the ambulatory and inpatient settings. Perform and/or requests laboratory, radiological, and other diagnostic and screening tests. Administer appropriate analgesia and anesthesia. Teach hospitalized OB/GYN patients on the nursing unit. Perform other duties 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 Advanced Practice Nurse (Nurse Midwife) : 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. AND Degree for Advanced Practice Registered Nurse Positions: A graduate or higher level degree in nursing from an accredited educational program in Midwifery. OR Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. AND Licensure: Applicants must have passed the National Council Licensure Examination and possess 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. In addition, applicants must possess licensure or registration by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in Midwifery. In addition to meeting the basic requirement above, to qualify for this position you must meet the qualification requirements listed below: Experience: At least one full year of professional nursing experience (equivalent to the GS-11 grade level). Professional Nursing Experience is defined as: One year of professional experience performing physical exams on obstetric or gynecologic patients, ordering or interpreting lab results and providing postpartum care. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone - no substitution of education for experience is permitted. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

apartment Carbon Health location_onPuyallup, WA

Per Diem

Medical Assistant

As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. The magic we’ve created lies in Carbon Health’s custom EHR and the collaboration among clinical teams, engineers, and designers who work side-by-side to deliver innovation like our hands free AI charting tool. That’s why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better. The Medical Assistant position is comfortable working in a fast paced, paperless environment. Daily tasks include taking vitals, rooming patients, cleaning rooms, assisting with procedures, etc. As an urgent care clinic, we see mostly lower acuity patients but we are a patient centric, modern company focused on providing patients with excellent medical care. We are looking for someone with availability and flexibility to work weekdays, weekends and some holidays. WHAT YOU’LL DO Perform patient care by taking vitals, patient history and triaging Assist with procedures such as incision and drainage, lacerations and wound care Administer medications via intradermal, intramuscular and subcutaneous routes, carry out ear lavages and run EKGs Conduct lab testing such as urinalysis, urine pregnancy test, blood glucose testing, monospot, rapid strep and influenza testing, rapid hiv testing Manage the front desk and perform receptionist duties as needed Complete training and become certified with the Department of Transportation to perform Urine Drug Screens and Breath Alcohol Tests ABOUT YOU High school diploma or equivalent Certification from an accredited Medical Assistant program (except in those locations(s) permitted by law for exemption with experience, diploma and/or national certification) Current BLS certification, willingness to obtain DOT certification 1+ years experience as a Medical Assistant preferred Phlebotomy experience preferred Great communication skills BENEFITS Medical, dental & vision coverage, effective first day of employment Health Savings Account & Flexible Savings Account option for health care & dependent care Paid time off, paid sick leave 401k retirement savings plans with employer match Life & Disability Insurance DOT certification will be reimbursed where it is required for practice *Some benefits dependent on specialty and employment status We recognize that the key to success lies in valuing the minds, experiences and perspectives of people from all walks of life. Carbon Health is proud to value diversity and be an equal opportunity employer. Pursuant to the San Francisco Fair Chance Ordinance and the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with arrest and conviction records. Carbon Health is an E-Verify employer.

ICU

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

NURSE (CLINICAL/CRITICAL CARE EF)

Overview Madigan Army Medical Center is seeking Critical Care RNs to join our growing team! 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. About the Position: These positions are located at Madigan Army Medical Center in Tacoma, Washington. Recruitment or Relocation incentives MAY be authorized. Advance-in Hire/Salary negotiation may be available to candidates who are new to Federal service. This is a Direct Hire Solicitation This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. 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: Deliver advanced, specialized nursing care to critically ill pediatric patients ranging in age from neonate to 18 years. Provide support to physicians during complex and potentially life-threatening procedures, including cardioversion and the insertion of invasive lines such as arterial, venous, and pulmonary artery catheters. Prepare and administer high-risk medications as well as intravenous fluids, in support of initiating advanced cardiovascular life support interventions. Assess patients cardiac output, vital signs, peripheral perfusion, and level of consciousness, and evaluate blood gas results, including arterial and mixed venous oxygen saturation. Assess the effectiveness of nursing interventions based on patient responses and modify the care plan as needed to ensure optimal outcomes. Design Family Nursing Care Plans to support critically ill patients and their families in achieving the highest possible level of physiological, sociological, and psychological. 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 Nurs e (Clinical/Critical Care Expanded Functions): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.) Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) delivering comprehensive care to critically ill pediatric patients in an intensive care setting which included managing patients with complex and life-threatening conditions such as congenital heart disease, kidney failure, and respiratory failure; administering medications through various routes; operating medical equipment including hemodynamic monitoring devices and invasive Thermodilution catheters, and providing continuous support to patients and their families on disease processes, as well as guidance on pre-operative and post-operative care to promote understanding and recovery. (Note: You must attach a copy of your transcripts.) OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. Exemption: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher level graduate education from a professional nursing program 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/. 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. Additional information Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. You will be required to provide proof of U.S. Citizenship. One year trial/probationary period may be required. Direct Deposit of Pay is required. Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. Recruitment or relocation incentives MAY be authorized for highly qualified candidates. Advance-in Hire/Salary negotiation may be available to candidates who are new to Federal service. Multiple positions may be filled from this announcement. Salary includes applicable locality pay or Local Market Supplement. If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Multiple positions will be filled from this announcement. Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Nurse (Clinical/Emergency)

