JSS Registered Nurse (Rn)

Jamestown Salish Seasons (JSS) is seeking a compassionate and skilled Registered Nurse (RN) to join our 16-bed voluntary residential treatment facility providing 24/7/365 crisis stabilization and inpatient behavioral health services. This role offers meaningful, hands-on clinical work with individuals experiencing acute mental and behavioral health crises in a supportive, interdisciplinary environment focused on recovery, dignity, and healing.

We offer excellent benefits, a predictable and highly desirable schedule, and a workplace that supports both professional fulfillment and work-life balance.

Schedule

This role follows a Fixed Panama 12s schedule, designed to maximize time off while maintaining full-time hours:

• Rotation: 2 on, 2 off, 3 on, 2 off, 2 on, 3 off

• One week: 4 shifts (48 hours)

• Next week: 3 shifts (36 hours)

• Built-in overtime with full-time status maintained

• Approximate structure allows staff to work about half the days of the year

• Two shift options available:

• Day Shift: 7:00 AM - 7:30 PM

• Night Shift: 7:00 PM - 7:30 AM

• Hiring needs: 2 RNs for days and 2 RNs for nights

• $5.00/hour differential for all overnight hours worked

Essential Functions

Direct Patient Care and Crisis Stabilization

• Provide direct nursing care for individuals experiencing acute behavioral health crises in a voluntary treatment setting

• Conduct nursing assessments including physical health screening, mental status evaluation, and ongoing monitoring

• Observe and report changes in patient condition to clinical staff

• Support individualized treatment planning with the interdisciplinary team

• Use trauma-informed care and approved de-escalation techniques

• Monitor patient safety, behavior, and physical health within scope of practice

Medication Management

• Administer medications per provider orders, nursing standards, and facility protocols

• Ensure safe medication practices including storage, preparation, administration, documentation, and disposal

• Monitor and document medication effectiveness and side effects

• Maintain accurate electronic health record documentation

• Support medication safety and error prevention practices

Documentation and Compliance

• Complete timely and accurate documentation in the electronic health record

• Ensure compliance with facility standards and regulations, including HIPAA and 42 CFR Part 2

• Participate in audits, reviews, and quality improvement activities

Care Coordination and Collaboration

• Collaborate with Psychiatric Medical Director, Nursing Manager, providers, and interdisciplinary team

• Communicate patient updates and clinical observations clearly and effectively

• Participate in shift hand-offs and treatment planning

• Support coordination with external providers as appropriate

Cultural Competence

• Provide culturally responsive care that respects patient traditions and lived experiences

• Support integration of Tribal culture and healing practices when appropriate

• Demonstrate respect in a diverse, cross-cultural care environment

Administrative Duties

• Follow all organizational policies and procedures

• Maintain licensure, certifications, and required competencies

• Participate in training, meetings, and professional development

• Support emergency preparedness in a 24/7/365 environment

• Perform other duties as assigned

Requirements

• Graduation from an accredited school of nursing with at least 1 year of experience

• Active, unrestricted Washington State RN license

• BLS (CPR) certification required or ability to obtain within 3 months of hire

• Knowledge of behavioral health crisis intervention and stabilization practices

• Understanding of nursing scope of practice and regulatory standards

• Knowledge of HIPAA and 42 CFR Part 2 compliance

• Strong communication and documentation skills

• Ability to maintain strict confidentiality

• Proficiency with electronic health records

• Valid driver's license (if local travel is required)

• Successful completion of criminal background check

Preferred Qualifications

• BSN preferred

• 2 years of experience in behavioral health, psychiatric nursing, crisis stabilization, residential treatment, emergency department, or similar acute care setting

• Psychiatric-Mental Health Nursing Certification (PMH-BC) preferred

• Experience in tribal health or familiarity with American Indian/Alaska Native health services preferred

• American Indian/Alaska Native preference applies

Benefits

We offer a strong and comprehensive benefits package designed to support your health, financial security, and overall wellbeing:

• Medical, dental, and vision coverage

• Paid time off and holiday benefits

• Retirement plan options

• Ongoing training and professional development opportunities

• Stable, predictable scheduling with extended time off

• Built-in overtime opportunities within the schedule structure

• Night shift differential of $5.00/hour for overnight hours

• Supportive, team-based clinical environment focused on behavioral health excellence

• Opportunity to work in a culturally grounded care setting that values holistic healing and community impact