Registered Nurse Case Manager Jobs in Washington
Registered Nurse Case Manager jobs in Washington represent one of the most active markets in the Pacific Northwest, with consistent demand across major health systems, managed care organizations, and integrated delivery networks serving populations from urban King County through rural eastern Washington. Seattle, Spokane, and Tacoma anchor the bulk of hiring, with established employers like Providence Health and Services, Virginia Mason Franciscan Health, and Kaiser Permanente Washington maintaining a steady presence. The most sought-after specialties are complex care coordination, workers' compensation case management, and utilization review for commercial and Medicaid plans. Find a role that fits below and apply directly.
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JOB DESCRIPTION SUMMARY
The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Patient Care
1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of nursing process.
3. Assesses and evaluates patient’s status by:
A. Writing and initiating plan of care
B. Regularly re-evaluating patient and family/caregiver needs
C. Participating in revising the plan of care as necessary
4. Initiates the plan of care and makes necessary revisions as patient status and needs change.
5. Uses health assessment data to determine nursing diagnosis.
6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
8. Counsels the patient and family in meeting nursing and related needs.
9. Provides health care instructions to the patient as appropriate per assessment and plan.
10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
Communication
1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan.
4. As a mandatory reporter, reports failure to comply with the requirements of VA state, local, and federal law and ethics as required within 14 calendar days, using Dept. of Health forms.
5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.
6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
7. Provides and maintains a safe environment for the patient.
8. Assists the patient and family/caregiver and other team members in providing continuity of care.
9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
10. Attends interdisciplinary group meetings.
Additional Duties
1. Participates in on-call duties as defined by the on-call policy.
2. Ensures that arrangements for equipment and other necessary items and services are available.
3. Supervises ancillary personnel and delegates responsibilities if required.
4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
5. Fulfills the obligation of requested and/or accepted case assignments.
6. Actively participates in quality assessment performance improvement teams and activities.
POSITION QUALIFICATIONS
1. Graduate of an accredited school of nursing
2. Registered Nurse, with a License in good standing to practice in the state of Virginia.
3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
4. Management experience not required. Responsible for supervising hospice aides may be applicable.
5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation.
6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.
8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
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Where Washington roles are concentrated, by current openings.
Registered Nurse Case Manager Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Agriculture & Farming
- Government & Public Sector
- Investment & Asset Management
- Consulting & Professional Services
What Washington Employers Look For
The qualifications that appear most often in registered nurse case manager jobs across Washington.
- Active Washington State RN license issued by the Washington State Department of Health
- Bachelor of Science in Nursing or higher degree from an accredited program
- Certified Case Manager credential (CCM) preferred or required by most employers
- Minimum two to three years of clinical nursing experience in an acute or ambulatory setting
- Demonstrated experience with care coordination, discharge planning, or utilization management
- Proficiency with electronic health record systems such as Epic or Cerner
Registered Nurse Case Manager Jobs in Washington: Frequently Asked Questions
How do you become a registered nurse case manager in Washington?
To become a registered nurse case manager in Washington, you must first hold an active RN license issued by the Washington State Department of Health, obtained by passing the NCLEX-RN through the Nursing Commission. From there, most employers require at least a BSN and clinical nursing experience before moving into a case management role. Earning the Certified Case Manager credential through the Commission for Case Manager Certification strengthens your candidacy considerably with Washington health systems.
How much do registered nurse case managers make in Washington?
Registered nurse case managers in Washington earn a median of about $124,200 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $89,630 for the lowest 10% to over $161,910 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire registered nurse case managers in Washington?
Employers hiring registered nurse case managers in Washington right now include MultiCare Health System, Professional Case Management, and DaVita, based on current listings on Migrate Mate as of August 2026. Washington's concentration of large integrated health systems and managed care plans means hiring volume stays relatively consistent throughout the year, particularly in the Puget Sound region.
Which Washington cities have the most registered nurse case manager jobs?
Seattle, Tacoma, and Yakima have the most registered nurse case manager openings in Washington. Seattle dominates due to the density of major health systems, managed care headquarters, and specialty clinics in King County, while Spokane reflects eastern Washington's role as a regional medical hub and Tacoma draws volume from both Pierce County health networks and proximity to the broader South Puget Sound population.
Are there remote registered nurse case manager jobs in Washington?
Yes, but they're less common than in purely desk-based fields because much of the work involves direct patient interaction and on-site care coordination. About 33% of registered nurse case manager openings tied to Washington are remote or hybrid as of August 2026, reflecting selective flexibility among larger health systems. The tasks most likely to go remote are telephonic utilization review, insurance-based case management, and chronic disease management roles that do not require in-person assessment.
How can I get hired as a registered nurse case manager in Washington with little or no experience?
The most realistic entry path is transitioning from a bedside nursing role in med-surg, rehabilitation, or home health into a case management assistant or care coordinator position. Providence Health and Services, Virginia Mason Franciscan Health, and UW Medicine all run structured transition programs that allow RNs with limited case management experience to develop utilization review and discharge planning skills under supervision. Building familiarity with Epic, completing a care transitions certificate, and pursuing the CCM credential early signals commitment to Washington employers looking to develop in-house talent.
Where can I find and apply to registered nurse case manager jobs in Washington?
You can find and apply to registered nurse case manager jobs in Washington on Migrate Mate, which lists current Washington openings updated regularly. Find the roles that fit your experience and location preferences and apply directly from the listing.
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