Pediatric Nurse Practitioner Jobs in Washington

Where kids and families are always first

At MultiCare Mary Bridge Children’s Hospital & Health Network, caring for kids is more than what we do — it’s our purpose. As the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington’s South Sound, we provide a comprehensive network of care designed specifically for children and adolescents.

Our vision is to be the safest, highest-quality place for children to receive care, where every child has a medical home and every family feels supported.

FTE: 0.75, Shift: Day, Schedule: 10-hour shifts

Position Summary

The Pediatric Nurse Practitioner (PNP) in Physical Medicine & Rehabilitation delivers comprehensive, patient-centered care for children with neurological, musculoskeletal, and developmental disabilities. Working alongside physiatrists, therapists, orthotists, and neurosurgeons, the PNP assesses function, manages spasticity and chronic pain, and optimizes mobility and independence.

Responsibilities

Direct Patient Care

• Conduct detailed neuro-musculoskeletal and functional assessments, including gait analysis and standardized outcome measures
• Diagnose and manage conditions such as cerebral palsy, spina bifida, and neuromuscular disorders
• Prescribe and oversee pharmacologic spasticity interventions (oral antispasmodics)

Intrathecal Baclofen Pump Management

• Program and adjust baclofen pump settings using an external programmer
• Coordinate and perform pump refills under aseptic technique, monitor infusion logs, and manage device alarms
• Identify and address complications (infection, catheter issues, pump malfunction) in collaboration with neurosurgery

Rehabilitation Program Coordination & Quality Improvement

• Develop individualized rehabilitation plans incorporating PT, OT, SLP, orthotics, and adaptive equipment
• Engage in meaningful QI projects

Multidisciplinary Team & Leadership

• Participate in interdisciplinary rounds with therapists, orthotists, case managers, and social workers
• Precept and mentor NP/PA students, and nursing staff on PM&R best practices
• Contribute to development and revision of clinical pathways, order sets, and educational materials

Citizenship

• Embody organizational values of kindness, integrity, stewardship, collaboration, and respect
• Adhere to hospital policies, scope-of-practice regulations, and safety standards
• Engage in departmental meetings, community outreach, and ongoing professional development

Requirements

• Master’s or Doctoral degree in Nursing (MSN or DNP) with Pediatric Nurse Practitioner specialization
• Current, unrestricted Washington State APRN license; PNP-BC or CPNP-PC/AC certification
• Basic Life Support (BLS) required
• Proven competence in intrathecal baclofen pump programming and refill procedures preferred; training available for strong candidates
• Experience or clinical rotation in pediatric PM&R, spasticity management, or neurology preferred; new graduates with relevant exposure will be considered
• Proficiency with Epic preferred
• Excellent diagnostic reasoning, interprofessional communication, and patient/family education skills
• Commitment to evidence-based practice, quality improvement, and enhancing pediatric functional outcomes

Why Mary Bridge Children’s:

• Mission-driven organization focused on partnering for healing and a healthy future for children and families
• Recognized as a “Top Children’s Hospital” by The Leapfrog Group
• Collaborative, multidisciplinary pediatric care model across inpatient and specialty outpatient settings
• Growing system, including a new state-of-the-art pediatric hospital opening in 2026
• Access to research, innovation, and clinical trials through MultiCare Institute for Research & Innovation
• Competitive benefits, career growth opportunities, and strong work-life balance support

About Mary Bridge Children’s

For more than 70 years, MultiCare Mary Bridge Children’s Hospital & Health Network has cared for children and families across the South Sound. Anchored by an 82-bed pediatric hospital in Tacoma, Mary Bridge offers a Level IV Neonatal Intensive Care Unit, a 24-hour pediatric-only Emergency Department and a state-designated Level II Pediatric Trauma Center.

As a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve.

Why Mary Bridge Children's?

• Built for children and families: Delivering care designed specifically for kids and the families who support them, with a strong focus on family-centered care.
• Award-winning care: Named a Top Children’s Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.
• Growing for the future: A new pediatric hospital and medical office building designed to support the future of children’s care.
• Well-being and support: Generous time off, wellness resources and programs designed to help you maintain balance in your work and life.
• Living our values: Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
• Pacific Northwest lifestyle: Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $166,000.00 - $178,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.