DSHS ESH Registered Nurse 3

State of Washington

Medical Lake (WA)

On-site

USD 95,000 - 125,000

Full time

2 hours ago
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Benefits offered by this job

Shift differential
Shift premium
Weekend premium
Facility pay

Job summary

Eastern State Hospital in Medical Lake, WA is seeking a Registered Nurse 3 (Nurse Supervisor) to lead a nursing team on an assigned ward, supervising staff, and ensuring high-quality patient care.

The Nurse Supervisor will provide clinical oversight, mentor staff, coordinate with physicians and the multidisciplinary team, and respond to emergencies while promoting a recovery‑oriented environment.

Qualifications

  • Licensed Registered Nurse in the state of Washington.
  • Minimum two years of professional nursing experience.
  • Graduated from an accredited school of nursing.
  • Knowledge of psychiatric nursing and behavioral health treatment.

Responsibilities

  • Provide leadership and supervision to nursing staff on an assigned ward.
  • Plan, organize, evaluate nursing services and coach staff.
  • Collaborate with physicians and multidisciplinary teams for patient care.
  • Assess patient conditions, administer medications, document changes, communicate with leadership.
  • Lead staff during medical and psychiatric emergencies and apply de-escalation techniques.
  • Complete staff evaluations and develop corrective action plans.
  • Serve as House Supervisor and assist with transport and on-site duties.

Skills

Leadership
Nursing supervision
Crisis intervention
Psychiatric nursing
Team collaboration
Communication

Education

BSN
RN licensure

Tools

EHR software (EPIC)

Job description

DSHS ESH – Registered Nurse 3 (Nurse Supervisor) Join our team as a Registered Nurse 3 (Nurse Supervisor) at Eastern State Hospital in Medical Lake, Washington, where you'll have the opportunity to lead a dedicated nursing team while making a meaningful difference in the lives of individuals receiving behavioral health treatment.

In this leadership role, you'll provide supervision, guidance, and clinical oversight to nursing staff delivering direct patient care on an assigned ward. We're looking for a compassionate leader with sound clinical judgment, strong communication skills, and a commitment to fostering a supportive, recovery-oriented environment that empowers patients, instills hope, and promotes independence.

We are hiring for two evening shift positions, Mon through Friday and Sunday through Thursday. Additionally, employees may be available to receive $2.50/hour Shift Differential pay, $1.50/hour Shift Premium pay, $4.00/hour Weekend Premium pay, and a 5% 24/7 Facility pay.

Some Of What You'll Do
  • Provide leadership, supervision, and direction to nursing staff delivering patient care on an assigned ward or shift.
  • Plan, organize, assign, and evaluate nursing services while coaching, mentoring, and developing staff performance.
  • Collaborate with physicians and interdisciplinary team members to plan, coordinate, and evaluate high-quality patient care.
  • Assess patient conditions, administer medications and treatments, document significant clinical changes, and communicate critical information to providers and leadership.
  • Lead nursing staff during medical and psychiatric emergencies while utilizing therapeutic interventions and de‑escalation techniques.
  • Complete staff evaluations, develop corrective action plans when needed, and provide education to nursing staff and patients.
  • Serve as House Supervisor when assigned and assist with patient transportation, off‑ward activities, and other operational responsibilities.
Desired Skills, Knowledge, And Abilities
  • Knowledge of psychiatric nursing practices, behavioral health treatment, and recovery‑oriented care principles.
  • Experience using crisis intervention and therapeutic de‑escalation techniques in challenging situations.
  • Knowledge of hospital, state, and federal regulations, policies, and standards governing patient care.
  • Ability to lead, coach, mentor, and collaborate effectively with multidisciplinary healthcare teams.
  • Strong communication and interpersonal skills with the ability to build positive relationships with patients, staff, leadership, and the public.
  • Ability to provide compassionate, patient‑centered care while remaining calm and professional in high‑pressure environments.
  • Proficiency using computers and common healthcare equipment while following infection control and universal precaution practices.
Who should apply?
We Are Looking For Professionals Who Have
  • Graduated from an accredited school of professional nursing; AND
  • Two years of professional nursing experience.
Additional Information
  • Work schedule: we have two positions available
    • Evening shift: 2:30 - 11:00 PM, Monday through Friday.
    • Evening shift: 2:30 - 11:00 PM, Sunday through Thursday.
  • Evening shift and Night shift receive $2.50/hour Shift Differential pay, $1.50/hour Shift Premium pay and may include $4.00/hour Weekend Premium pay.
  • All shifts receive 5% 24/7 Facility pay for hours worked on‑site.

