RN Delegator Full-Time or Part-Time Registered Nurse (RN)

ICES: Data, Discovery, Better Health; Vancouver; On-site; CAD 121,000 - 164,000; Full time

Job summary

Journey Nursing Services is seeking an experienced RN for a role combining case management, RN delegation, and hands-on nursing across Snohomish, King, Whatcom, and nearby counties.

The position supports Private Duty Nursing and RN Delegation with opportunities for professional growth in a nurse-led, collaborative environment.

Qualifications

• Current Washington State RN license in good standing.
• Current BLS certification.
• Minimum one year of nursing experience.
• Excellent assessment, clinical judgment, and critical thinking.
• Strong communication, organizational, and teaching abilities.
• Valid driver's license and willingness to travel in service area.

Responsibilities

• Manage an assigned caseload for Private Duty Nursing clients.
• Complete admissions, renewals, and ongoing nursing assessments.
• Develop, implement, and update Plans of Care.
• Coordinate care with physicians and interdisciplinary teams.
• Perform RN Delegation assessments and supervisory visits.
• Provide education and oversight for caregivers.
• Deliver skilled nursing and direct patient care as needed.
• Maintain accurate EMR documentation and participate in QA initiatives.

Skills

Clinical assessment

Critical thinking

Communication skills

Organizational skills

Teaching abilities

Job description

Case Manager / RN Delegator

Full-Time or Part-Time Registered Nurse (RN)

Making People the Center of Their Healthcare Journey.

At Journey Nursing Services, we believe healthcare is about people first. Our mission is to provide exceptional, person-centered care through a holistic approach that supports not only our clients, but their families, caregivers, and the entire healthcare team.

As a Nurse-Owned, Veteran-Owned, and Women-Owned organization, we are committed to raising the standard of community-based healthcare while investing in the professional growth of our employees. We believe every patient deserves exceptional care from qualified nursing professionals, and every employee deserves to work in an environment where they are respected, supported, and empowered.

We believe in a Culture of Respect

Our culture is built on a few simple principles:

• Every voice matters.
• Every person deserves respect.
• We lead with compassion and integrity.
• We work together as one team.
• We pursue excellence in everything we do.

As Journey Nursing Services continues to expand throughout Washington State, we are looking for compassionate, motivated Registered Nurses to join our growing clinical team.

Whether you're looking for a full-time or part-time opportunity, we'd love to meet you.

Why Choose Journey?

Unlike many home care agencies, Journey Nursing Services offers nurses the opportunity to practice across multiple service lines—including Private Duty Nursing, Case Management, RN Delegation, and skilled nursing oversight—creating a dynamic and professionally rewarding career.

Our nurses maintain hands‑on clinical skills while building meaningful, long‑term relationships with patients, caregivers, providers, and community partners. Rather than performing the same duties every day, you'll experience a diverse role that combines clinical leadership, patient advocacy, direct bedside care, education, and care coordination.

At Journey, your career grows as we grow. We are committed to promoting from within and creating leadership opportunities for nurses who are passionate about excellence, innovation, and compassionate care.

Compensation & Benefits

Journey Nursing Services believes in investing in our employees by offering a competitive compensation package and benefits that support your health, financial well‑being, and professional growth.

Benefits include:

• Competitive hourly pay
• Potential for productivity-based bonuses
• Medical, Dental & Vision Insurance
• Paid Time Off (PTO)
• Paid Sick Leave
• 401(k) Retirement Plan
• Employee Assistance Program (EAP)
• Mileage reimbursement
• Flexible Full-Time and Part-Time scheduling
• Paid orientation and training
• Free Continuing Education (CEUs) and online learning
• Professional development and leadership opportunities
• Supportive, collaborative, nurse‑led work environment

Position Overview

Journey Nursing Services provides Private Duty Nursing, Home Caregiving, and RN Delegation throughout Snohomish, King, Whatcom, and surrounding counties.

This position provides case management for Private Duty Nursing clients, including completing comprehensive nursing assessments in patients' homes, developing and updating individualized Plans of Care, coordinating care with physicians and interdisciplinary team members, and providing ongoing clinical oversight.

In addition, this role provides RN Delegation services, skilled nursing oversight, and direct patient care across a variety of community-based settings, including:

• Private Homes
• Adult Family Homes
• Assisted Living Communities

This role offers a unique combination of clinical leadership, case management, nurse delegation, and hands‑on nursing care, allowing nurses to build meaningful, long‑term relationships with patients while practicing at the top of their license in a diverse and rewarding community-based setting.

Schedule & Work Environment

This position offers a dynamic and flexible schedule that combines direct patient care, clinical case management, and administrative responsibilities.

A typical work week consists of a combination of:

• Scheduled Private Duty Nursing shifts
• RN Delegation visits, including initial assessments, renewals, and supervisory visits
• Case management responsibilities for Private Duty Nursing clients
• Administrative time for documentation, care planning, provider communication, and interdisciplinary collaboration

Full-time positions typically include a combination of case management responsibilities and regularly scheduled Private Duty Nursing shifts, allowing nurses to maintain their bedside skills while building lasting relationships with the patients they serve.

Essential Responsibilities

• Manage an assigned caseload of Private Duty Nursing clients.
• Complete admission, renewal, and ongoing comprehensive nursing assessments.
• Develop, implement, and update individualized Plans of Care.
• Coordinate care with physicians, case managers, therapists, pharmacies, and other interdisciplinary team members.
• Complete initial and renewal RN Delegation assessments.
• Perform required RN Delegation supervisory visits and caregiver oversight.
• Provide education, competency validation, and ongoing support for caregivers.
• Deliver skilled nursing services and direct patient care as assigned.
• Provide skilled care for medically complex patients, including when applicable:
  • Tracheostomy care
  • Ventilator management
  • Enteral feeding
  • Total Parenteral Nutrition (TPN)
  • Medication administration
  • Other skilled nursing interventions
• Monitor patient progress and revise Plans of Care as clinical needs change.
• Maintain accurate and timely electronic medical record documentation.
• Participate in quality improvement, compliance, and regulatory initiatives.
• Foster a culture of teamwork, professionalism, accountability, and clinical excellence.
• Perform other duties as assigned.

Qualifications Required

• Current Washington State Registered Nurse (RN) license in good standing
• Current BLS Certification
• Minimum one (1) year of nursing experience
• Excellent assessment, clinical judgment, and critical thinking skills
• Strong communication, organizational, and teaching abilities
• Valid driver's license, reliable transportation, and willingness to travel throughout the assigned service area

Preferred

• Nurse Delegation experience
• Home Care, Home Health, Hospice, or Private Duty Nursing experience
• Case Management experience
• Experience caring for medically complex patients

Why You'll Love Working Here

At Journey Nursing Services, you'll have the opportunity to practice nursing at the top of your license while making a meaningful difference in your community.

You’ll build lasting relationships with patients, educate caregivers, collaborate with interdisciplinary teams, and help individuals remain safely in their homes and community settings.

As a Nurse-Owned, Veteran-Owned, and Women-Owned organization, we foster a workplace where innovation is encouraged, leadership is developed, and every team member has the opportunity to grow.

If you're looking for a career that offers clinical variety, autonomy, flexibility, professional growth, and purpose, we'd love to welcome you to the Journey family.

Join Journey Nursing Services and help make people the center of their healthcare journey.