Registered Nurse - Houseless Outreach Program

Olympic Health and Recovery Services is seeking a dedicated and compassionate RN to join our interdisciplinary team! The Homeless Outreach Stabilization and Transition (HOST) Program Registered Nurse (RN) is a field based position responsible for providing trauma informed, low barrier nursing care to individuals experiencing homelessness. This role functions entirely in the community, meeting people where they are, including sanctioned and unsanctioned encampments, wooded areas, shelters, vehicles, and public spaces. The RN must be comfortable working outdoors in all weather conditions and across varied terrain while delivering high quality, equitable care. The RN provides wound care, chronic condition support, medication management, appointment scheduling, and referral coordination. This position supports individuals with complex behavioral health, physical health, and substance use needs, helping stabilize participants, reduce barriers, and promote engagement with medical, behavioral health, and social service systems. This role works closely with HOST behavioral health staff, medical providers, and community partners to ensure continuity of care and holistic support.

Hourly Range:

$54.55-$68.27 per hour based on education, experience, and parity within the organization.

Schedule:

Four 10 hour Shifts with days selected between Monday-Friday This position is classified as FLSA Non-Exempt - Overtime Eligible. This position reports to the Quality Assurance and Clinical Standards Manager First review of applications will take place Monday June 1st, 2026. Core Responsibilities Patient Assessment and Diagnosis Conduct nursing assessments in community based settings. Provide wound care, foot care, and basic medical treatment. Monitor chronic medical conditions and support ongoing health maintenance. Evaluate patient needs and escalate concerns to medical providers as appropriate. Treatment Planning Develop individualized, person centered treatment plans aligned with harm reduction principles. Create stabilization plans with an emphasis on accessibility and continuity. Coordinate with HOST behavioral health staff to ensure follow through and integrated support. Medication Management and Support Provide medication management and education in the field. Support adherence to prescribed medications, including psychotropic and MAT medications. Coordinate with prescribing providers regarding medication concerns and follow up needs. Medical Services Provide wound and foot care. Support individuals with obtaining STI, HIV, and Hepatitis C testing. Support individuals with obtaining birth control services. Distribute naloxone and provide overdose prevention training. Manage acute and chronic medical conditions. Care Coordination & Referrals Coordinate referrals to medical, behavioral health, substance use, and social service providers. Schedule and support attendance at medical and psychiatric appointments. Assist participants in navigating healthcare systems and accessing services. Outreach and Community Connection Deliver all services in person, in the field, including encampments, shelters, and remote outdoor locations Navigate uneven terrain and varied environmental conditions. Engage individuals who may be disconnected from traditional health systems Promote and encourage entry into behavioral health and substance use treatment. Collaboration Work closely with therapists, case managers, medical staff, and community partners. Participate in interdisciplinary team meetings, case consultations, and training. Crisis Intervention Provide supportive crisis intervention aligned with RN scope. Utilize de-escalation and trauma informed techniques. Documentation and Administration Maintain accurate and timely documentation of nursing services, assessments, and participant progress. Adhere to state and federal regulations, professional standards, and agency policies. Document in accordance with licensing and third-party requirements. Participate in quality improvement initiatives using evidence based practices. Medical Department Support Provide backup coverage to the medical department as needed. Support other programs to ensure continuity and accessibility of care across the organization Benefits

TMBHASO/OHRS

provides comprehensive benefits for full time employees including medical/dental/vision plan options (many with no employee paid monthly premium depending on plan choice, and dependent coverage options), and life insurance and disability insurance options. Eligible employees participate in WA State PERS retirement plans and employees may elect additional pre and post tax deferred compensation retirement options. Employees receive a PTO package earning a minimum of 140 hours annually and 12 paid holidays. Other tax deferred options include Flexible Spending Accounts (FSA), and Health Savings Accounts (HSA) .

TMBHASO/OHRS

is an approved Public Student Loan Forgiveness employer. We pay the fees for required DOH licenses for the position, and we offer annual professional development funds. Find more information at www.tmbhcareers.org. Education and Experience Current Washington State Registered Nurse (RN) license. Experience in community based care, behavioral health, or addiction medicine preferred. Must be able to pass required background checks as required by OHRS contractual requirements. Current Washington State Driver's License, proof of insurance, and satisfactory drivers record required. Commitment to racial equity, trauma informed care, and harm reduction principles. Ability to work independently in diverse and non-traditional settings.

Skills and Abilities:

Ability to provide nursing care in high stress, high demand environments while communicating effectively. Competency in basic medical care, wound care, and monitoring chronic conditions. Ability to use EHR systems and mobile technology for field documentation. Ability to navigate challenging terrain and work in adverse weather conditions. Flexibility, adaptability, and creativity when working with individuals with complex needs. Competency in treating co occurring medical and behavioral health concerns. Ability to utilize principles of crisis intervention and de escalation while maintaining strong customer service skills and empathy. Ability to work collaboratively as part of a team and respectfully manage differences, opposing perspectives, opinions, and interests. Ability to remain flexible and adaptable to change. Promote and champion the values of partnership, teamwork, compassion, and integrity in all dealings within and outside of OHRS. Ability to utilize principles of motivational interviewing and additional evidence based practices. Actively develop familiarity with systems and community resources.

Preferred Attributes:

Experience working with individuals experiencing homelessness. Strong collaboration and communication skills across interdisciplinary teams.

Working Conditions:

All work is conducted in the field, including encampments, wooded areas, vehicles, shelters, and public spaces. Exposure to all weather conditions and varied terrain. Regular use of computers, phones, and other communication devices required. Computer usage may be in the office or in the community locations. This position will expose you to conversations about suicide, behavioral health issues, and staff responding to crisis situations. Often performed under physically demanding, stressful, and environmentally diverse conditions, and requires the ability to adjust quickly to changing priorities and demands. Regular, onsite, predictable attendance required. Regular use of fleet vehicles required for mobile outreach. Transportation of clients may be provided in a fleet vehicle. Moderate physical exertion is required. May be required to sit, stand, squat, walk short to moderate distances on uneven terrain, walk up and down stairs, standing for extended periods, and carrying medical or outreach supplies up to 25 lbs.