Nursing Jobs in Rainier, WA

Planned Parenthood Great Northwest, HI, AK, IN, KY Centralia, WA

Medical Assistant - Certified (WA)_Health Center

Why Planned Parenthood? Working at Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work. In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services. About our Medical Assistant position Under the supervision and direction of the Health Center Manager, provides support to patients and co-workers by performing with accuracy and timeliness, a variety of clinical and administrative tasks in different areas of the health center. What will you be doing! Providing non-judgmental, client-oriented care, and providing accurate information by answering questions and providing appropriate resources. Assisting with optimizing patient flow to keep appointments on schedule. Establishing and preparing documents for patient records and patient services. Key Responsibilities: Assisting patients by responding to reports and coordinating services from appropriate personnel or departments as needed. Utilizing comprehensive knowledge or birth control methods and reproductive health services to provide patient education. Providing Planned Parenthood Patient Education Sheets, (PES) and Informed Consent Forms, (ICF) Client and offers Planned Parenthood services or community resources for identified patient’s needs. Optimizing patient satisfaction and efficient use of provider time by providing patient education to each type of visit, ensuing that exam rooms are adequately stocked and prepared prior to visit. Completing patient intake, preparing exam rooms, rooming patients, assisting the clinician, performing lab tests, providing injections, ordering and maintaining supplies, and variety of task which require demonstrating a knowledge of universal precautions, sterile techniques and hazardous waste disposal. Minimum Qualifications: High school diploma or equivalent. National Medical Assistant Certification Preferred Qualifications: 1-2 years in a healthcare setting. Proficiency in Microsoft Office Suite and other software applications. Experience with electronics health records. Salary Range: $21.36 - $32.04 hourly Position Type: Full-time – Shared sites between Olympia and Centralia (1-2 days in Centralia as needed) Tuesday – Saturday 37.5 hours/week This is a union role – United Food & Commercial Workers 3000 Benefits Eligibility: This position is eligible for PPGNHAIK benefits. As part of our total compensation, we provide a comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance. For additional information about our benefits program, please send an email to hre.contacts@ppgnhaik.org . Other Information: All new hires are strongly recommended to have the COVID-19 vaccination, including boosters. All new hires hired between September and April must present proof of receiving a current flu shot. What we expect from you. That you adhere to our code of conduct, policies, procedures, and protocols. That you always demonstrate a high degree of professionalism. That you take action to support our commitment to diversity, equity, and inclusion. That you always support and model our customer service standards. That you value continuous learning and seek ongoing training and development. Our commitment to diversity: At PPGNHAIK , we’ve outlined our priorities and goals as we continue to cultivate and promote a diverse, equitable, & inclusive culture that champions dignity, care, and respect, and where employees feel welcomed and motivated to do their best. These priorities reflect our promise to support programs and initiatives that promote continuous learning and organizational development and discussions on DEI topics; recruit diverse qualified candidates of different backgrounds, lived experiences, and talents; provide internal developmental opportunities; and assess what more we can do to nurture a supportive and equitable work environment. Equal Employment Opportunity PPGNHAIK is an Equal Opportunity Employer. Equal Opportunity will be provided to all employees and applicants for employment on the basis of their ability and competence without unlawful discrimination on the basis of their race, color, ethnicity, national origin, gender, gender identity, gender expression, sexual orientation, religion, protected veteran status, marital status, age, disability, or any other status protected by applicable state and federal laws.

In-Home Caregiver

Family Resource Home Care Tumwater, WA

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive! This position is for our Colville branch location! Pay: $20-$22/hr with shift differentials going up to $24.50 Why Family Resource Home Care Flexible Scheduling . We work with your availability. Work as little or as much as you want. Weekly Pay! Receive a paycheck weekly. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time. We pay you for your travel time and mileage in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Generous Referral Program . Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! Washington only – If you do not have a current HCA or CNA license, you will be required to enroll in our HCA training program we offer (due to state requirements). You will be able to complete the training while working and will have 120 days to complete it. Oregon only – If you have not previously completed the state-required 8-hour Home Care Pulse caregiver training, you will be required to complete the training along with the nurse-led medication training before you can work with clients. You will be paid to complete both trainings! Requirements 18 years+ Ability to lift a minimum of 10lbs and up to 50lb rarely. Must own a smart phone with capabilities to download and use a mobile app. Ability to pass a state and national background check Valid driver’s license, auto insurance and clean driving record Ability to complete state-required caregiver/HCA training as needed Family Resource Home Care is an equal opportunity employer.

