Registered Nurse - Labor & Delivery (L&D)

Planned Systems International, Inc.; Tacoma (WA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Benefits package

401(k) matching

Tuition assistance

Job summary

QuarterLine (QL), a Planned Systems International (PSI) company, seeks an experienced RN to deliver comprehensive obstetric care in the Labor & Delivery unit at Madigan Army Medical Center, JBLM, Tacoma, WA. The RN will care for antepartum, labor, delivery, and postpartum patients, including high-risk cases, requiring sound clinical judgment and compassionate care in a high-acuity setting.

The ideal candidate has recent L&D experience, an unrestricted RN license, and a commitment to mission

Qualifications

• US citizen
• Associate degree in nursing from ACEN/CCNE accredited program; CGFNS accepted for overseas degrees
• BLS
• ACLS
• NRP
• AWHONN Intermediate or Advanced Fetal Monitoring
• Active RN license
• Minimum 1 year L&D nursing experience in past 2 years

Responsibilities

• Provide comprehensive nursing care in Labor & Delivery, including high-risk obstetric care
• Provide antepartum care for patients generally >18 weeks gestation
• Perform complex treatments with IV medications, dressings, and IV magnesium infusions
• Assess patients and report significant changes to providers
• Provide intraoperative/circulating nurse support for obstetric patients
• Manage immediate post-anesthesia/postoperative care following procedures
• Operate and monitor specialized monitoring and resuscitation equipment
• Document care in EHR and interpret lab results
• Coordinate care with Anesthesia, OB-GYN, midwives, and Family Medicine
• Deliver patient handoffs/reports with procedures and equipment needs
• Demonstrate knowledge of neonatal transitional care
• Participate in rounds, discharge planning, and multidisciplinary coordination
• Follow infection-control protocols
• Maintain professionalism and communication in stressful situations
• May be rotated across MAMC clinical areas

Skills

RN license

Labor & Delivery

Critical care

Patient assessment

Education

Associate degree in nursing

Tools

Electronic Health Records (EHR)

Job description

Overview

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.