RN (PRN)

Position Summary: The Registered Nurse (RN) is a vital member of a dynamic, multidisciplinary team, delivering compassionate, evidence-based care in alignment with the Discovery Behavioral Health Clinical Model.
In this role, the RN serves as both a clinical expert and patient advocate-supporting safety, stability, and meaningful progress in each patient's recovery journey. Through skilled assessment, thoughtful intervention, and ongoing collaboration with the treatment team, the RN helps create a therapeutic environment grounded in trust, dignity, and clinical excellence.
By integrating medical and behavioral health care, the RN plays a critical role in improving outcomes and empowering patients toward lasting healing. Key Responsibilities: Patient Care & Clinical Support * Meets with each potential admission to complete a face-to-face evaluation, ensuring medical appropriateness for admission and collaborating with medical/psychiatric providers to obtain admission orders. * Supports the admission process with care and diligence, including belongings checks and safety searches as needed. * Completes comprehensive initial nursing assessments and facilitates the full medical admission process for each patient. * Develops and initiates Nursing Care Plans, as appropriate, to guide individualized patient care. * Assesses medical concerns, including suicidality and risk of harm to self or others, and communicates findings to the appropriate clinical team members. * Performs vital signs, basic evaluative procedures, tests, and blood draws to support ongoing assessment and monitoring. * Provides primary first aid and determines the need for physician notification, ensuring timely and appropriate intervention. * Maintains a safe, structured milieu and supports patients throughout the treatment experience, including supervision during community outings in compliance with state regulations. * Assists with the discharge process, supporting continuity and readiness for the next level of care. * Maintains an organized, safe, and therapeutic environment for patients and staff. Medication Administration & Management * Ensures all provider orders are carried out accurately and in a timely manner. * Verifies informed consent for all medications is obtained prior to the first dose. * Administers medications as prescribed, including PRN medications, and documents effectiveness within required timelines. * Oversees the medication management system, including medication planning, storage, ordering, transcribing, administration, monitoring, and evaluation. * Ensures all medications required for patients are ordered appropriately and available within the facility. * Maintains compliance with narcotic diversion protocols, ensuring all required processes are completed each shift. Collaboration & Patient Education * Collaborates closely with medical staff and the interdisciplinary treatment team to review patient care, needs, and interventions. * Communicates effectively with families and loved ones, as appropriate, to support engagement and continuity of care. * Establishes rapport with patients through professional, compassionate, and respectful interactions. * Provides health education to patients and staff, empowering understanding and informed participation in care. * Communicates with referral sources and outpatient providers to support continuity of care at admission, midpoint, and discharge, as needed. * Manages patient medical needs, including scheduling appointments, completing referrals, and securing prior authorizations for necessary treatments and tests. Documentation & Compliance * Documents patient progress objectively, accurately, and within required timelines in accordance with policy. * Ensures all clinical practices align with regulatory standards and organizational expectations. * Maintains accurate records related to medication administration, assessments, and patient care activities. Professional Practice * Demonstrates clinical knowledge, including understanding of Axis I diagnoses and associated symptoms, to inform patient care. * Maintains a fully stocked, organized, and operational nursing station, ensuring readiness to meet patient needs. * Demonstrates professionalism, initiative, and accountability in all aspects of the role. * Ensures timely communication regarding scheduling needs, including requesting time off and securing appropriate coverage. * Contributes to a culture of teamwork, flexibility, and shared responsibility by performing additional duties as assigned. Residential Treatment Only: * + Provides transportation services including patient transportation/supervision, medical appointments, etc.
(must be pre-qualified to drive a company vehicle) * Substance and Mental Health Use Disorder Division: + Monitoring of CIWA/COW scores for patients on detoxification protocols. + Knowledge of detoxification medication, withdrawal symptoms, and medical complications that can occur in detox. + Provide assistance to Utilization Review in communicating pertinent nursing information * Eating Disorder Division: + Sits with patients for a minimum of one meal or snack per week but as needed to cover the program schedule + Will work during meal periods to provide supervision and support to patients. + Must refrain from comments and actions that directly contradict the CFD Clinical Model and Dietary CARE model. + Full adherence to the Center for Discovery policies and procedures. + Maintains NG Tube and administration of bolus feeds, where applicable Knowledge, Education, Experience: * Bachelor of Science and Nursing preferred. * ADN (Associate Degree in Nursing) accepted. * Holds a current RN license in good standing. * One year experience preferred working in mental health, substance use, or eating disorders field. * Ability to draw blood required. * Preferred: Experience as a staff nurse, preferably in the field of chemical dependency and/or behavioral health. * Possess and maintain a current Basic Life Support (CPR and First Aid) certification. * Knowledge of industry standards: organization, theory, principles, and research processes, accreditation and regulatory standards, ability to assess clinical care requirements based on nursing principles, scope of practice. * Obtain CPI certification within 90 days of hire. * One year experience preferred working in mental health, substance use, or eating disorders field. * Familiar with behavior change, recovery models, and treatment methods * Knowledge of medications, indications, dosage ranges, side effects, and potential toxicity. * Eating Disorder Division : Obtain Serv Safe certification within 90 days of hire if applicable. Schedule: On-Call PRN Work Location: Onsite- Edmonds, WA Compensation: Pay Range: $42 - $50 hourly