DSHS ESH Registered Nurse

Registered Nurse 4 – Administrative Supervisor / Nurse Manager

Eastern State Hospital in Medical Lake, Washington, is hiring a Registered Nurse 4 (RN4) to provide hospital-wide nursing oversight in a large, high-acuity behavioral health setting. This role sits at the intersection of patient care, staff support and hospital operations.

• Provide hospital-wide nursing oversight for an assigned shift to support safe, high-quality patient care.
• Support nursing staff across multiple inpatient units by providing guidance, consultation and real-time decision-making.
• Plan, direct and evaluate all nursing functions and patient care provided in compliance with ESH's policies and procedures as well as state and federal regulations.
• Conduct regularly scheduled nursing staff meetings and coordinate staff across shifts.
• Coordinate and respond to clinical, behavioral and environmental emergencies.
• Ensure timely follow-up to patient concerns, staff issues and operational events.
• Participate in performance improvement and quality assurance activities.
• Support staffing decisions that balance patient needs, staff safety and fiscal responsibility.
• Communicate critical clinical and operational information during shift transitions.

• Valid registered nursing license in Washington State.
• Accredited nursing program graduation and four years of professional nursing experience, including two years of supervisory experience.
• Bachelor’s degree in nursing or higher is preferred.
• Advanced clinical judgment and crisis response capability in psychiatric and medical settings.
• Regulatory and accreditation knowledge of Joint Commission, CMS and state requirements.
• Clear and confident communication with nursing staff, leadership and partners.
• Staff support and accountability to foster a safe practice environment.

Night shift 4/10s: 8:30 P.M. – 7:30 A.M. Wednesday – Saturday. Evening and night shifts include a shift differential and an additional 5% premium pay for on-site work at least three days a week.

Please apply today! Contact DSHS recruiter Georgina.

Pringle ngle.gov or call Talent Acquisition main line . Reference job number .

Washington State Department of Social & Health Services is an equal opportunity employer and does not discriminate in any area of employment, its program 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 . Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or  E-Verify® is a registered trademark of the U.S. Department of Homeland Security.