Job Description

Posting number: 2026-06815

Department: Dept. of Social and Health Services

Division: BHHA

Job classification: REGISTERED NURSE 4

Posting type: Open & Promotional

Categories: Health Services, Nursing, Health Care Support

DSHS SCC Registered Nurse 4

The Nurse Manager ensures day-to-day operations of the Medical Discharge Program through active supervision of nursing staff and implementation of discharge planning treatment and services. Major responsibilities include program needs assessment and development to ensure that the discharge plans are implemented with best practice as identified in the scientific literature. Oversees the quality of services provided and implements quality assurance practices. The Nurse Manager provides medical consultation, nursing supervision, and guidance related to discharge related treatment plan adherence. This position oversees 3 nursing staff which includes licensed registered nurse level staff. This position implements procedures related to Discharge Services as assigned by the Medical Director. The incumbent makes recommendations for patient care decisions including care planning, medical management, and the discharge/transfer of patients to less restrictive care settings. This position plays a critical role in statewide initiatives by participating in multiprogram cross systems mapping/value stream mapping projects in an effort to enhance patient service needs and better bridge state resources.

The job is based on McNeil Island and requires ferry travel from Steilacoom, which is provided to employees. The ferry ride is approximately 20 minutes each way.

Opportunities performed on-site at this work location at least three days a week may be eligible for an additional 5% premium pay in addition to the advertised salary. SCC employees receive an additional $10 per day premium pay in addition to the advertised salary and a free ORCA card for transportation use. Evening and Night shifts include a shift differential in addition to the standard compensation rate.

Some of what you'll do

• The RN4 will coordinate and delegate site visits to facilities in the community to the RN2 team and review assessments of these housing options for successful resident placement. The RN4 will consult on determining the level of assistance and other variables that each resident may need and best match it to the appropriate facility.
• This position holder will be responsible for conducting audits for facilities to assess whether needs for the residents are being met and report back to the Medical Director, Contract Manager, Director of Discharge Planning, and the Executive Leadership Team.
• This position will be responsible for establishing a system to track each resident’s Activities of Daily Living (ADL) Assessment, Medication assessment and deciding best practice on training residents’ on medication identification, schedule, purpose and side effects.
• This position supports the residential facility for developmentally disabled, and other special medical needs residents. The RN4 will be required to supervise and direct all nursing activities for conditionally released residents on a 24-hour basis. This may include specific care coordination in emergency situations or during transport back to the main facility following community return.
• The RN4 will be expected to develop comprehensive wellness plans with regards to individual resident conditions and advise on weight loss, exercise, nutrition, and management of chronic conditions on a case by case basis.
• This position will also be responsible for conducting audits for Keep on Person (KOP) medications for residents approaching discharge to LRAs.

We're looking for RNs who have

Graduation from an accredited school of professional nursing

AND

Four years of professional nursing experience, including two years in a lead capacity over other nursing personnel.

OR

A Bachelor's degree or higher degree involving major study in nursing may be substituted for two years of nonsupervisory experience.

One year of full-time experience teaching nursing may be substituted for one year of supervisory experience.

Interested?Apply today.

The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.

Questions? Please contact peter.bonato@dshs.wa.gov reference job number 06815.

Supplemental information

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protect­ed veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed here Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.

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