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CR

Registered Nurse

Columbia River Mental Health Services·Vancouver, Washington

$47 - $50/hr·Full Time·On Site·2-5 yrs·Posted 3 days ago
Practice for this role

About the role

The Registered Nurse provides physical health assessments, triage, and medical care to houseless and unstably housed individuals via a mobile health unit. Responsibilities include coordinating with prescribers, managing medications, and integrating medical services into individual treatment plans.

Lives Change Here! We are GROWING…Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental/chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.

Our Mission

Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.

Starting Pay Range –

$46.80 - $49.84 /hr

Summary

This member of the Mobile Health team is responsible for assessing physical health needs; coordinating with the Mobile medicine prescriber, making appropriate referrals to community physicians; providing a range of limited wound care/cleaning and other standing orders; blood draws; providing medication education and training. This position entails working on a mobile unit in the community as part of a multi-disciplinary team providing care to houseless and unstably housed individuals.

Essential Job Responsibilities

  • Provide service coordination for community members
  • Triage acute and chronic medical conditions. Using appropriate judgement to determine which conditions can be treated by this team and which should be escalated to urgent or emergency care
  • Providing individual supportive therapy and symptom management
  • Educating and supporting clients around medication and physical health management
  • Advocating for clients’ rights and preferences
  • Consult with community agencies and families to maintain coordination in the treatment process.
  • Document client progress to maintain a permanent record of client activity according to established methods and procedures, ensuring immediate changes are made in the treatment plans as clients’ needs change
  • With other registered nurses on the team, develop, revise, and maintain, medical treatment and medication policies and procedures including transcribing, administering, evaluating, and recording medical services/referrals made.
  • Under the direction of the team manager and director, organize and manage the system of providing medical outreach and integrating medical services tightly into clients’ individual treatment plans.
  • In collaboration with other team members, manage outreach and medical supplies.
  • Coordinate, schedule, and administer medical assessments of client physical health, making appropriate referrals to team prescriber for further assessment and treatment
  • Provide individual and group treatment in the office and in community settings in a stage-based treatment model that is non-confrontational, considers interactions on mental illness and substance abuse, and has client-determined goals.
  • Provide assessment and appropriate treatment to clients with substance use disorders. Including COWS assessments, impairment assessments and emergency interventions for over-sedation.
  • Responsible for medication management, scheduling doctor appointments and completing medical assessments.

Non-essential Job Functions

Support agency mission, goals, and objectives.

Attend staff and planning meetings as scheduled.

Maintain communication and cooperative working relationships both within the agency and community at large.

Other duties as assigned by Supervisor.

Education, Licensing and Experience

  • Registered Nurse license
  • Two to four years’ experience working with chronically mentally ill adults, and current knowledge of psychopharmacology.
  • Must know basic wording of mental illness symptoms and knowledge of psychological medications.

Why Work Here?

CRMHS offers AMAZING benefits aside from health and wellness (medical/dental/vision etc.) Work life balance benefits: 11 total paid holidays per year, including 2 paid floating holidays available upon hire, 24 days of PTO days in the first year and only increases from there! Career development: $325 annual allowance for career development and education with an additional 40 hours of paid time off for career development/education! And so many More!

Equal opportunity employer

CRMHS is committed to building an equitable and inclusive workplace where people from all backgrounds belong and thrive, and a culture that encourages, supports, celebrates and centers the diverse voices of our employees & clients. We believe that diversity is multivariate and includes race, ethnicity, gender & gender identity, sexual orientation, age, veteran status, disability, citizenship, national origin, familial status, genetics, religious beliefs, socioeconomic class, physical status, neurodiversity and parental status.

Requirements

Candidates must hold a Registered Nurse license and have two to four years of experience working with chronically mentally ill adults. Knowledge of psychopharmacology and mental illness symptoms is required.

  • professional certificate
  • Wound Care
  • Blood Draws
  • Policy Development
  • Substance Use Disorder Treatment
  • Triage
  • Medical Documentation
  • Symptom Management
  • Service Coordination
  • Client Advocacy
  • Psychopharmacology
  • Medication Education
  • Physical Health Assessment
  • COWS Assessments
  • Impairment Assessments
  • Supportive Therapy
  • Medical Outreach

Benefits

  • Dental Insurance
  • Vision Insurance
  • Medical Insurance
  • 11 Paid Holidays
  • 2 Paid Floating Holidays
  • 24 Days Of PTO
  • Annual Career Development Allowance
  • 40 Hours Paid Time Off For Education

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$47 - $50/hr
Location
Vancouver, Washington
Posted
Jul 25, 2026
Application
Employer website
CR

Hiring organization

Columbia River Mental Health Services

Providing behavior health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington

Salary listed on 8 jobs
IndustryMental Health Care
TypeNonprofit
Size201-500 employees
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Market context

Washington RN roles remain in steady demand

Registered Nurse positions in Washington are commonly tied to ongoing patient care needs in hospitals, clinics, and home health settings, with employers often prioritizing licensed candidates who can start quickly. These roles are competitive because a current Washington RN license, CPR certification, and reliable transportation are required, while home health experience can strengthen your application. Review the AI-summarized requirements and benefits here to save research time, and confirm your license, CPR card, and vehicle details before applying.

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