Nurse Manager; RN

We are actively seeking a passionate Nurse Manager (RN) who’s ready to lead with purpose, inspire a team, and make a real difference in the lives of older adults. This role is a vital leader, helping to ensure that every resident receives dignified, person-centered care rooted in clinical quality excellence and our core values. Horizon House, a vibrant Senior Living Community where aging is celebrated as a meaningful journey—and compassionate care is the heartbeat of everything we do.

This isn’t just another nurse manager role—it’s a chance to build something new and exciting! You’ll take the reins on launching an RN Delegation Program
, shaping how we develop the program, train staff, deliver safe, and evidence-based medication services. In this role, you will develop, implement, train and oversee a Medication Delegation Program (Med Tech) guiding the healthcare staff to deliver safe, evidence-based medication delegation services. You’ll collaborate closely with the Assisted Living leadership team to support staff development, uphold regulatory standards, and foster a culture of learning, accountability, and clinical excellence.

• Provide leadership in Assisted Living, embodying Horizon House’s mission, vision, and values.
• Develop, implement, and oversee a Medication Delegation Program (Med Tech), ensuring compliance with Washington State regulations.
• Develop, implement, and maintain nurse delegation documentation, including negotiated service agreements and care plans, ensuring timely assessments and follow-up on condition changes or new treatment orders.
• Serve as the primary RN signer for resident initial, annual, and/or change of condition assessments.
• Assess residents who require or may benefit from RN delegation services and provide responsive oversight.
• Supervise, lead, train, and evaluate Medication Technicians (Med Techs), building a strong, skilled team.
• Oversee safe, organized, and standardized medication administration systems, including med carts and medication rooms
• Conduct and oversee resident nursing assessments, care planning, and participation in care conferences.
• Lead and participate in QAPI projects, policy development, and quality improvement initiatives.
• Serve as a key and trusted liaison with residents, families, staff, and pharmacy providers.
• Partner with Assisted Living leadership team on strategic planning and execution.
• Participate in weekend manager on-call rotation and provide clinical support as needed.
• Ensure compliance with all Washington State Assisted Living regulations and related standards.

• Active unencumbered RN license in good standing with the State of Washington
• 2+ years RN experience with knowledge of Washington State Assisted Living and RN Medication Delegation regulations.
• 3+ years of experience supervising 10 or more direct reports in a healthcare setting.
• Minimum 2 years of experience as an RN Delegator
• Prior supervisory experience in a similar setting with duties including: performance management, coaching, training, program development, and supervision of staff.
• Understanding and demonstrated experience in working with older adults, dementia, aging issues, complex family dynamics and transition plans.
• CPR certification and BLS training
• Proficiency in Microsoft 365 tools
• Familiarity with Assisted Living and interdisciplinary team approach, knowledge of community services and programs. (highly preferred)

This is more than a great career—it’s a calling. If you thrive in a collaborative environment, enjoy mentoring others, and believe that aging should be met with dignity, joy, and top-notch clinical care—this is your moment to be part of our team!

• Highly Competitive Benefits Package with Low Deductibles:
  Medical, Dental, and Vision Benefits
• Paid Time Off and Sick Leave
• Discounted Costco Membership
• Discounted Meals; 40% off
• 403(b) Retirement & Company Match
• Company Paid Training & Professional Development Opportunities
• ORCA Card Discount or Discounted Employer Paid Parking
• Staff Scholarship Program - up to $24,000 per year including dependents
• Free Gym and Pool access for employees
• Student Loan Assistance Program - up…