CNA

Birch Creek Post Acute & Rehabilitation Tacoma, 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.

Gastro Health Olympia, WA

Advanced Practice Provider (NP-PA), Gastroenterology - Olympia, WA

Join a GI Team That Values Your Voice, Your Growth, and Your Work–Life Balance. About the Opportunity: Gastro Health is seeking an experienced Advanced Practice Provider (NP/PA) to join our private practice team in Olympia, Washington. Our APPs play an active part in delivering high-quality GI care by coordinating individualized treatment plans under physician supervision and engaging in clinical responsibilities that help drive high-quality, patient-centered care. We welcome APPs who want to grow their expertise in gastroenterology within a practice model that values clinical autonomy, work-life balance, and long-term career growth. As part of a nationally recognized team, our APPs benefit from dedicated physician leadership, strong clinical collaboration, and a supportive operational structure. We offer robust onboarding, GI-specific training resources, and a clinical framework designed to help APPs thrive. Work collaboratively with a team of 12 gastroenterologists, 10 APPs, and support staff 4-day workweek (10-hour shifts) Average 14-16 patient encounters per day Outpatient consults and follow-ups Compensation & Benefits: ABOVE AVERAGE ACROSS THE BOARD Competitive package with annual bonus and merit increase eligibility Company-paid malpractice insurance with tail coverage Paid holidays, Paid time off, CME with annual allowance, CME days, Medical, Dental, Vision, Retirement Plans (401k & Profit Sharing), Short and Long-Term disability Candidate Requirements: Active Nurse Practitioner or Physician Assistant license in the state of Washington National certification as an NP or PA with prescriptive authority Minimum of 1 year of APP experience required About the Location: Olympia, Washington offers: A strong and growing gastroenterology market with consistent patient demand A welcoming capital city known for its safety, livability, and close-knit community feel with convenient access to Seattle, Tacoma, and the broader Pacific Northwest Highly regarded school systems, family-friendly neighborhoods, and a strong emphasis on education and quality of life An exceptional work–life balance with year-round access to outdoor recreation, including hiking, boating, kayaking, and nearby national parks About Gastro Health: Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with more than 120 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience. Meet the Team Thank you for your interest in joining our growing Gastro Health team!

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

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.

LPN

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

Defense Health Agency (DHA) Olympia, 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.

OB/GYN

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.

ICU

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.

OB/GYN

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/.

LPN

Defense Health Agency (DHA) Olympia, WA

Practical Nurse

Overview Practical Nurse About the Position: This position is located at CBMH Olympia, Washington. The position falls under the leadership of Madigan Army Medical Center, Tacoma, WA- A recruitment or relocation incentive may be authorized.- Salary negotiation may be available for those candidates who are new to Federal service 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: Obtain information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Take all 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. Set up, operate and monitor specialized equipment, such as cardiac monitor and/or defibrator. 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 documents teaching. Recognize adverse signs and symptoms immediately and call for assistance if the situation warrants it. Performs other duties as assigned. Qualifications 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: Applicants must possess 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 duties such 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-05). 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.

LPN

Practical Nurse

Overview Practical Nurse. Joint Base Lewis-McChord, Tacoma, WA About the Position: This position is located in the Internal Medicine Clinic at Madigan Army Medical Center in Tacoma, Washington.Typical duty hours are Monday thru Friday from 0730 to 1600.This is a Direct Hire Solicitation. 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: Provide individualized nursing care to patient and/or family members 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. Recognize adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates, and monitors specialized equipment. 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).

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.

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.

Nurse (Clinical/Emergency)

MultiCare Health System Tacoma, WA

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.

Home Health Wound Ostomy Certified Nurse

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: _Day, Schedule: _ 8am -5pm Position Summary The WOCN is responsible for the care and/or oversight of care of patients with acute and chronic disorders of the integumentary system. Provides education and consultation with patients, family, physicians, and other staff member in implementing appropriate nursing interventions for optimal patient care. This is a position that requires interpretation of information relating to a wide variety of policies, practices, and subject areas within the area of Wound & Ostomy Therapy Nursing. Major decisions are subject to the review and approval of the Clinical Supervisor or Clinical Manager. 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 Licensed as a Registered Nurse license in Washington State or Multistate License endorsement (MLS) Wound Certified Clinician; certified as WCC, CWCN, CWOCN Certified in Conservative Debridement preferred Current BLS Certification required prior to start 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 $101,650.00 - $180,731.00 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 .

