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Palliative Care Registered Nurse (RN)

Columbia County Health System · Starbuck, WA

FULL-TIME Posted Nov 14, 2026 36–58 an hour

Job Description

Palliative Care Registered Nurse (RN)Location: Community-Based / Patient Homes – Dayton, Columbia County, Waitsburg & Starbuck, WA Schedule: Full-Time | 40 Hours per Week | 4-10s optional 5-8s Compensation: $36.00–$58.00 per hour Sign-On Bonus: $7,500Flexible Scheduling | High Autonomy | Community-Based CareJoin our team at Columbia County Health System! We are seeking a compassionate and highly organized Registered Nurse to provide individualized in-home Palliative Care to patients living with serious, chronic, or life-limiting conditions throughout our local communities.

This is a unique nursing opportunity for an RN who enjoys autonomy, relationship-based care, and working at the highest level of their scope of practice. Rather than following a traditional hospital-floor schedule, our Palliative Care RNs have flexibility in organizing their day based on patient needs, visit frequency, location, and documentation requirements.

What Makes This Position UniqueFlexible scheduling: Full-time employees may work four 10-hour shifts or optional five 8-hour shiftsOur current 4 - 10-hour rotation provides a 4-day weekend every other weekRNs have significant autonomy in organizing their daily patient schedulePatient assignments are coordinated geographically whenever possible to minimize unnecessary travelNurses based in the Walla Walla/Waitsburg area may primarily support Waitsburg-area patients while also seeing patients in Dayton as neededOffice/workspace is available in Dayton and Waitsburg for scheduling, documentation, and administrative workMileage is reimbursed for work-related travel after the initial commute to your designated workspaceDedicated documentation time can be incorporated into your schedule throughout the dayOpportunity to develop meaningful, long-term relationships with patients and familiesWork within an Interdisciplinary Team of ARNP, RNs, MSW and CHWWhat a Typical Day May Look LikeNo two days are exactly the same.

Visit frequency is based on each patient's individual needs and may range from several visits in one week during an intake or period of increased need to routine visits a few times per month. Our nurses manage their own schedules within the needs of the program, allowing them to organize patient visits geographically and efficiently. Because patient needs can change, flexibility, strong organization, and time-management skills are important.

What We OfferFull-Time: 40 hours per weekSchedule Options: 4-10s optional 5-8sSign-On Bonus: $7,500Competitive Pay: $36.00–$58.00 per hourMileage reimbursement for work-related travelBenefits: Medical, Dental, Vision & Basic Life InsuranceEligibility to participate in a 401(k) PlanPTO & Sick Time accrualsSix paid holidaysSupportive, collaborative team environment within a community health systemQualificationsActive Washington State RN license or active Multi-State RN LicenseBLS certification every two years — we can assist with obtaining certificationACLS a plusStrong organization and time-management skillsAbility to work independently while collaborating closely with an interdisciplinary care teamCompassionate communication skills and a commitment to patient- and family-centered careResponsibilitiesProvide comprehensive, patient-centered nursing assessments and ongoing symptom managementCoordinate care for patients with serious, chronic, or life-limiting conditionsDevelop and update individualized plans of care in collaboration with providers and the interdisciplinary teamProvide education, guidance, and emotional support to patients and their familiesCoordinate referrals, services, and community resourcesRespond to changing patient needs and adjust visit frequency as appropriateMaintain timely and accurate documentation within the electronic health recordCommunicate closely with providers, patients, families, and members of the care team to support continuity of careIf you are an experienced RN who values autonomy, flexibility, meaningful patient relationships, and community-based care, we would love to have you join the Palliative Care team at Columbia County Health System.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Additional Details

City
Starbuck
State
Washington
Country
US
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