Assisted Living Nurse Manager; RN Delegator

Assisted Living Nurse Manager (RN Delegator)

Join to apply for the Assisted Living Nurse Manager (RN Delegator) role at Horizon House (CCRC)

Pay Range: $95,971.20 - $

We are actively seeking a passionate Assisted Living Nurse Manager (RN Delegator) 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.

• 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.
• 2+ years of experience as an RN Delegator is highly preferred or training with working knowledge of RN Nurse Delegation practices will be considered.
• 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)

• Highly Competitive Benefits Package with Low Deductibles:
  Medical, Dental, and Vision Benefits
• Paid Time Off and Sick Leave
• Discounted Costco Membership
• Discounted Meals
• 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 to $1,200 per year
• Fun and Exciting Staff Events

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!

Please apply online and find out more about Horizon House on our website at (Use the "Apply for this Job" box below)./

The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

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