In-Home Caregiver

Family Resource Home Care Tumwater, WA

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive! Our office is located in Eugene, and we proudly serve Eugene, Springfield, Junction City, Veneta, Vida, Creswell, Cottage Grove, and the surrounding areas. We offer multiple shifts and do our best to keep you working close to your preferred area. Pay Range: $20.00-$21.00/hr What We’re Looking for in Caregiver Applicants: Willingness to perform all levels of care — not just light/companionship, including peri/personal care and transfers, or be willing to learn! Valid driver’s license and current auto insurance to transport clients in their own vehicle – mileage reimbursement provided! Availability needed weekdays and weekends, daytime hours between 8:00 a.m. and 7:00 p.m.; weekend availability is a huge plus Willing to work in the Junction City, Creswell, and Cottage Grove areas Bilingual (Spanish-speaking) applicants are strongly encouraged to apply No live-in shifts currently available Shift examples include (but are not limited to): 8:00 a.m. – 12:00 p.m., 9:00 a.m. – 1:00 p.m., 10:00 a.m. – 3:00 p.m., 2:00 p.m. – 6:00 p.m., 3:00 p.m. – 8:00 p.m., 8:00 a.m. – 4:00 p.m. Caregiver Job Duties: Our caregivers support their clients in activities of daily living, including (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Why Family Resource Home Care? We Equip You: Become a professional caregiver with our support. We take pride in our services and the caregivers who provide them. We invest in your growth. Flexible Scheduling: Work as little or as much as you want. We work with your availability. Weekly Pay: Receive a paycheck every week! Consistent Hours & Pay: Enter your preferred weekly hours, and we will work to ensure you get the hours and paycheck you expect. 24/7 Caregiver Support: You will never work alone. Someone is always available to answer the phone if you need assistance. Our caregivers are part of a team! Hands-On Training: No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching: We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time: We pay you for travel time between clients. Paid Orientation & Training: You will be paid for the time spent in orientation and for any required online training. Generous Referral Program: Our “Buddy Bonus” referral program allows you to earn a bonus immediately! Continuing Education: Access online training and continuing education courses. We Value YOU: You are joining a family when you join our team. We proudly recognize our caregivers through weekly emails and monthly newsletters. Requirements: 18 years of age or older Ability to lift a minimum of 10 lbs. and up to 50 lbs. on rare occasions Must own a smartphone capable of downloading and using a mobile app Ability to pass a state and national background check Valid driver’s license, auto insurance, and a clean driving record Ability to complete state-required caregiver/HCA training as needed Additional Information: Our hiring process is fast and simple! Apply, and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! Oregon only: If you have not previously completed the state-required 8-hour Home Care Pulse caregiver training, you will be required to complete the training along with nurse-led medication training before working with clients. You will be paid to complete both trainings! Family Resource Home Care is an equal opportunity employer.

Tacoma Nursing & Rehabilitation Tacoma, WA

RN (Registered Nurse)

