Registered Nurse

"Serving our community with acceptance, compassion and respect"

Anticipated start dates for this role are in July 2026, with orientation sessions scheduled for July 6 or July 20, 2026.

ABOUT CASCADE:

Cascade Community Healthcare (CCH) has been providing treatment services to Lewis County and surrounding areas for more than 50 years. Our mission is to provide our clients with compassionate and encouraging counseling leading to a renewed sense of hope and the ability to make positive changes and live more satisfying lives. Cascade currently has six treatment locations in Lewis County.

We are looking for an RN to join our team. This position assesses client and documents pertinent information including triage, behavioral health, physical health, and/or substance abuse issues. In addition, this position requires the ability to de-escalate potentially aggressive situations, crisis intervention, and will provide education to clients and their families regarding behavioral health diagnosis, medications, and treatments.

SHIFTS AVAILABLE:

Day Shift, Thursday - Saturday: 3 - 12s, 10:00am - 10:30pm

Day Shift, Sunday - Wednesday: 4 - 12s, 10:00am - 10:30pm

NOC Shift, Thursday - Saturday: 3 - 12s, 10:00pm - 10:20am

NOC Shift, Sunday - Wednesday: 4 - 12s, 10:00pm - 10:30am

Based on current utilization levels within the Crisis Relief Center, staffing schedules utilizing 3x12 and 4x12 shifts have been implemented to support operational needs. Scheduling and total weekly hours remain subject to change based on ongoing utilization, patient care demands, and organizational needs.

PAY SCALE:

RN Associate: $48.43 - $59.04

RN BS: $51.13 - $62.33 (BS in related field)

RN BSN: $53.81 - $65.59

RN MSN: $59.19 - $72.15

WHAT YOU NEED TO GET THE JOB DONE:

• Washington State Department of Health Registered Nurse credential is required, or a multistate licensure privilege that includes Washington State.
• BLS Certificate required.
• Experience assessing, treating, and managing acute wounds is required.
• Must be able to pass WA State Patrol background check at hire and annually thereafter. National background check if have not lived in WA State consecutively the last 3 years.
• Must be physically able to pass violence prevention training and perform MOAB techniques.
• Must demonstrate the ability to work as part of a team.
• Must be able to represent the agency in a positive and professional manner.
• Must be able to communicate clearly, both verbally and in writing.
• Must comply with agency policies and procedures.

• Must maintain current home telephone and address on file with the personnel office.

WHAT YOU'LL DO:

• Completes detailed nursing assessments with individuals and documents pertinent information including triage, medical/behavioral health assessments, and medication administration utilizing appropriate assessment tools.
• Accurately records all medication brought in by individual.
• Plans individual treatment as part of the multidisciplinary clinical team.
• Provides education concerning psychiatric diagnosis, treatment options, psychopharmacology, and overall health literacy to individuals, families, and all others involved in the individual's care.
• Intervenes with appropriate verbal interventions to diffuse out of control or potentially dangerous behaviors.
• Demonstrates ability to effectively use therapeutic option theory and technique and can describe and demonstrate their roles and responsibilities.
• Demonstrates a thorough knowledge of seclusion/restraint standards, guidelines, techniques and initiates documentation and debriefing with individuals for any seclusion/restraint incidents as required.
• Accurately transcribes provider orders and administers medications as prescribed.
• Attempts to have individual sign medication consent form.
• Performs chart checks and signs off as a second noted on medications prescribed.
• Draw labs and provides minor wound care as ordered by providers when required.
• Completes nurse to nurse at discharge or when accepting individual from another facility.

PHYSICAL DEMANDS:

• Standing and walking for long periods of time, majority of scheduled shift.
• Protective holds, movements and carries.
• Blocking and redirecting patient movements.
• Physical interventions in response to aggressive and self-injurious behavior.
• Ability to move quickly and confidently to intervene in situations when protective holds and/or movements are deemed necessary.
• Ability to pursue a client in the event they try to leave the secure unit.
• Successful completion of MOAB training (Management of Aggressive Behavior).
  • Including but not limited to pivoting, knee squats, shuffling front and backwards, assisting a person to the floor, stabilizing people in standing, seated, lying and supine positions.
• While performing the duties of this job, the employee is regularly required to see, talk, and hear.

WHAT YOU'LL LOVE ABOUT US:

• Cascade is an eligible employer for the Public Service Loan Forgiveness (PSLF) Program.
• Meaningful work. The services we provide have a big impact and it makes what we do count.
• Self-Care, time away from work. Start off with 13 hours of paid time off (PTO) earned monthly, and 11 paid holidays plus 16 hours of personal holiday. Pro-rated based on FTE. PTO and Personal Holiday are available after 90-days of employment.
• Company Paid Employee Benefits: Medical, Dental, Vision, AllyHealth, EAP, Life insurance and AD&D, Long Term Disability, and Supplemental Benefits (Critical Illness, Hospital Indemnity, and Accident Insurance), subject to plan terms. Medical benefits will be effective the first of the month following date of hire. (0.5FTE not eligible for Medical, eligible for all other benefits).
• Voluntary Benefits: Supplemental Term Life Insurance, Supplemental Legal Care, Fraud & Identity Protection, HSA, FSA, Dependent Care FSA, Limited Purpose FSA, and Pet insurance, subject to plan terms.
• Preparing for your Future. 401(k), after 6-months of employment Cascade contributes 5% of your gross earnings monthly. No match required.
• Cascade reimburses the cost of Department of Health licensure renewals and other certification renewals that are required for you to do your job (DEA, CPR/BLS, etc.).

If you're interested in this position, please submit your resume. No phone calls please.