Registered Nurse *Charge Capable* (2026-0431)

Valley Medical Center; Renton (WA); On-site; USD 64,664 - 118,142; Full time

Job summary

Valley Medical Center is seeking a Registered Nurse *Charge Capable* to provide excellent nursing care in the NICU. This full-time position requires effective leadership skills, nursing expertise, and the ability to mentor staff. The candidate must have a current RN licensure in Washington and preferably a BSN.

The role involves assessing patient needs, directing unit workflow, and ensuring compliance with healthcare standards. This would be an exciting opportunity for a passionate nurse in Renton, Washington.

Qualifications

• Current licensure as RN in Washington.
• Successful completion of a graduate nurse residency program or six months experience as an RN.
• ACLS BLS for healthcare providers required.

Responsibilities

• Provide safe, quality nursing care to patients.
• Assess and direct workflow on the unit.
• Mentor staff regarding policies and procedures.
• Monitor compliance with Joint Commission standards.

Skills

Leadership skills

Effective communication

Customer service skills

Clinical judgment

Interpersonal skills

Education

BSN Preferred

Current RN licensure in Washington

Job description

Job Overview

• Job Title: Registered Nurse *Charge Capable*
• Req ID: 2026-0431
• Location: VMC Main Campus
• Department: NICU
• Shift: Nights
• Type: Full Time
• FTE: 0.9
• Salary Range: $46.94 - $85.76 per hour (DOE)

Job Responsibilities

Provide safe, quality nursing care to a group of patients for a designated time frame, using the nursing process as the basis for clinical practice. Responsibilities include:

• Assess, guide, direct, and facilitate workflow on the unit, and assume charge responsibilities when needed.
• Make staff assignments reflecting patient acuity, continuity of care, staff competency, and unit activity.
• Mentor staff, float, and agency personnel regarding policies, procedures, standards, and goals.
• Integrate new staff and agency staff into the unit culture.
• Lead and serve as a role model for clinical staff.
• Act as a clinical resource, demonstrating safe equipment use and teaching others.
• Identify resource RNs for LPNs, PCAs, and MSTs as necessary.
• Monitor and evaluate nursing care through direct observation, consultation, and patient rounds.
• Assess unit/environmental safety, reporting and correcting deficiencies.
• Maintain awareness of Joint Commission standards, state codes, and practice acts, monitoring documentation compliance.
• Demonstrate excellent customer service skills and respond to patient/family concerns.
• Report significant events to supervisors and activate the chain of command per policy.
• Provide input into performance appraisal of clinical staff on the shift.
• Evaluate and provide adequate break coverage.
• Maintain fiscal responsibility by monitoring staffing and determining future shift needs with sound judgment.
• Carry personal responsibility to maintain competencies for direct patient care and team leadership.
• Collaborate with bed placement and clinical resources to expedite placement.
• Conduct bedside shift reports and shift safety interventions.

Prerequisites

• BSN preferred.
• Current licensure as RN in Washington.
• Successful completion of a graduate nurse residency program or six months experience as an RN.
• ACLS BLS for healthcare providers required.

Preferred Qualifications for Advancement to Charge Nurse

• BSN.
• Two years practice in clinical nursing/leadership in area of responsibility preferred.
• Unit specific prerequisites (see addendum).

General Qualifications

• Demonstrates leadership skills with ability to lead and manage a team, utilize clinical judgment, inquiry, innovation, and systems thinking.
• Able to communicate effectively in oral and written form.
• Adheres to the Professional Appearance Policy.
• Demonstrates effective interpersonal skills that are community-centered, compassionate, and meet the needs of diverse and vulnerable populations.
• Ability to communicate and work effectively with the physical and emotional development of all age groups.
• Practices in a caring environment with excellent customer service skills.
• Functions within ANA Standards and the Nurse Practice Act.
• Ability to access information and communicate in an electronic environment, including order entry, e‑mail, and documentation.
• Self‑directed in advancing professional practice through continuing education and research.

Unique Physical/Mental Demands and Working Conditions

Provide safe patient handling per VMC guidelines; must be able to lift from floor to overhead, carry items up to 40 lb, participate in team lifting, operate patient lifting equipment, stoop, bend, reach, crouch, and squat. Requires standing and walking for extended periods, manual and finger dexterity, eye‑hand coordination, corrected vision, hearing within normal range, and color discrimination.