Join Our 5-Star Team at Tacoma Nursing and Rehabilitation! ** Rated 5 Stars by CMS ** Are you a dedicated Registered Nurse (RN) looking to make a meaningful difference? Tacoma Nursing & Rehabilitation, proudly rated 5 stars by the Centers for Medicare & Medicaid Services (CMS), is hiring for PRN/Per Diem, Part-Time, and Full-Time RN roles . Join a compassionate, collaborative team committed to delivering exceptional care and improving residents’ lives every day. Position Details Role : Registered Nurse (RN) – PRN/Per Diem, Part-Time, Full-Time Salary : Range $50/hour- $55.00/hour, Depending on Experience Your Contributions As an RN at Tacoma Nursing and Rehabilitation, you’ll play a pivotal role in ensuring residents receive the highest quality of care while supporting their families. You will: Conduct initial and ongoing assessments to determine residents’ medical needs. Develop, implement, and revise care plans as necessary. Administer medications and treatments, ensuring accuracy and adherence to guidelines. Document care and assessments with precision and confidentiality. Promote a safe, positive, and person-centered environment. Core Qualifications Washington State RN license. Leadership skills and a proactive approach to challenges. Strong written, verbal, and interpersonal communication skills. Ability to prioritize tasks, work in a team, and learn new skills. Physical ability to lift/maneuver up to 30 lbs. Knowledge of HIPAA Privacy Rules. Current CPR certification. Additional Experience That Sets You Apart Skilled Nursing Facility (SNF) experience. Familiarity with behavioral and memory care. Proficiency with Point Click Care (PCC). Essential Duties & Responsibilities Perform physical examinations and diagnostic testing to assess health status. Communicate with physicians regarding resident conditions and care plans. Support admissions, discharges, and direct resident care. Educate residents and families on health-related matters. Document incidents, transcribe physician orders, and ensure family notifications. Administer treatments and medications while following care standards. Participate in care planning and supervise certified nursing assistants. Maintain compliance with federal, state, and organizational standards. Why Choose Tacoma Nursing & Rehabilitation? At Tacoma Nursing and Rehabilitation, we thrive on teamwork, creativity, respect, and integrity. We are more than a workplace – we’re a team dedicated to person-centered care. What Makes Us Shine? Competitive wages. Comprehensive benefits: Medical, dental, and vision. Growth opportunities and continuing education. Join Us! Tacoma Nursing and Rehabilitation is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and take the next step in your nursing career! Tacoma Nursing and Rehabilitation is an Equal Opportunity Employer . All qualified applicants will be considered for employment without regard to reace, color, religion, sex, gender identity, sexual orientation, age, national origin, veteran or disability status, or any other characteristic protected by law.

CMA

MultiCare Health System Olympia, WA

Medical Assistant-Neruology

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 and Kindness. 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 .

MDS

Tacoma Nursing & Rehabilitation Tacoma, WA

MDS Coordinator (On-Site)

MDS Coordinator – RN or LPN Licensure Required Full-Time | Monday–Friday Wage: 104K - 125K Annually Sign-On Bonus: $5000 Location: Tacoma Nursing and Rehabilitation Center | 2102 South 96th Street, Tacoma, WA 98444 Join Our 5-Star Team at Tacoma Nursing and Rehabilitation! ** Rated 5 Stars by CMS ** Are you a detail-oriented Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a passion for accuracy and quality care? Tacoma Nursing & Rehabilitation, proudly rated 5 stars by CMS, is seeking a Full-Time MDS Assistant to join our compassionate and collaborative team. This role is essential to ensuring accurate resident assessments, compliance with regulations, and proper reimbursement—directly impacting both resident outcomes and facility success. Position Summary The MDS Coordinator will conduct and coordinate resident assessments while ensuring timely and accurate submission of MDS documentation. This position plays a key role in care planning, regulatory compliance, and reimbursement processes while supporting our commitment to exceptional resident care. Key Responsibilities Conduct and coordinate MDS assessments for residents within regulatory timelines. Accurately complete and submit MDS documentation to state and federal agencies. Collaborate with the interdisciplinary team to support care planning, quality measures, and resource utilization. Review resident records and actively participate in care conferences to ensure documentation reflects current status. Assist with staff training and education related to MDS processes and regulatory updates. Work closely with the business office to ensure proper coding for reimbursement and benefits. Maintain accurate reports and records in accordance with compliance standards. Qualifications Active RN or LPN license in the State of Washington. Prior experience in skilled nursing, long-term care, or post-acute care required. Minimum of 2 years of clinical nursing experience preferred. Previous MDS experience strongly preferred; knowledge of PDPM and the RAI process a plus. DSD certification is a bonus, but not required. Knowledge, Skills & Abilities Strong understanding of nursing practices, documentation standards, and healthcare regulations. Familiarity with MDS 3.0 , care planning, and reimbursement guidelines. Excellent organizational, time management, and communication skills. Ability to collaborate effectively with interdisciplinary teams and regulatory representatives. What We Offer: Competitive wages Medical, Dental, and Vision Insurance Paid Time Off (PTO) Supportive leadership and collaborative team environment Join us in our mission to provide compassionate, high-quality care and make a positive impact every day. Tacoma Nursing and Rehabilitation Center 2102 South 96th Street, Tacoma, WA 98444 Tacoma Nursing and Rehabilitation is an Equal Opportunity Employer.

