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  3. Registered Nurse (RN) - Intensive Care Unit
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Registered Nurse (RN) - Intensive Care Unit

Confluence Health·Chelan County, Washington

Full Time·On Site·5-10 yrs·Posted 5 months ago
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About the role

This role involves delivering professional nursing care to patients using the nursing process, which includes assessment, planning, intervention, implementation, and evaluation, while effectively interacting with patients, families, and the healthcare team. Essential functions include coordinating high-quality, compassionate care, accurately collecting patient data, developing individualized plans of care, administering treatments, and maintaining a safe environment.

Salary Range

$42.61 - $80.07 Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert.

We are the proud home of orchards, farms, and small communities.

Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.

Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here!

Summary

This position is eligible for up to a $20k sign on bonus with a 2- year commitment to Confluence Health.

Must have prior ICU experience and be a external applicant.

A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation.

Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics).

Position Reports To: Unit Clinical Manager/Director

Essential Functions

Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations.

Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care.

Completes holistic ongoing assessments of patient’s status and responds appropriately.

Develops, implements and continually reassesses patient’s individualized plan of care.

Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments.

Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material.

Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed.

Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner.

Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel.

Participates in performance evaluation/improvement processes with Director/Clinical Manager.

Assumes responsibility for own professional development and personal growth.

Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing.

Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment.

Maintains a clean and safe environment for patient and staff according to hospital and unit policies.

Identifies patient by name and check’s patient name band for correct identification.

Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals.

Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics.

Demonstrates knowledge of infection control and isolation procedures and policies.

Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty.

Actively participates in quality improvement programs.

Demonstrates an ongoing awareness of and participation in quality improvement process.

Incorporates results obtained through the quality improvement process into practice to enhance performance.

Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures.

Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable.

Required to maintain active Basic Life Support (CPR) certification.

Required to maintain active Basic Life Support (CPR) certification.

Other duties as assigned.

INTENSIVE CARE UNIT REGISTERED NURSE ESSENTIAL FUNCTIONS Intensive Care RNs will complete a formal orientation program for care of the critically ill patient.

Intensive Care Unit RNs will be able to apply the principles / techniques of critical patient care assessment, planning, intervention, and evaluation.

Intensive Care Unit nurses will be able to provide care within the ICU Standards of Practice, Section B for the infant, pediatric, adolescent, and adult patient.

Intensive Care RNs will demonstrate knowledge and competency of all new equipment, policies, and procedures specific to Intensive Care nursing.

Intensive Care nurses are certified in ACLS, PALS, and TNCC (within 1 year of ICU employment unless an alternative education plan is determined).

Intensive Care RNs will serve as Trauma Team members after completing TNCC course.

CCRN Certification will be endorsed and encouraged for all ICU nursing staff.

Intensive Care RNs will demonstrate competency by attending an annual skills lab and review of selected equipment and procedures.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required

Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.

Desired: BSN

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position

  • Walking -
  • C
  • Sitting/Standing -
  • F
  • Reaching:
  • Shoulder
  • Height -
  • F
  • Reaching:
  • Above shoulder height -
  • O
  • Reaching:
  • Below shoulder height -
  • F
  • Climbing -
  • O
  • Pulling/Pushing: 25 pounds or less -
  • F
  • Pulling/Pushing: 25 pounds to 50 pounds -
  • F
  • Pulling/Pushing:
  • Over 50 pounds -
  • O
  • Lifting: 25 pounds or less -
  • F
  • Lifting: 25 pounds to 50 pounds -
  • F
  • Lifting:
  • Over 50 pounds -
  • O
  • Carrying: 25 pounds or less -
  • F
  • Carrying: 25 pounds to 50 pounds -
  • O
  • Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching -
  • F
  • Twisting/Turning -
  • F
  • Repetitive
  • Movement -
  • O
  • Working
  • Conditions: Acute Care Nursing

Job Classification

FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes

Requirements

Candidates must be a clinically competent, registered, professional nurse who has prior ICU experience and is an external applicant, eligible for a sign-on bonus with a two-year commitment. Required qualifications include graduation from an accredited school of nursing and current RN licensure in Washington State or through the Multistate Nurse Licensure Compact, along with basic computer skills.

  • associate degree
  • Care Planning
  • Medication Administration
  • Patient Assessment
  • ACLS
  • Patient Education
  • Delegation
  • Infection Control
  • Safety Policies
  • Nursing Process
  • Performance Improvement
  • PALS
  • TNCC
  • Emergency Situations Management
  • Critical Patient Care Assessment
  • CCRN Endorsed

Benefits

  • Dental Insurance
  • Employee Assistance Program
  • Life Insurance
  • Wellness Program
  • Paid Time Off
  • Vision Insurance
  • Medical Insurance
  • Long-Term Disability
  • Tuition Reimbursement
  • Flexible Spending Accounts
  • Shift Differential
  • Retirement Plans
  • Adoption Assistance
  • Health Saving Accounts
  • Gym Membership Discount

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
5-10 yrs
Location
Chelan County, Washington
Posted
Feb 13, 2026
Closes
Feb 13, 2027
Application
Employer website
Confluence Health logo

Hiring organization

Confluence Health

About Us Confluence Health is an integrated, rural healthcare delivery system with two hospitals, multi-specialty care in more than 30 service lines and primary care in 12 communities across North Central Washington. Our 300+ physicians and 175+ advanced practice clinicians...

Salary listed on 2 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size1,001-5,000 employees
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Market context

Washington nursing roles remain steady

In Washington, nursing support roles such as Certified Nursing Assistant positions are typically in steady demand across hospitals, long-term care, and outpatient settings. Competition often centers on active state licensure, current CPR/BLS certification, and reliable communication skills, while benefits like health insurance, paid time off, sick leave, dental, and life coverage can help distinguish offers. Before applying, confirm your CNA license status and review the AI-summarized requirements and benefits here to save time versus reading the full original posting.

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