Salary : $79,749.96 - $96,975.96 Annually
Location : Everett, WA
Job Type: Full-Time
Remote Employment: Flexible/Hybrid
Job Number: 2024-01887
Department: Human Services
Division: Human Services Case Management
Opening Date: 04/25/2024
Closing Date: Continuous
Description
Join our Human Services Registered Nurse-Case Management Team!
Snohomish County Human Services Department currently has one FLSA-Exempt Registered Nurse position in the Aging & Disability Services Division.
Purpose:
Snohomish County Human Services Case Management is hiring a registered nurse to provide clients, caregivers and case managers nursing services. The nurse will offer consult for adult clients with unstable or chronic health conditions who are at risk of hospitalization or residential placement. This is a hybrid position.
About You:
You have clinical experience and can function independently using critical thinking skills and the nursing process to carry out job responsibilities. You enjoy working with disabled and geriatric clients in the home setting and are comfortable providing education and training for clients, caregivers, and case managers.

Position Purpose:
To work in collaboration with case managers, caregivers, and members of the client's health care team to review care needs and address concerns. There is no direct nursing care involved that requires physician orders. The case management nurse assists with developing and implementing the care plan and provides education and resource coordination to facilitate an optimal level of functioning and health for the client enabling them to remain safely in their home.
About Human Services:
The Human Services Department mission is to help all persons meet their basic needs and develop their potential be providing timely, effective human services and building community.

The Human Services Department consists of more than 300 diverse, friendly, and dedicated employees who receive from outstanding benefits and competitive wages. Employees are appreciated and have the opportunity to make a real difference in our community. Snohomish County is thriving and is a great place to live, work, play, and raise a family. We strive to not only provide a meaningful job, but a life-long career with Snohomish County Government.
Snohomish County Human Services strives to be an equitable and trauma-informed department. Our department believes every interaction, procedure, and policy provides an opportunity to build a pathway toward a more resilient and restorative Snohomish County.
BASIC FUNCTION
To provide Nursing Services in the Human Services Case Manager, Long Term Care and Early Learning Programs. Nursing Service RNs offer clients, providers, and case managers health-related assessment and consultation in order to enhance the development and implementation of the client's care plan. Responsibilities include file reviews, consultations, and home visits. Nursing Service RNs do not provide direct care requiring physician orders and supervision.
Job Duties
STATEMENT OF ESSENTIAL JOB DUTIES

1. Assesses medical, psychosocial, and physical needs of clients; conducts home visits with clients, care providers, families and other involved parties to review client needs and resolve concerns. Makes joint home visits with non RN staff to provide information from a medical point of view.
2. Provides health-related education and training to groups.
3. Provides task-specific training and instruction from a medical perspective to care providers and clients, and/or makes appropriate referrals for training, as needed.

WHEN ASSIGNED TO CASE MANAGEMENT AND LONG-TERM CARE PROGRAMS:

1. Provides consultation to non RN Case Managers regarding clients with unstable medical conditions at risk of residential placement or hospitalization due to unstable health.
2. Develops and implements individualized plan of services for clients with medically intensive issues with a goal of maintaining the client's independence; monitors services provided to these clients to determine adequacy of service provision; reassesses and revises service plans as needed; documents client progress.
3. Responds to referrals from non RN Case Managers by providing file reviews of the CARE assessment, other client related care plans, and medical information; office consultation or staffing with case managers regarding client specific disease processes, diagnoses, & medications; telephone consultation with clients, providers, or case managers; and home visits to clients. RNs complete documentation related to file reviews, consultations, and home visits.
4. Provides care coordination for clients through consultation and coordination with all pertinent members of a client's care team and facilitates health-related referrals to other services and programs as needed. The RNs provide education regarding available community resources and programs related to the health care needs of the clients.
5. Assists clients with medically complex care needs to hire personal care providers that are able to provide care according to the client's individualized care plan. Facilitates completion of contracting procedures; provides training information to care providers.
6. Responds to client crises by providing timely assessment of in home care needs; offers services within program parameters, or refers as needed; coordinates with DSHS field staff to facilitate transition of clients between residential and in-home care settings.

WHEN ASSIGNED TO EARLY LEARNING PROGRAMS:

1. Reviews medical reports (health history and well child exams) and develops health care plans, if needed.
2. Assists Staff in reviewing children's immunization records.
3. Provides staff support to Health Advisory Committee.
4. Completes site reviews to document compliance with ECEAP Performance Standards.

STATEMENT OF OTHER JOB DUTIES

1. Performs related duties as required and/or when assigned

Minimum Qualifications
MINIMUM QUALIFICATIONS
Graduation from an accredited school of professional nursing; AND two (2) years of paid on-the-job nursing. Must pass job related tests.
PREFERRED QUALIFICATIONS
A Bachelor's degree in nursing.
SPECIAL REQUIREMENTS
A current Washington State Registered Nurse License.
A valid Washington State Driver's License, unrestricted except as to vision, will be required prior to employment.
A pre-employment physical examination may be required for employment.
Additional Information
KNOWLEDGE AND ABILITIES
Knowledge of:

• professional nursing principles, practices and concepts
• medications and expected action and side effects
• psychological, physiological and anatomical issues and systems related to children, disabled and geriatric populations
• social, financial and health problems confronting low-income, elderly and/or disabled, persons
• available community resources; interviewing, assessment and counseling techniques
• computers and software programs

Ability to:

