Location: Community-Based / Patient Homes – Dayton, Columbia County, Waitsburg & Starbuck, WA Schedule: Full-Time | 40 Hours per Week | 4-10s optional 5-8s Compensation: $36.00–$58.00 per hour Sign-On Bonus: $7,500
Flexible Scheduling | High Autonomy | Community-Based Care
Join our team at Columbia County Health System!
We are seeking a compassionate and highly organized Registered Nurse to provide individualized in-home Palliative Care to patients living with serious, chronic, or life-limiting conditions throughout our local communities.
This is a unique nursing opportunity for an RN who enjoys autonomy, relationship-based care, and working at the highest level of their scope of practice. Rather than following a traditional hospital-floor schedule, our Palliative Care RNs have flexibility in organizing their day based on patient needs, visit frequency, location, and documentation requirements.
What Makes This Position Unique
Flexible scheduling: Full-time employees may work four 10-hour shifts or optional five 8-hour shifts
Our current 4 - 10-hour rotation provides a 4-day weekend every other week
RNs have significant autonomy in organizing their daily patient schedule
Patient assignments are coordinated geographically whenever possible to minimize unnecessary travel
Nurses based in the Walla Walla/Waitsburg area may primarily support Waitsburg-area patients while also seeing patients in Dayton as needed
Office/workspace is available in Dayton and Waitsburg for scheduling, documentation, and administrative work
Mileage is reimbursed for work-related travel after the initial commute to your designated workspace
Dedicated documentation time can be incorporated into your schedule throughout the day
Opportunity to develop meaningful, long-term relationships with patients and families
Work within an Interdisciplinary Team of ARNP, RNs, MSW and CHW
What a Typical Day May Look Like
No two days are exactly the same. Visit frequency is based on each patient's individual needs and may range from several visits in one week during an intake or period of increased need to routine visits a few times per month.
Our nurses manage their own schedules within the needs of the program, allowing them to organize patient visits geographically and efficiently. Because patient needs can change, flexibility, strong organization, and time-management skills are important.
What We Offer
Full-Time: 40 hours per week
Schedule Options: 4-10s optional 5-8s
Sign-On Bonus: $7,500
Competitive Pay: $36.00–$58.00 per hour
Mileage reimbursement for work-related travel
Benefits: Medical, Dental, Vision & Basic Life Insurance
Eligibility to participate in a 401(k) Plan
PTO & Sick Time accruals
Six paid holidays
Supportive, collaborative team environment within a community health system
Qualifications
Active Washington State RN license or active Multi-State RN License
BLS certification every two years — we can assist with obtaining certification
ACLS a plus
Strong organization and time-management skills
Ability to work independently while collaborating closely with an interdisciplinary care team
Compassionate communication skills and a commitment to patient- and family-centered care
Responsibilities
Provide comprehensive, patient-centered nursing assessments and ongoing symptom management
Coordinate care for patients with serious, chronic, or life-limiting conditions
Develop and update individualized plans of care in collaboration with providers and the interdisciplinary team
Provide education, guidance, and emotional support to patients and their families
Coordinate referrals, services, and community resources
Respond to changing patient needs and adjust visit frequency as appropriate
Maintain timely and accurate documentation within the electronic health record
Communicate closely with providers, patients, families, and members of the care team to support continuity of care
If you are an experienced RN who values autonomy, flexibility, meaningful patient relationships, and community-based care, we would love to have you join the Palliative Care team at Columbia County Health System.
Job details are sourced from the employer's original posting.
