Registered Nurse

About the role

Cascade is a nonprofit community health center that has served Lewis County and the surrounding communities for 60 years. With five locations throughout Lewis County, Washington, we provide a wide range of services designed to meet the needs of our clients and community.

This position works in our Crisis Relief Center within Cascade's Evaluation and Treatment Center. The Crisis Relief Center is an 18‑chair unit that provides short‑term care for people experiencing a mental health or substance use crisis for up to 23 hours and 59 minutes.

The role assesses clients and documents pertinent information including triage, behavioral health, physical health, and/or substance‑use issues. It also requires the ability to de‑escalate potentially aggressive situations, provide crisis intervention, and educate clients and families about behavioral‑health diagnoses, medications, and treatments.

Responsibilities

• Complete detailed nursing assessments with individuals and document pertinent information including triage, medical/behavioral health assessments, and medication administration using appropriate assessment tools.
• Accurately record all medication brought in by the individual.
• Plan individual treatment as part of the multidisciplinary clinical team.
• Provide education concerning psychiatric diagnosis, treatment options, psychopharmacology, and overall health literacy to individuals, families, and others involved in care.
• Intervene with appropriate verbal techniques to diffuse out‑of‑control or potentially dangerous behaviors.
• Demonstrate effective use of therapeutic option theory and technique and describe related roles and responsibilities.
• Apply thorough knowledge of seclusion/restraint standards, guidelines, and techniques; initiate documentation and debriefing for any seclusion/restraint incidents as required.
• Accurately transcribe provider orders and administer medications as prescribed.
• Obtain individual signatures on medication consent forms when possible.
• Perform chart checks and sign off as a second note on prescribed medications.
• Draw labs and provide minor wound care as ordered by providers when required.
• Complete nurse‑to‑nurse handoff at discharge or when accepting an individual from another facility.

Requirements

• Washington State Department of Health Registered Nurse credential, or a multistate licensure privilege that includes Washington State.
• BLS (Basic Life Support) certification.
• Experience assessing, treating, and managing acute wounds.
• Ability to pass WA State Patrol background check at hire and annually thereafter (national background check if not residing in WA for the last 3 years).
• Physical ability to complete violence‑prevention training and perform MOAB techniques.

Schedule

Location: 3510 Steelhammer Ln., Centralia, WA 98531

FTE: 1.0 (Full‑Time)

Shifts Available:

• Sunday – Wednesday 10:00 am – 10:30 pm (Day Shift)
• Sunday – Wednesday 10:00 pm – 10:30 am (NOC Shift)

Pay

• RN Associate: $48.43 – $59.04 per hour
• RN BS: $51.13 – $62.33 per hour (BS in related field)
• RN BSN: $53.81 – $65.59 per hour
• RN MSN: $59.19 – $72.15 per hour

Benefits

• Student loan repayment opportunities: eligibility for Public Service Loan Forgiveness (PSLF) and participation in Washington Health Corps State Health Program, Behavioral Health Program, and Federal Health Program.
• Meaningful work that makes a tangible difference in the lives of clients and the community.
• Paid time off: up to 13 hours of PTO each month, 11 paid holidays, and 16 hours of personal holiday time (prorated based on FTE; PTO available after 90 days).
• Company‑paid benefits: medical, dental, vision, AllyHealth, employee assistance program, life and AD&D insurance, long‑term disability, critical illness, hospital indemnity, and accident insurance (medical coverage for employees working ≥0.75 FTE; other benefits for ≥0.5 FTE).
• Voluntary benefits: supplemental term life insurance, legal services, fraud and identity protection, HSA, FSA, dependent‑care FSA, and pet insurance.
• Retirement: Cascade contributes 5 % of gross earnings to a 401(k) after six months of employment (no employee contribution or match required).
• Support toward licensure: Team Managers may provide required supervision hours at no cost.
• License and certification reimbursement: reimbursement for Department of Health license renewals and other job‑related certifications such as DEA registration and CPR/BLS certification.