Salary : $7,304.00 - $11,976.00 Monthly
Location : Spokane County - Medical Lake, WA
Job Type: Various Job Types
Job Number:Department: Dept. of Social and Health Services
Division: BHHA
Opening Date: 05/01/2026
Closing Date: 5/14/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step
Description DSHS ESH - Registered Nurse 2Eastern State Hospital (ESH) is hiring Registered Nurses! As part of our behavioral health team, you'll work alongside dedicated professionals who are committed to person-centered care, trauma-informed practices, and long-term recovery.
In addition to working with psychiatric patients within our Adult, Forensic and Geriatric units, we are seeking RN's with empathy, patience, and flexibility to work with our patients diagnosed with mental illness and intellectual disabilities. The Habilitative Mental Health (HMH) ward is a fast-paced environment with many de-escalation opportunities to assist those patients on their road to recovery. We can serve folks suffering a variety of diagnoses that can limit their adaptive, coping, and learning abilities.
Eastern State Hospital hosts both the Eastlake and Westlake campuses. We are a 375-bed in-patient psychiatric hospital serving adults and are accredited by the Joint Commission and certified by the federal centers for Medicare and Medicaid Services.
Some of what you'll do: - Participate as a member of an interdisciplinary team in the planning, delivery, and evaluation of patient care.
- Educate patients' on social skills, functional skill development, and medications.
- Monitor patients' behavior and if needed, de-escalate high-risk situations.
- Participate in the management of psychiatric and medical emergencies.
- Assess and evaluate patients who have behavioral health issues and chart significant changes in the patient's condition.
- Administer medications and treatments.
- Produce care plans and risk assessments for your patients.
Knowledge, skills, and abilities we are looking for:- Clinical judgment - You make sound decisions based on assessment findings and treatment goals.
- Communication - You clearly share information with patients, peers, and health care providers to support effective care.
- De-escalation skills - You respond calmly and professionally during high-stress or crisis situations.
- Trauma-informed mindset - You recognize how trauma affects behavior and tailor your approach accordingly.
- Cultural humility - You support equity and inclusion by acknowledging and respecting individual lived experiences.
- Teamwork - You contribute to a collaborative and supportive treatment culture.
We are interested in applicants who meet the following qualifications: - Possess a valid Washington State Registered Nurse license or a compact RN license that allows practice in Washington State.
Additional information:- We are offering full-time, part-time, all shifts, and on-call opportunities.
- On-Call employees are expected to work a minimum of 24 hours per week, all weekends and all holidays. We will also consider two 12 hour shifts per week depending on business needs.
- Evening and Night shifts include a $1.50 per hour shift differential, $2.50 per hour shift premium and additional $4.00 per hour for hours worked Friday Midnight through Sunday Midnight.
- Opportunities performed on-site at this work location at least three days a week may be eligible for an additional 5% premium pay in addition to the advertised salary.
Want to know more about Eastern State Hospital? Click on the video below to meet staff, take a virtual tour, and explore your career.
Questions? Please reach out to DSHS Recruiter Vincent Hamilton at and reference job number
#03575.The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Supplemental InformationPrior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Updated 01-07-2026
01
Please list your RN license number and state issued.
02
Please choose from the list below the employment type and shift(s) you are available to work. Note: Our typical shift periods include consecutive days off. Evening and night shifts include shift differential in addition to standard rate.
- On Call Employment (must be available for three shifts per week, including weekends and holidays).
- Part-Time Employment
- Full-Time Employment
- Day Shift (6:30 AM - 3:00 PM)
- Evening Shift (2:30 PM - 11:00 PM)
- Night Shift (10:30 PM - 7:00 AM)
03
If applicable, please describe any experience you have working with individuals who have behavioral health needs, mental illness, and/or intellectual and developmental disabilities.
Required Question
