Registered Nurse - Special Care Unit

Planned Systems International; Tacoma (WA); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Paid leave

Medical, dental, vision insurance

Short-term and long-term disability

Life insurance

401(k) with company match

Tuition reimbursement

Job summary

QuarterLine (QL), a Planned Systems International (PSI) company, seeks experienced Registered Nurse (RN) for the Special Care Unit at Madigan Army Medical Center, JBLM, Tacoma, WA. Position requires caring for high-acuity patients across ages and clinical needs, with exposure to critical care settings.

Ideal candidates have current unrestricted RN licensure, BLS/ACLS, and at least 1 year in a Special Care Unit. Government onboarding and credentialing requirements apply.

Qualifications

• US citizenship
• ACEN/CCNE-accredited nursing degree; CGFNS for overseas education if applicable
• Current BLS and ACLS certifications
• RN license in good standing
• Minimum of 1 year RN experience in Special Care Unit (within past 2 years)

Responsibilities

• Assess patients, plan, implement, and evaluate nursing care
• Obtain histories, document treatments, progress, admissions, discharges
• Monitor patient condition and recognize life-threatening changes
• Manage hemodynamic monitoring and devices (central lines, IVs, chest tubes, catheters, feeding tubes)
• Administer medications per Five Rights and RN scope
• Verify orders and communicate with physicians and charge nurses
• Collaborate with physicians and healthcare teams; participate in rounds and discharge planning
• Perform direct patient care tasks and operate emergency equipment
• Adhere to infection control and documentation standards

Skills

Registered Nurse RN license

High-acuity patient care

Critical care / Special Care Unit

Team collaboration

Education

Associate’s degree in nursing

ACEN/CCNE accreditation

Tools

Defibrillators

EKG machines

Cardiac monitors

Central lines equipment

Job description

Overview

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking experienced Registered Nurse (RN) candidates to provide high-quality, comprehensive nursing care within the Special Care Unit at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord (JBLM). These positions will support the care of patients with complex medical and surgical conditions and require nurses who are comfortable managing high-acuity patients and providing care across a wide range of ages and clinical needs.

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 critical and special-care nursing, including patient assessment, care planning, implementation, and evaluation.
• Obtain patient/family histories and accurately document assessments, treatments, progress, admissions, and discharges.
• Monitor patients and recognize changes in condition, including potential life-threatening situations.
• Manage patients requiring hemodynamic monitoring and specialized equipment, including central lines, IV lines, chest tubes, catheters, and feeding tubes.
• Administer medications and treatments using the Five Rights and within the RN's scope of practice.
• Verify physician orders and communicate pertinent patient information to physicians and charge nurses.
• Monitor and interpret information collected by LVNs and unlicensed personnel and notify medical staff as appropriate.
• Develop and manage nursing care plans and provide patient and family education while serving as a patient advocate.
• Perform direct patient-care activities such as lifting, turning, ambulating, transporting, positioning, hygiene, feeding, and range-of-motion exercises.
• Operate emergency equipment such as defibrillators, EKG machines, and cardiac monitors.
• Recognize and respond to emergencies, including cardiac/respiratory arrest, hemorrhage, shock, severe trauma, and psychiatric emergencies, and initiate lifesaving measures when necessary.
• Participate in resuscitation or emergency code teams when required by the position and protocol.
• Collaborate with physicians and multidisciplinary healthcare providers and participate in nursing reports, care conferences, discharge planning, and staff meetings.
• Follow established infection-control, patient-safety, and nursing documentation standards.
• Maintain professionalism and composure when working with patients, families, and individuals experiencing distress or difficult situations.

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

• License

• Experience: A minimum of one (1) year qualifying experience in the past two years as a Registered Nurse in Special Care Unit.

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.