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