DSHS ESH Registered Nurse 4

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.


See why people like you choose careers at DSHS:

Some of what you'll do:

• 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.

Who should apply?

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.

Additional knowledge, skills and abilities we are looking for: 

• 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 emergencies.
• Regulatory and accreditation knowledge: Applying hospital, state and federal requirements, including the Joint Commission standards, to daily nursing oversight and operational decision-making.
• Clear and confident communication: Sharing information effectively with nursing staff, hospital leadership and partners both verbally and in writing.
• Staff support and accountability: Providing guidance, feedback and follow-up to support safe practice and professional expectations.
• Behavioral health expertise: Understanding recovery principles and the needs of adult psychiatric, geropsychiatric and forensic populations.

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.

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 & 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 (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. 

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