Located in the quiet community of Medical Lake, just 15 miles west of Spokane, Eastern State Hospital (ESH) is one of two state‑operated psychiatric hospitals for adults in Washington. Since opening its doors in 1891, ESH has played a vital role in delivering inpatient evaluation, therapy, and treatment for individuals with serious mental illness. The hospital operates 375 beds across its Eastlake and Westlake campuses and is accredited by The Joint Commission and certified by the Centers for Medicare and Medicaid Services. Serving patients primarily from eastern Washington, ESH provides essential, court‑ordered psychiatric care in a secure, recovery‑focused environment on a peaceful, wooded campus.

What's in it for you?

This is a great opportunity if you are seeking an excellent benefits package, a rewarding career, and exciting chances to learn and grow. As a Nurse Supervisor at ESH, you are encouraged to use your leadership capabilities, impact patient care within the multidisciplinary team, and take advantage of learning best practices from our teambuilding initiatives training.

Questions?

Please reach out to DSHS Recruiter Ricky Luna at ricky.luna@dshs.wa.gov and reference job number #05613.

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.

Supplemental Information

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 and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs 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.

Relationship and Reporting Structure (Nebotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed here. Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.

E-Verify is a registered trademark of the U.S. Department of Homeland Security.

More than Just a Paycheck!

Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read About Our Benefits

The following information describes typical benefits available for full‑time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full‑time work (e.g. part‑time); view the job posting for benefits details for job types other than full‑time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.

Insurance Benefits

Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax‑deferred dollars toward their health care expenses. Employees are also covered by basic life and long‑term disability insurance, with the option to purchase additional coverage amounts.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

Dependent care assistance allows the employee to save pre‑tax dollars for a child or elder care expenses.

Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.

The Washington State Employee Assistance Program promotes the health and well‑being of employees.

Retirement And Deferred Compensation

State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre‑tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security

All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

Public Service Loan Forgiveness

If you are employed by a government or not‑for‑profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.

Holidays

Full‑time and part‑time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.

Full‑time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 non‑overtime hours during the month of the holiday; or for the entire work shift preceding the holiday.

Part‑time employees who are in pay status during the month of the holiday qualify for the holiday on a pro‑ratio basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full‑time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.

Sick Leave

Full‑time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full‑time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.

Sick leave accruals for part‑time employees will be proportionate to the number of hours in pay status, in the month to that required for full‑time employment. Pay status includes hours worked, time on paid leave and paid holiday.

Vacation (Annual Leave)

Full‑time employees accrue vacation leave at the rates specified in WAC 357‑31‑165(1) or the applicable collective bargaining agreement (CBA). Full‑time employees who are in pay status for less than 80 non‑overtime hours in a month do not earn a monthly accrual of vacation leave.

Part‑time employees accrue vacation leave hours in accordance with WAC 357‑31‑165(1) or the applicable collective bargaining agreement (CBA) on a pro‑ratio basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full‑time employment.

Pay status includes hours worked, time on paid leave and paid holiday.

As provided in WAC 357‑58‑175, an employer may authorize a lump‑sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357‑31‑165.

Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.

Military Leave

Washington State supports members of the armed forces with 21 days paid military leave per year.

Bereavement Leave

Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.

Additional Leave
  • Leave Sharing
  • Parental Leave
  • Family and Medical Leave Act (FMLA)
  • Leave Without Pay

Updated 01-07-2026

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