Registered Nurse - Nurse Care Supervisor

POSITION TITLE: Registered Nurse – Nurse Care Supervisor
DEPARTMENT: HHS – Behavioral Health
LOCATION: Tukwila, Washington
REPORTS TO: BH Program Director
STATUS: Salaried; Full-Time
WAGE RANGE: $124,873 - $156,198

CLOSING DATE: Open Until Filled

 

***If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered a preference in hiring, please upload documentation with your resume and cover letter. Acceptable documentation includes Tribal Enrollment card, a letter from your Tribe stating your enrollment, or BIA 4432 and/or DD214.***

 

Position Summary:

The Clinical Care Supervisor (NCS) is a dual-function role that provides clinical supervision of nursing staff and delivers direct patient care in an integrated medical setting. This position oversees daily clinical operations, including staffing coordination, workflow monitoring, and program effectiveness, and ensures services are delivered in alignment with the Cowlitz Indian Tribe’s HHS’s mission, strategic goals, and commitment to culturally responsive care.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

 

Nurse Care Supervisor Duties:

• Provide clinical leadership and oversight to ensure high-quality, comprehensive, and compliant integrated care.
• Supervise, train, mentor, and evaluate nursing and clinical support staff.
• Collaborate with leadership to develop and maintain training, competency, and compliance efforts.
• Implement and maintain clinical policies, procedures, and regulatory compliance (including state vaccine and point of care testing services).
• Coordinate crisis response readiness and emergency preparedness.
• Promote effective communication among staff, patients, and families, address concerns, and support satisfaction.
• Collaborate with prescribing practitioners to ensure consistent, effective, and efficient support is provided.
• Oversee clinical documentation and record integrity.
• Manage staffing levels, scheduling, coverage, and workload distribution to ensure efficient and effective clinical operations.
• Maintain a safe, healthy, and compliant work environment.
• Support continuous education, quality improvement, and professional development initiatives.
• Provide direct patient care within the RN scope of licensure.
• Educate patients/clients and families on procedures, treatments, and care plans.
• Enforce infection prevention and control standards.
• Demonstrate professionalism, initiative, and calm judgment in emergencies.
• Collaborate effectively with interdisciplinary teams and community partners.
• Participate in patient/client education, outreach, and community health activities.
• Maintain confidentiality and compliance with tribal, state, and federal regulations.
• Performs other duties as required.

 

Knowledge, Skills, and Abilities:

• Knowledge of traditional forms of government and tribal customs and traditions.
• Knowledge of principles, practices, and procedures in providing comprehensive integrated care services, including client evaluation, care planning, and outreach.
• Knowledge of community resources, referral processes, and accreditation/certification standards.
• Knowledge of opioid use disorder treatment, including medications, urine screens, and toxicology.
• Knowledge and adherence to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2).
• Knowledge of regulatory standards, professional ethics, and patient confidentiality (HIPAA and PHI).
• Skill in crisis assessment, de-escalation, and overdose response.
• Skill in patient/client-centered care, demonstrating empathy, respect, and cultural humility.
• Skill in performing clinical procedures, documenting care, and using electronic health records.
• Skill in organizing tasks with attention to detail and accuracy in data entry.
• Skill in using Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
• Ability to conceptualize patient/client and family experiences through a culturally and historically informed lens.
• Ability to work independently and collaboratively within a multidisciplinary team.
• Ability to manage multiple priorities and adapt to changing demands.
• Ability to communicate effectively, both verbally and in writing.
• Ability to maintain professionalism, confidentiality, and adherence to ethical standards.
• Ability to remain calm, compassionate, and respectful in high-stress situations.
• Ability to engage in continuous learning, accept feedback, and pursue professional development.
• Ability to advocate for and support individuals with substance use disorders.
• Ability to demonstrate humility, flexibility, and reliability along with a patient/client-first mindset.
• Ability to be reliable, flexible, and versatile.

Minimum Qualifications:

• Graduate of an accredited RN program required; Bachelor’s Degree in Nursing preferred.
• Three (3) years of clinical experience required; recent clinical experience preferred.
• Active Washington State License as a Registered Nurse required.
• At least two (2) years of experience as a supervisor or clinical lead preferred.
• Experience working in an integrated health care setting preferred.
• Active American Heart Association (AHA) Basic Life Support certification required; Advanced Cardiac Life Support preferred.
• A valid driver’s license is required when driving vehicles for work-related purposes.
• Must be able to successfully pass a background screening/investigation according to the established requirements below

 

Tribal preference in accordance with the Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT’s established safety policies regarding vaccine requirements and personal protective equipment (PPE).

 

Background Investigation Requirements:

• Pre-employment drug screen.
• Personal and professional reference checks and education and employment verification.
• Federal, state, and/or tribal criminal history and sanction checks, including fingerprint verification.
• Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children.

 

Physical Demands:

While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; and communicate effectively. The employee occasionally is required to move throughout the facility and reach with hands and arms. The employee is occasionally required to lift up to 20 pounds. Specific vision abilities required by this job include close vision and clarity of vision at long distance.

 

Work Environment:

Work is generally performed in an office, clinical, or community-based setting with a moderate noise level. Employees may be exposed to unpleasant odors, bodily fluids, and infectious diseases. Situations occur where PPE (personal protective equipment) is needed. Work may involve working with hostile, violent, or offensive individuals. Overnight travel, weekend, and/or evening work are occasionally required. Tight time constraints and multiple demands are common.