Registered Nurse - Labor & Delivery (L&D)

QuarterLine Consulting Services, LLC; Tacoma (WA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Paid leave

Medical, dental & vision plans

Short‑term & long‑term disability

Life insurance & AD&D

Legal services

Identity theft protection

Flexible spending account (FSA)

Health savings account (HSA)

401(k) retirement plan with employer

Job summary

QuarterLine Consulting Services, LLC is seeking an experienced Registered Nurse for Labor & Delivery at Madigan Army Medical Center, JBLM, Tacoma, WA. The RN will deliver comprehensive care across antepartum, labor, delivery, and postpartum periods, including high-risk obstetric cases.

This role requires credentialing, security, and onboarding under a personal services arrangement. The ideal candidate will have recent RN L&D experience, a valid unrestricted RN license, and strong clinical

Qualifications

• Associate's degree in nursing from ACEN/CCNE-accredited program.
• Current BLS certification.
• ACLS certification.
• NRP certification.
• AWHONN Intermediate or Advanced Fetal Monitoring certification.
• Active US RN license in good standing.
• At least 1 year RN experience in Labor & Delivery within past 2 years.

Responsibilities

• Provide comprehensive nursing care throughout Labor & Delivery, including high-risk obstetric care.
• Provide antepartum care for patients generally >18 weeks gestation.
• Perform complex treatments, including IV push meds, complex dressings, and IV magnesium infusions.
• Assess patients and report significant changes to providers.
• Provide intraoperative/circulating nurse support for pregnant/postpartum patients.
• Post-anesthesia/postoperative care following procedures.
• Operate and monitor specialized monitoring equipment.
• Monitor invasive/non-invasive procedures and ensure equipment works.
• Document care in EHR and interpret labs; report abnormal findings.
• Coordinate care with Anesthesia, OB-GYN, midwives, and Family Medicine.
• Provide patient handoff/report with procedures and equipment needs.
• Demonstrate knowledge of neonatal transitional care.
• Participate in nursing reports, rounds, discharge planning, and care coordination.
• Follow infection-control protocols.
• Maintain professionalism and effective communication; handle stressful situations.
• Rotate through MAMC clinical areas as needed.

Education

Associate's degree in nursing (ACEN/CCNE-accredited)

US RN license

BLS

ACLS

NRP

AWHONN Intermediate or Advanced Fetal Monitoring

Job description

Registered Nurse - Labor & Delivery (L&D)

Location: US-WA-Tacoma

Job ID: 2026-12169

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking experienced Registered Nurses (RNs) to provide high-quality, comprehensive nursing care within the Labor & Delivery (L&D) Unit at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord (JBLM). The RN will provide care to patients throughout the antepartum, labor, delivery, and postpartum periods, including patients with high-risk or complex medical and obstetric needs. This position requires strong clinical judgment and the ability to provide safe, compassionate care in a fast-paced, high-acuity maternal-child healthcare environment.

This role requires a dependable nursing professional who can meet government qualification, credentialing, security, and onboarding requirements while working under a personal services arrangement. The ideal candidate will bring recent registered nursing experience in a primary care or occupational medicine setting, a current unrestricted RN license, strong clinical judgment, and a commitment to supporting mission readiness and high-quality care for service members and eligible patient populations.

• Duty Location: Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, WA 98431. No Telework allowed.
• Duty Hours:
  • Day Shift Duty Hours: 0700 - 1930; 0700 - 1730; 0700-1530; 0900-1930, 1100-1930; 0600-1630; 0900-1730; 0900-2130; 1100-2130;1200-2030; 0800-1630; 0830-1700; 0900-1730; 0930-1800; 1030-1900; 0530-1800
  • Evening Shift Duty Hours: 1100-2330; 1500-2330; 1500-0330; 1000-2230; 1200-0030;1500-0330; 1300-2330; 1300-2130; 1700-2330
  • Night Shift Duty Hours: 1900-0330; 1900-0730; 2300-0730; 2100-0730
  • 4-hour shifts may be implemented into the duty hours if needed by the unit.

Essential Functions and Job Responsibilities

• Provide comprehensive nursing care throughout Labor & Delivery, including high-risk obstetric care.
• Provide antepartum care for patients generally greater than 18 weeks gestation.
• Perform complex treatments, including IV push medications, complex dressing changes, and IV magnesium infusions, including medication titration when required.
• Assess patients and recognize normal versus abnormal clinical findings, reporting significant changes to the appropriate provider.
• Provide intraoperative/circulating nurse support for pregnant and postpartum patients.
• Provide immediate post-anesthesia/postoperative care following surgical procedures.
• Operate and monitor specialized monitoring, therapeutic, and resuscitative equipment.
• Monitor invasive and non-invasive procedures and ensure equipment is functioning properly.
• Monitor patient progress, document care in the electronic health record (EHR), and interpret laboratory results while reporting abnormal findings to physicians.
• Coordinate care with Anesthesia, OB-GYN, midwives, and Family Medicine providers.
• Provide appropriate patient handoff/report, including procedures performed, patient conditions, nursing interventions, responses, specialized care, and equipment needs.
• Demonstrate knowledge of neonatal transitional care.
• Participate in nursing reports, patient-care conferences, discharge planning, and multidisciplinary care coordination.
• Follow established infection-control protocols.
• Maintain professionalism, composure, and effective communication with patients and families, including during stressful or difficult situations.
• Work within the RN's scope of practice and may be rotated throughout MAMC clinical areas as needed.

Minimum Requirements

• US Citizen
• Degree/Education: Minimum of Associate's degree in nursing. The school must be accredited by the Accreditation Commission for Education in Nursing (ACEN) and/or the Commission on Collegiate Nursing Education (CCNE). For education outside the United States, only the Commission on Graduates of Foreign Nursing School reports are accepted (CGFNS), for overseas degree verification.
• BLS
• ACLS
• NRP
• AWHONN Intermediate or Advanced Fetal Monitoring
• License
• Experience: A minimum of one (1) year qualifying experience in the past two years as a Registered Nurse in Labor & Delivery Unit (L&D).

Physical Demands

• Must pass TB Test
• Subject to a background/security investigation
• Willingness to comply with DHA vaccination requirements
• Pre-employment drug screening
• Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance.

Company Benefits

PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.

EEO Commitment

It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.

Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, or to receive an update regarding the status of your application, please contact Talent Acquisition by emailing [e-mail], or by dialing 703-575-8400.