• establish and maintain effective working relationships, rapport and coordination with disabled or elderly clients, their families, social services providers, community agencies, other county employees and the public
• interpret a variety of medical, social and psychological data
• communicate effectively, both orally and in writing, with people regardless of age, sex, social, economic, cultural or ethnic background, or sexual orientation
• instruct and train care providers; respond effectively to crisis or emergency situations
• use computer
• maintain detailed records and prepare clear, concise written reports
• function independently in client home situations
• coordinate a large volume of telephone contacts
• facilitate groups and meetings

SUPERVISION
This position receives direction from a programmatic supervisor, a division administrator or the Director of Human Services, as assigned. The work is performed with limited supervision and is reviewed through meetings, reports and results obtained.
WORKING CONDITIONS
Positions in this class typically require work being performed in a variety of settings including client homes, adult family homes, congregate care facilities, hospitals, nursing homes and the usual office environment. Employees are required to travel to client's place of residence & need to drive a motor vehicle on public roads. Positions in this class may typically experience exposure to unpleasant odors, smoke and unsafe or unsanitary conditions in clients' homes.

Snohomish County is an Equal Employment Opportunity (EEO) employer.
Accommodations for individuals with disabilities are provided upon request.
Snohomish County offers a comprehensive benefits package to employees that receive a regular appointment who work at least 20 hours a week.
Visit to learn more about the following benefits.
County Benefits

• Medical Insurance
• Vision Insurance
• Dental Insurance
• Retirement
• Basic Group Term Life Insurance/ Accidental Death and Dismemberment (AD&D) Insurance
• Long Term Disability (LTD)
• Commuting Benefits
• Employee Assistance Program (EAP)
• Partners for Health Employee Wellness Program
• Leave & Holidays

Voluntary Benefits

• Deferred Compensation 457(b)
• Supplemental Group Term Life Insurance
• Additional Accidental Death and Dismemberment Insurance (AD&D)
• Flexible Spending Accounts (FSA)
• Supplemental Individual Insurance Policies

Healthcare Premiums

• Regular full-time employees: If you work 35 or more hours per week, you will pay these for medical insurance. The County pays the for vision, dental, and basic life insurance.
• Regular part-time employees: If you work between 20 and 34 hours per week, you will pay for medical, dental, vision, and basic life insurance. The County's contribution toward the premium for an employee in a regular part-time appointment will be pro-rated in an amount equal to the F.T.E. percentage the employee is assigned.

Note: Temporary employees, seasonal employees and paid interns may be eligible for medical insurance benefits. Review the County's to learn more.
01

Following are a series of supplemental questions to assess your job-related experience and qualifications. Please note that as part of the screening process, your responses will be reviewed in conjunction with your general on-line application. The employment history and education detailed in your general on-line application must validate/support your responses to the supplemental questions. If your responses cannot be validated, you will not proceed to the next step of the review selection process. A resume must be submitted, but it will not substitute for the general on-line application or supplemental questions; responses such "see resume" or "see application" will not be considered. Do you agree to answer each question truthfully and that your responses can be supported by your general on-line application/work history and by your references?

• Yes
• No

02

Do you possess or can you obtain prior to appointment, a Washington State Driver's License, unrestricted except as to vision?

• Yes
• No

03

Do you possess a WA State Registered Nurse License?

• Yes
• No

04

What level of nursing degree do you have?

• No Degree
• AA Degree (RN)
• Diploma (RN)
• Bachelors Degree
• Masters Degree or Higher

05

How many years of full-time paid on-the-job medical, surgical, nursing or community health experience do you have?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or more years experience

06

How many years of relevant paid employment experience working with persons with physical impairments or multiple medical problems do you have?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or more years experience

07

How many years of relevant paid employment experience working with persons with Dementia/Alzheimer's Disease do you have?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or more years experience

08

How many years of relevant paid employment experience do you have working with limited/non-English speaking persons or with other communication barriers?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two years or more experience

09

How many years of prior relevant paid employment experience do you have conducting comprehensive assessments of client needs to determine eligibility for services in a client's home setting, or a residential or institutional setting?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or mores years experience

10

How many years of prior relevant paid employment experience do you have collaborating with clients to prepare service plans to address service needs of clients?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or more years experience

11

How many years of prior relevant paid employment experience do you have implementing service plans by authorizing services and/or arranging for services from relevant provider agencies?

• No experience
• Less than one year experience
• One year to less than two years experience
• Two or more years experience

12

Do you have any of the following computer skills? Select all that apply.

• Prior employment experience using a computer to compile client assessment service delivery information
• Prior employment experience using a notebook computer to collect and process client information
• Prior employment experience using word processing
• None of the above

13

Do you have knowledge in any of the following areas? Select all that apply.

• Professional nursing principles, practices and concepts
• Medications and expected action and side effects
• Psychological, physiological, and anatomical issues and systems, related to disabled and geriatric populations
• Social, financial, and health problems confronting elderly and/or disabled persons
• Available community resources, interviewing, assessment and counseling techniques
• Computer and software programs
• None of the above

14

Which of the following abilities do you possess? Select all that apply.

• Establish and maintain effective working relationhsips, rapport, and coordination with disabled or elderly clients, their families, social service providers, community agencies, other county employees and the public
• Interpret a variety of medical, social and psychological data
• Communicate effectively, both orally and in writing, with people regardless of age, sex, social, economic, cultural or ethnic background or sexual orientation
• Instruct and train care providers, respond effectively to crisis or emergency situations
• Use a computer
• Maintain detailed records and prepare concise written reports
• Function independently in client home situations
• Coordianate a large volume of telephone contacts
• None of the above

Required Question