About The Position

Signature Healthcare at Home is hiring a full-time Registered Nurse Case Manager to provide home health services in the Pierce County–Bonney Lake/Puyallup coverage area. The position is based at the Federal Way office and follows a Monday–Friday, 8:00 AM–5:00 PM day schedule. Compensation is $47.00–$57.00. The nurse completes comprehensive assessments of patients and their families or caregivers, develops and updates individualized plans of care in collaboration with the certifying medical provider, and provides professional nursing care in accordance with the state Nurse Practice Act. The role includes administering prescribed medications and treatments, providing education and support to patients and caregivers, coordinating services with the interdisciplinary team, and managing an assigned caseload when designated by the Clinical Manager. The position requires accurate and timely documentation, communication with medical providers about patient needs and changes in condition, participation in care coordination and quality improvement, and supervision or coordination of ancillary personnel when required. The nurse may participate in on-call duties and may need to serve outside the designated geographic area as staffing and census require. Home visits may involve homes in poor condition or with pests, inadequate ventilation, or secondhand smoke, as well as challenging weather or traffic conditions.

Requirements

  • Graduate of an accredited school of nursing.
  • Currently licensed as a Registered Nurse in the state or states of planned practice.
  • Possess and maintain CPR certification.
  • Licensed driver with an insured, reliable automobile in good working order, meeting state and/or organizational requirements.
  • Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills consistent with the competency checklist.
  • Self-directed and able to work with minimal supervision.
  • Capable of prolonged or considerable walking or standing; able to lift, position, or transfer patients and lift supplies and equipment.
  • Capable of considerable reaching, stooping, bending, kneeling, and/or crouching; possesses the visual acuity and hearing needed to perform nursing skills.

Nice To Haves

  • One to two years of recent acute care experience in an institutional setting.
  • One to two years of recent home health experience.

Responsibilities

  • Complete initial and ongoing comprehensive assessments of patients and their family or caregiver living situations, including physical assessments and histories of current and previous illnesses.
  • Establish individualized plans of care with the certifying medical provider based on assessments and patient goals; regularly evaluate needs and participate in revising plans as patient status changes.
  • Develop care plans with interventions and goals, involving patients and families or caregivers in the planning process.
  • Provide professional nursing care in accordance with the state Nurse Practice Act and initiate appropriate preventive and rehabilitative nursing procedures.
  • Administer medications and treatments prescribed by the medical provider.
  • Provide health instructions and teach patients and families or caregivers self-care techniques, medication and diet instructions, and other ordered care.
  • Support patients' self-sufficiency or help them obtain appropriate caregiving.
  • Act as Case Manager when assigned by the Clinical Manager and coordinate care for the assigned caseload.
  • Document services, patient status, and pain or symptom management changes and outcomes accurately and on time, consistent with professional standards and reimbursement requirements.
  • Communicate patient needs and changes in condition to the medical provider and obtain or receive orders as required.
  • Work with the interdisciplinary team and help patients, caregivers, and team members maintain continuity of care.
  • Attend required staff and interdisciplinary team meetings and participate in care coordination activities.
  • Participate in on-call duties as defined by the on-call policy.
  • Ensure arrangements are made for necessary equipment, items, and services.
  • Supervise ancillary personnel and delegate responsibilities when required; coordinate patient care with LPN/LVN staff when assigned by the Clinical Manager.
  • Maintain professional knowledge and skills through continuing education and in-service classes; complete mandatory annual education.
  • Fulfill requested or accepted case assignments and meet productivity expectations.
  • Participate in quality assessment and performance improvement activities or committees as assigned.
  • Work outside the designated geographic area when required by census fluctuations and staffing.
  • Participate in the orientation of new employees and preceptorship of students as assigned.

Benefits

  • Medical, dental, and vision coverage.
  • 401(k) plan.
  • Life and disability insurance.
  • Voluntary benefits.
  • Up to four weeks of PTO.
  • Six paid holidays.
  • Mileage reimbursement.
  • Cell phone.
  • Employee referral bonus.
  • Continuing education.
  • Higher education reimbursement program.
  • Home health acute care patient RN training.
  • MedBridge account and learning opportunities for PRN, part-time, and full-time employees.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service