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. At Eastern State Hospital we know our clients can become stronger and more independent with the help of our skilled staff.

Join the Behavioral Health and Habilitation Administration as a Registered Nurse 4 and make a positive impact within your community by becoming a behavioral health advocate.

Eastern State Hospital hosts both the Eastlake and Westlake campuses. We are a 375-bed in-patient psychiatric hospital serving adults and are accredited by the Joint Commission and certified by the federal Centers for Medicare and Medicaid Services. This role helps maintain compliance with hospital, state and federal requirements, including standards set by the Joint Commission, which are essential to accreditation and continued operations.

Reporting directly to the Chief Nurse Officer, the RN4 supports nursing staff delivering psychiatric and physical care across adult psychiatric, geropsychiatric and forensic inpatient units. During urgent and emergent situations, you act on behalf of hospital executive leadership until the Administrative Officer of the Day or designee assumes responsibility. Your decisions directly affect patient safety, staff well-being and the hospital’s ability to function smoothly and compliantly.

This opportunity presents a career move where you will enjoy the ability to grow, stability with a reliable schedule, and outstanding benefits so you can thrive in the care you provide. ESH staff and nurses are devoted to compassionate patient care, have a strong work ethic, and display consistently good judgment.

Please note:

The anticipated shift for this position is night shift working 4/10s: 8:30 P.M.

- 7:30 A.M. Wednesday - Saturday.

Evening and Night shifts include a shift differential in addition to the standard compensation rate.

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.

• Provide hospital-wide nursing oversight for an assigned shift to support safe, high-quality patient care for the 300+ bed hospital.
• 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, meet with supervisors on the different shifts, and provide consistent messages about vision, mission, and standards of care within the discipline and the hospital.
• 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.
• Ensure nursing practice and hospital operations align with hospital policies, state and federal regulations, Centers for Medicare and Medicaid Services requirements, and the Joint Commission standards.

We are looking for leaders who are collaborative, authentic, can communicate a vision, and can manage risk to join our team of professionals and help us deliver treatment to our 300+ residents. As the leader of your department, you will establish workflows, align policies and procedures with best practices in the medical field, and most importantly, consistently communicate with your team of nursing professionals.

Professionals with a valid license to practice as a registered, professional nurse in Washington State. AND Graduation from an accredited school of professional nursing AND four years
* of professional nursing experience including two years
** supervising other nursing personnel.

* A bachelor's degree in nursing or higher degree involving major study in nursing may be substituted for two years of non-supervisory experience.
** One year of full-time experience teaching nursing may be substituted for one year of supervisory experience.

• Advanced clinical judgment:
  Applying deep nursing knowledge to make safe, timely decisions in complex psychiatric and medical situations.
• Hospital operations insight:
  Understanding how staffing, patient acuity and regulatory requirements connect in a large inpatient setting.
• Crisis response capability:
  Responding calmly and effectively to behavioral, clinical and environmental…