Unit‑Specific Requirements (Addendum)

• Emergency Department RN
  • ACLS & PALS within 3 months of hire
  • NIHSS certification within 3 months of hire
  • TNCC within 12 months of hire
  • ENPC certification within 12 months of hire
  • One year of experience in Emergency nursing or successful completion of ED residency
• Emergency Department Resident
  • ACLS & PALS within 3 months of hire
  • NIHSS certification within 3 months of hire
  • TNCC within 12 months of hire
  • ENPC certification within 12 months of hire
• Post‑Anesthesia Care Unit (PACU)
  • ACLS & PALS within 3 months of hire
  • Preferred ED, PACU, ICU, or 2 years med/surg experience with cardiac telemetry
• Endoscopy
  • ACLS within 3 months of hire
  • Preferred 6 months previous experience or 1 year med/surg experience
• Perioperative Resource Team
  • ACLS & PALS within 3 months of hire
  • Completion of PRT orientation within 12 months of hire
• Admit and Discharge
  • ACLS & PALS within 3 months of hire
  • One year experience as RN or experience in peri‑anesthesia, admit & discharge
• Main OR Perioperative
  • Successful completion of OR nurse residency or 1 year minimum previous OR experience
• Critical Care
  • ACLS within 3 months of hire
  • NIHSS certification within 3 months of hire
  • Minimum one year of experience in Emergency/Critical Care nursing required
• Critical Care Resident
  • ACLS within 3 months of hire
  • NIHSS certification within 3 months of hire
• Labor & Delivery
  • NRP within 3 months of hire
  • ACLS within 3 months of hire
  • Intermediate or Advanced Fetal Monitoring Certification (AWHONN) or C‑EFM certification
  • Six months of labor & delivery experience or residency completion
• Labor & Delivery Resident
  • NRP within 3 months of hire
  • ACLS within 3 months of hire
  • Intermediate or Advanced Fetal Monitoring Certification (AWHONN) or C‑EFM certification within 3 months of hire
• Mother Baby
  • NRP within 3 months of hire
  • Six months experience as RN or residency completion
• Mother Baby Resident
  • NRP within 3 months of hire
• Medical‑Surgical
  • 3 months Med/Surg RN experience or residency completion
• Medical‑Surgical Float Pool
  • ECG interpretation course within 3 months of hire
  • 1 year Med/Surg experience
• Medical‑Surgical Neurology/Stroke Unit
  • ECG interpretation course within 3 months of hire
  • NIHSS certification within 3 months of hire
  • 8 hours of neuro education within 12 months and annually thereafter
• Surgical Joint/Spine
  • Orthopedic certification within 3 years of hire
• Oncology RN
  • ONS Oncology Fundamentals course within 3 months of hire
  • ONS Chemotherapy Biotherapy course and VMC clinical chemotherapy competencies within 3 months of hire
  • Oncology Certification (OCN) for RNs administering chemotherapy within 3 years of hire
• Neonatal Intensive Care RN
  • NRP within 3 months of hire
  • Six months Level II NICU experience or residency completion
• Neonatal Intensive Care Unit RN Resident
  • NRP within 3 months of hire
• IRCU RN
  • ACLS within 3 months of hire
  • One year experience in Radiology
• Clinical Administrative Resource (CAR)
  • ACLS & PALS within 3 months of hire
  • NIHSS certification within 3 months of hire
  • Minimum of one, prefer two, years in Critical Care, PACU, or Emergency Services
• STAT RN
  • ACLS & PALS within 3 months of hire
  • Minimum one, prefer two, years in Critical Care or Emergency Services
  • NIHSS certification within 3 months of hire
• Maternal Child Float Pool
  • NRP within 3 months of hire
  • Minimum 1 year experience in mother‑baby, Level II NICU including CPAP
  • Competent to perform patient assignments in mother‑baby care and Level II NICU including CPAP within 6 months of hire
• Electrophysiology
  • Two years EP Lab experience
  • Registered Cardiac Electrophysiology Specialist or acquired within 12 months of hire
• General Medicine
  • Chemotherapy Certification obtained within 12 months of hire (not required for Per Diems)

Legal and Compliance

Functions within ANA Standards and the Nurse Practice Act. Reports significant events to supervisors and follows policy chain of command. Maintains compliance with Joint Commission standards, state codes, and practice acts.