Birch Creek Post Acute & Rehabilitation Tacoma, WA

Infection Control/Staff Development Coordinator Nurse (RN)

NOW HIRING: Infection Control/Staff Development Nurse Birch Creek Post Acute & Rehab | Tacoma, WA Full-Time | Skilled Nursing Facility | Nursing Administration Salary: $95,000-$100,000/Annually (based on experience) Make a Lasting Impact in Quality Care Are you a compassionate nursing professional with a passion for clinical excellence, staff development, and infection prevention? Join our dedicated team as a SDC-IP Nurse , where your leadership drives the highest standards of care at Birch Creek Post Acute & Rehab. Why Join Us? Attractive Compensation: Enjoy competitive pay that truly values your contributions. Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO. 401(k) Plan: Secure your financial future with our strong retirement plan. Flexible Daily Pay: Access your earnings whenever you need them. Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance. Wellness Program Access: Prioritize your health with resources designed to support your well-being. Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration. Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement. Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence. Key Responsibilities: Staff Development Coordinator (SDC): Plan, implement, and evaluate educational programs and onboarding for nursing staff. Infection Preventionist (IP): Lead infection control efforts, maintain compliance with CDC & CMS guidelines, and promote a safe environment. Qualifications: Current RN license (WA) 2+ years in a Skilled Nursing Facility or Long-Term Care Certification or experience in Infection Control & Staff Education preferred Excellent communication, leadership, and organizational skills Salary/ Wage Range Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. Apply Today and Lead the Way in Quality Care! 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.

MultiCare Health System Lakewood, WA

Family Nurse Practitioner (ARNP) - Street Medicine (HOST Program)

$109,587.20 - $129,111.60 / year

About Greater Lakes Mental Health Greater Lakes Mental Health is a key component of MultiCare’s Behavioral Health Network, providing mental health and substance use disorder treatment for over 10,000 individuals annually across Pierce County. Providing services for adults, children, and families with Medicaid coverage, Greater Lakes offers 6 convenient mental health care locations including a 16-bed inpatient facility covering medically necessary voluntary and involuntary services to adults. Our experienced teams, veteran nurses, and robust training plans are designed to support your success and growth in facilitating recovery-oriented and trauma-informed treatment. MultiCare Behavioral Health is seeking an experienced and compassionate Family Nurse Practitioner to join our thriving and well-supported behavioral health team. This role will primarily support the Greater Lakes Homeless Outreach Stabilization and Transition (HOST) program, delivering field-based care to adults (ages 18–59) facing serious behavioral health and substance use challenges. Greater Lakes Homeless Outreach Stabilization and Transition (HOST) program provides outreach-based treatment services to individuals with serious behavioral health challenges including substance use disorder (SUD). This multidisciplinary teams can provide SUD, medical, rehabilitative, and peer services in the field to individuals who lack consistent access to these vital services. Why Join Us? You’ll be part of a close-knit, collaborative team providing life-changing psychiatric services throughout Pierce County and the South Puget Sound region. Our mission is to restore hope and help individuals achieve their personal goals through accessible, high-quality care. The HOST program uses a multidisciplinary approach to bring vital services—including psychiatric, substance use, rehabilitative, medical, and peer support—directly to people experiencing homelessness or unstable housing. Position Highlights: FTE: 0.8 (32 hours/week) Schedule: Monday–Friday, flexible daytime hours Location: Greater Lakes Main Building, Lakewood, WA (with community-based outreach) Starting Salary Range: $109,587.20–$129,111.60 annually (based on 0.8 FTE) For more information, please contact carolyn.brightharp@multicare.org . #LI-CB1 Position Summary MultiCare Health System Behavioral Health is seeking an experienced mental health Nurse Practitioner to join our well-established, thriving and comprehensive practice. Our team provides high quality psychiatric services. Join our highly skilled, compassionate staff providing effective services that restore hope and help individuals and families get back onto the path toward achieving their life goals. This is an opportunity to be fully engaged with patient care and join a close knit, collegial and supportive team of providers. Requirements Certified psychiatric ARNP or D-ARNP Licensed in the state of WA by the time of employment Minimum 1-3 years clinical experience providing direct patient care DEA, NPI & prescriptive authority Current BLS for Healthcare Providers certification by the American Heart Association Maintain a valid Washington State Motor Vehicle License 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 $136,984.00 - $185,795.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here .

CMA