Overview **RECRUITMENT OR RELOCATION INCENTIVE UP TO 25% OF NEGOTIATED SALARY MAY BE OFFERED** Madigan Army Medical Center is seeking Emergency Department RNs to join our growing team! This is a Direct Hire SolicitationA recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. This job is open to The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities Provide comprehensive nursing care and treatment to a variety of patients, from newborn to geriatric, arriving with conditions ranging from minor to emergent. Assist physicians in the performance of specialized procedures including, but not limited to, Advanced Cardiac Life Support, insertion of chest drainage tubes, tracheotomies, emergency thoracotomies, gastric lavage, and suturing lacerations. Operate specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, rapid intravenous infusers, and infant servo-warmer. Change dressings, prep wounds, remove sutures, insert catheters, apply splints and dressings, and collect urine, stool, sputum, genital, and blood specimens. Arrange transfer of patients to appropriate inpatient care areas and higher levels of care as well as coordinate patient referrals to ancillary healthcare services including, but not limited to, Community Health, Dietary, and Social Work. Follow quality improvement and internal control activities for the ambulatory setting to include risk appraisals, chart audits, trend identification and reporting corrective actions.Performs other duties as assigned. Qualifications Who May Apply: US Citizens Basic Requirements: 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. One year of licensed experience required.

OB/GYN

apartment Defense Health Agency (DHA) location_onLEWIS MCCHORD, WA

Nurse (Inpatient Clinical/OB-GYN)

Overview Nurse (Inpatient Clinical/OB-GYN) , Tacoma, WA About the Position: This position is located in the Directorate of Nursing, Labor and Delivery Unit at the Madigan Army Medical Center in Tacoma, WA.This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service. A recruitment or relocation incentive may be authorized 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 POSITION DUTIES: Provide comprehensive professional nursing care to OB/GYN patients and their newborns with medical conditions ranging from routine care to those having complex complications requiring sophisticated, highly technical care and treatment. Conduct an advanced level of specialized obstetrical and gynecological nursing care to patients based on a provider’s medical care plan and the physical, mental, and emotional needs of the patient and family. Serve as Charge Nurse on a rotational basis. Perform procedures, treatments, and medication administration. Participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Coordinate case management needs with the case and outcomes management team. Provide sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. Perform 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 (Inpatient Clinical/Obstetrics-Gynecology): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.) Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing Schools (CGFNS). Official certification from the Commission on Graduates of Foreign Nursing Schools (CGFNS) 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:Nursing Specialize Experience: One or more full years of professional nursing experience (equivalent to the GS-11 grade level or above) in the federal service which includes providing comprehensive obstetric and gynecologic nursing care to adolescent and adult patients; educate patients on care plans and assist with procedures. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. 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/.

apartment Defense Health Agency (DHA) location_onPuyallup, WA

Practical Nurse

Overview Practical Nurse (Tacoma, WA) About the Position: This position is located within the Department of Family Medicine at Madigan Army Medical Center in Tacoma, Washington. This includes satellite clinics in various locations, along with those located on Joint Base Lewis-McChord. This is a Direct Hire Solicitation Typical duty hours are Monday through Friday from 0730-1600. 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 DUTIES: Provide individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental, and emotional needs of the patient. Assist the physician with various examinations and diagnostic procedures. Prepare medications and immunizations for administration. Perform routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Perform specialized procedures such as cardiac stress testing on treadmills or bicycles. Administers necessary medications for echocardiogram bubble studies and stress testing echocardiograms. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Practical Nurse:Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing duties such as assisting professional health care providers with minor medical procedures; providing individualized nursing care; and administering oral medication and immunizations within an outpatient setting. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-04).