DSHS ESH Registered Nurse 3

Posting number: 2026-05613

Department: Dept. of Social and Health Services

Division: BHHA

Job classification: REGISTERED NURSE 3

Posting type: Open & Promotional

Categories: Health Services, Mental Health, Social Services, Nursing, Medical/Dental, Health Care Support

Summary

DSHS ESH – Registered Nurse 3 (Nurse Supervisor)
Join our team as a Registered Nurse 3 (Nurse Supervisor) at Eastern State Hospital in Medical Lake, Washington, where you'll have the opportunity to lead a dedicated nursing team while making a meaningful difference in the lives of individuals receiving behavioral health treatment. 

In this leadership role, you'll provide supervision, guidance, and clinical oversight to nursing staff delivering direct patient care on an assigned ward. We're looking for a compassionate leader with sound clinical judgment, strong communication skills, and a commitment to fostering a supportive, recovery-oriented environment that empowers patients, instills hope, and promotes independence.

Some of what you'll do:

• Provide leadership, supervision, and direction to nursing staff delivering patient care on an assigned ward or shift.
  

• Plan, organize, assign, and evaluate nursing services while coaching, mentoring, and developing staff performance.
  

• Collaborate with physicians and interdisciplinary team members to plan, coordinate, and evaluate high-quality patient care.
  

• Assess patient conditions, administer medications and treatments, document significant clinical changes, and communicate critical information to providers and leadership.
  

• Lead nursing staff during medical and psychiatric emergencies while utilizing therapeutic interventions and de-escalation techniques.
  

• Complete staff evaluations, develop corrective action plans when needed, and provide education to nursing staff and patients.
  

• Serve as House Supervisor when assigned and assist with patient transportation, off-ward activities, and other operational responsibilities.
  
  

Desired skills, knowledge, and abilities:

• Knowledge of psychiatric nursing practices, behavioral health treatment, and recovery-oriented care principles.
  

• Experience using crisis intervention and therapeutic de-escalation techniques in challenging situations.
  

• Knowledge of hospital, state, and federal regulations, policies, and standards governing patient care.
  

• Ability to lead, coach, mentor, and collaborate effectively with multidisciplinary healthcare teams.
  

• Strong communication and interpersonal skills with the ability to build positive relationships with patients, staff, leadership, and the public.
  

• Ability to provide compassionate, patient-centered care while remaining calm and professional in high-pressure environments.
  

• Proficiency using computers and common healthcare equipment while following infection control and universal precaution practices.
  
  

Who should apply?

We are looking for professionals who have:

• Graduated from an accredited school of professional nursing;
  AND

• Two years of professional nursing experience.
  
  

Additional information:

• Work schedule: we have two positions available

  • Evening shift: 2:30 - 11:00 PM, Monday through Friday.

  • Evening shift: 2:30 - 11:00 PM, Sunday through Thursday.

• Evening shift and Night shift receive $2.50/hour Shift Differential pay, $1.50/hour Shift Premium pay and may include $4.00/hour Weekend Premium pay.

• All shifts receive 5% 24/7 Facility pay for hours worked on-site.
  
  

About Eastern State Hospital
Located in the quiet community of Medical Lake, just 15 miles west of Spokane,