Registered Nurse (Case Management)

Snohomish County Human Services Department   Everett, WA   Full-time     Nursing
Posted on April 25, 2024
Apply Now

Registered Nurse (Case Management)

Salary $79,749.96 - $96,975.96 Annually

Location Everett, WA

Job Type Full-Time

Remote Employment Flexible/Hybrid

Job Number 2024-01887

Department Human Services

Division Human Services Case Management

Opening Date 04/25/2024

Closing Date Continuous


Join our Human Services Registered Nurse-Case Management Team!  

Snohomish County Human Services Department currently has one FLSA-Exempt Registered Nurse position in the Aging & Disability Services Division.
Snohomish County Human Services Case Management is hiring a registered nurse to provide clients, caregivers and case managers nursing services.  The nurse will offer consult for adult clients with unstable or chronic health conditions who are at risk of hospitalization or residential placement.   This is a hybrid position.  
About You:
You have clinical experience and can function independently using critical thinking skills and the nursing process to carry out job responsibilities.  You enjoy working with disabled and geriatric clients in the home setting and are comfortable providing education and training for clients, caregivers, and case managers.
Position Purpose:
To work in collaboration with case managers, caregivers, and members of the client’s health care team to review care needs and address concerns.  There is no direct nursing care involved that requires physician orders.   The case management nurse assists with developing and implementing the care plan and provides education and resource coordination to facilitate an optimal level of functioning and health for the client enabling them to remain safely in their home.  

About Human Services:

The Human Services Department mission is to help all persons meet their basic needs and develop their potential be providing timely, effective human services and building community.
The Human Services Department consists of more than 300 diverse, friendly, and dedicated employees who receive from outstanding benefits and competitive wages. Employees are appreciated and have the opportunity to make a real difference in our community. Snohomish County is thriving and is a great place to live, work, play, and raise a family. We strive to not only provide a meaningful job, but a life-long career with Snohomish County Government.

Snohomish County Human Services strives to be an equitable and trauma-informed department. Our department believes every interaction, procedure, and policy provides an opportunity to build a pathway toward a more resilient and restorative Snohomish County.


To provide Nursing Services in the Human Services Case Manager, Long Term Care and Early Learning Programs. Nursing Service RNs offer clients, providers, and case managers health-related assessment and consultation in order to enhance the development and implementation of the client's care plan. Responsibilities include file reviews, consultations, and home visits. Nursing Service RNs do not provide direct care requiring physician orders and supervision.

Job Duties

  1. Assesses medical, psychosocial, and physical needs of clients; conducts home visits with clients, care providers, families and other involved parties to review client needs and resolve concerns. Makes joint home visits with non RN staff to provide information from a medical point of view.
  2. Provides health-related education and training to groups.     
  3. Provides task-specific training and instruction from a medical perspective to care providers and clients, and/or makes appropriate referrals for training, as needed.
  1. Provides consultation to non RN Case Managers regarding clients with unstable medical conditions at risk of residential placement or hospitalization due to unstable health.
  2. Develops and implements individualized plan of services for clients with medically intensive issues with a goal of maintaining the client's independence; monitors services provided to these clients to determine adequacy of service provision; reassesses and revises service plans as needed; documents client progress. 
  3. Responds to referrals from non RN Case Managers by providing file reviews of the CARE assessment, other client related care plans, and medical information; office consultation or staffing with case managers regarding client specific disease processes, diagnoses, & medications; telephone consultation with clients, providers, or case managers; and home visits to clients. RNs complete documentation related to file reviews, consultations, and home visits.
  4. Provides care coordination for clients through consultation and coordination with all pertinent members of a client's care team and facilitates health-related referrals to other services and programs as needed. The RNs provide education regarding available community resources and programs related to the health care needs of the clients.
  5. Assists clients with medically complex care needs to hire personal care providers that are able to provide care according to the client's individualized care plan.   Facilitates completion of contracting procedures; provides training information to care providers.
  6. Responds to client crises by providing timely assessment of in home care needs; offers services within program parameters, or refers as needed; coordinates with DSHS field staff to facilitate transition of clients between residential and in-home care settings.
  1. Reviews medical reports (health history and well child exams) and develops health care plans, if needed.                
  2. Assists Staff in reviewing children's immunization records.            
  3. Provides staff support to Health Advisory Committee.            
  4. Completes site reviews to document compliance with ECEAP Performance Standards. 
  1.  Performs related duties as required and/or when assigned 

Minimum Qualifications


Graduation from an accredited school of professional nursing; AND two (2) years of paid on-the-job nursing. Must pass job related tests.


A Bachelor's degree in nursing.


A current Washington State Registered Nurse License.
A valid Washington State Driver's License, unrestricted except as to vision, will be required prior to employment.
A pre-employment physical examination may be required for em­ployment.

Additional Information

Knowledge of: 
  • professional nursing principles, practices and concepts
  • medications and expected action and side effects
  • psychological, physiological and anatomical issues and systems related to children, disabled and geriatric populations
  • social, financial and health problems confronting low-income, elderly and/or disabled, persons
  • available community resources; interviewing, assessment and counseling techniques
  • computers and software programs
 Ability to: 
  • establish and maintain effective working relationships, rapport and coordination with disabled or elderly clients, their families, social services providers, community agencies, other county employees and the public
  • interpret a variety of medical, social and psychological data
  • communicate effectively, both orally and in writing, with people regardless of age, sex, social, economic, cultural or ethnic background, or sexual orientation
  • instruct and train care providers; respond effectively to crisis or emergency situations
  • use computer
  • maintain detailed records and prepare clear, concise written reports
  • function independently in client home situations
  • coordinate a large volume of telephone contacts
  • facilitate groups and meetings

This position receives direction from a programmatic supervisor, a division administrator or the Director of Human Services, as assigned. The work is performed with limited supervision and is reviewed through meetings, reports and results obtained.


Positions in this class typically require work being performed in a variety of settings including client homes, adult family homes, congregate care facilities, hospitals, nursing homes and the usual office environment. Employees are required to travel to client's place of residence & need to drive a motor vehicle on public roads. Positions in this class may typically experience exposure to unpleasant odors, smoke and unsafe or unsanitary conditions in clients' homes.
Snohomish County is an Equal Employment Opportunity (EEO) employer.
Accommodations for individuals with disabilities are provided upon request.
EEO policy and ADA notice
Snohomish County
3000 Rockefeller Ave M/S 503

Everett, Washington, 98201
(425) 388-3411