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Registered Nurse (RN) - Night Shift, CSC

2/24/2026

The Registered Nurse coordinates client care with a multidisciplinary team, focusing on psychiatric and medical needs, including monitoring and administering medications tailored to clients' unique requirements. Responsibilities also involve educating clients on their conditions, conducting ongoing mental status assessments, and participating in clinical reviews and case conferences.

Salary

103545.12 - 114309.12 USD

Working Hours

40 hours/week

Company Size

501-1,000 employees

Language

English

Visa Sponsorship

No

About The Company
DESC works to end the homelessness of vulnerable people, particularly those living with serious mental illnesses or substance use disorders. Through partnerships and an integrated array of comprehensive services, treatment and housing, we give people the opportunity to reach their highest potential. DESC is the largest multi-service agency serving homeless adults in the Pacific Northwest, reaching over 9,000 people annually with an array of state-licensed mental health and substance abuse treatment programs—including street outreach and engagement, crisis diversion and respite, case management, short-term and ongoing care, psychiatric assessment and treatment, supported employment, individual and group substance abuse counseling, 468 emergency shelter beds, and over 1,100 units of permanent supportive housing. DESC adheres to the Housing First philosophy, the belief that housing is a basic human right, not a reward for clinical success and once the chaos of homelessness is eliminated from a person's life, clinical and social stabilization occur faster and are more enduring. DESC's innovative programs have earned recognition regionally and nationally. Every day at DESC we see what innovative clinical care and supportive housing can do: people who have been homeless for years regain their health, their dignity and their humanity. They reconnect with parents, children, brothers, sisters. They make friends, rediscover interests, and find work or other meaningful activity. And when they recover their lives, the quality of life is improved for all of us. Our community becomes a better place in which to live and work.
About the Role

Description

Days Off: Sunday, Monday, Tuesday

Shift: Night (6:30pm - 7am)

Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage)

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW.


About DESC:

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions. Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.


DESC operates five shelter/emergency housing programs, 19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder. 


JOB DEFINITION

The Registered Nurse (RN) works primarily with clients in need of psychiatric and other medical attention. This position will share responsibility for coordinating the medication services with the team. Work is done under the supervision of the Medical Director and ARNP Supervisor and in full cooperation with other clinical supervisors.  


MAJOR DUTIES AND RESPONSIBILITIES:

  • Coordinate client care with a multidisciplinary team of social workers/case managers, chemical dependency professionals, peer support specialists, psychiatric nurses and other mental health staff.
  • Under the guidance and direction of the ARNP Supervisor, coordinate medical aspects of care, including monitoring and administration of medications in a manner that meets the unique needs of clients.
  • Provide education to clients regarding their treatment, medical and mental health condition.
  • On-going assessment of mental status and the positive impact and side effects of current treatment.
  • Provide specialized training and consultation to other staff members on medical/mental health issues relating to clients and their care.
  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for team clients.
  • Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance reviews.
  • Comply with applicable program research and evaluation procedures.
  • Assess clients for range of health care needs and facilitate linkage and on-going connection to relevant urgent, primary and specialty health services.
  • Advocate for clients’ access to community resources and services, especially primary health care services, ensuring that clients’ needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
  • Participate in the planning, organizing and facilitating of group treatment services for consumers served by the CSC.
  • Coordinate services closely with CDF, CDIS and MCT supervisors and case management staff.
  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for clients on caseload.
  • Promote and maintain positive relationships with the surrounding neighborhood.
  • Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.
  • Other duties as assigned.

Requirements

MINIMUM QUALIFICATIONS:

  • Registered Nurse, licensed in the State of Washington, in good standing. If licensed under the Nurse Licensure Compact Multistate License (NLC MSL), compliance with RCW 71.12.740 and NLC MSL Rule 402.2 is a condition of employment.
  • Knowledge of psychiatric medications, side effects and methods of administration.
  • Interest or experience in working with clients who are difficult to engage and maintain in traditional mental health programs.
  • Ability to work flexible hours as required by program and staffing needs.
  • Valid Washington state driver’s license and insurable driving record.
  • Be able to pass a Washington State Criminal background check.
  • Knowledge of Harm Reduction strategies.
  • Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve homeless, mentally ill clients.
  • Ability and interest in providing case consultations with a multi-disciplinary staff.
  • Ability to remain open and receptive to constructive feedback.
  • Ability to communicate with and coordinate with staff from diverse backgrounds.
  • Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior.
  • Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

PREFERRED QUALIFICATIONS:

  • Knowledge and skill in working with co-occurring mental health and substance abuse disorders; with homeless or formerly homeless individuals; and crisis intervention and stabilization experience.
  • Familiarity with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices.
  • Bachelor of Nursing degree.
  • Bilingual in Spanish/English.

Strong applicants are able to demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; have the potential to acquire the necessary knowledge, attitudes and skills of an effective crisis worker; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and potentially stressful environment.


PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

 

EQUAL OPPORTUNITY EMPLOYER:

DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification.  Minorities and veterans are encouraged to apply.

Key Skills
Registered NursePsychiatric MedicationsMedication AdministrationClient EducationMental Status AssessmentStaff TrainingClinical Record KeepingHealth Needs AssessmentAdvocacyGroup Treatment FacilitationVerbal De-escalationPhysical InterventionsHarm ReductionCommunication SkillsCase ConsultationCrisis Intervention
Categories
HealthcareSocial Services
Benefits
DentalLife InsuranceLong-term DisabilityMedical InsuranceEmployee Assistance Program (EAP)Flexible Spending Account (FSA)ORCA Card SubsidyPaid Time OffRetirement Plan
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