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MultiCare Health System
Spokane, Washington

Heart Failure - Nurse Practitioner

Nurse PractitionerNo nightsFull-Time Full Practice Authority

Listed compensation

$125k-$167k

The week · per this posting4-day week · 4×10s

Ask the employer about call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

About Pulse Heart Institute

MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.

Inpatient and Outpatient position, joining a team of four APP's and two physcians.

FTE: 1.0, Shift: Day, Schedule: 4X10's

What We Have to Offer

  • Competitive compensation: Attractive salary with potential sign-on and relocation.
  • Top-tier benefits: Medical, dental, CME, retirement plans, and malpractice insurance (including tail).
  • Generous time off: Ample time to recharge and maintain work/life balance.
  • Career growth: Student loan repayment, leadership training, and advancement opportunities.
  • Research opportunities: Engage in impactful, industry-sponsored clinical trials and investigator-initiated research, collaborating closely with our dedicated Research Institute team.
  • Innovation Lab: Partner with our medical device incubator to develop cutting-edge healthcare solutions.
  • Wellness support: Access to mental health services and wellness coaching.
  • Pacific Northwest lifestyle: Enjoy stunning views and outdoor adventures in a vibrant community.

Contact Carla Voss - carla.voss@multicare.org

Position Summary

MultiCare Pulse Heart Institute is seeking a Heart Failure Nurse Practitioner to join our busy, well established and expanding practice. This position requires the ability to establish goals of care, collaborate with many health care team professionals, (e. g. Social work, Cardiac rehab staff, Palliative care team) and ability to manage decompensated heart failure (or volume overload) in the outpatient clinic setting and refer to the ED when necessary.

As a provider within our physician governed cardiovascular institute, you’ll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates sharing your commitment to quality patient care.

Requirements

  • Masters of Science in Nursing
  • Post Bachelor’s Nurse Practitioner Program
  • Successful completion of a Certified Nurse Practitioner Exam through an accredited organization
  • Licensed in the state of WA as an ARNP by the time of employment
  • DEA, NPI & prescriptive authority
  • Current BLS and ACLS for Healthcare Providers certification by the American Heart Association
  • ARNP Experience in a Heart Failure Program or two (2) years of experience in a cardiovascular setting

Why Pulse Heart Institute?

Physician-led Care

Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration.

Proven Excellence

Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction.

Comprehensive Cardiovascular Care

A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care.

People-first Culture

We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed.

Well-being and Support

Resources and programs designed to help you maintain balance and feel supported in your work and life.

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 $124,831.00 - $166,995.00 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.

Key Responsibilities

The Nurse Practitioner will manage decompensated heart failure in an outpatient setting and collaborate with a multidisciplinary team including social work and palliative care. They will also participate in clinical research and contribute to the development of healthcare solutions within the institute.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Heart failure managementPatient assessmentClinical collaborationPalliative care coordinationDecompensated heart failure managementVolume overload managementElectronic health records

Cardiology — Nurse Practitioner Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$146k midpoint carries the purchasing power of roughly $136k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Cardiology listings this role was benchmarked against, 16% are remote, 52% have no call, 66% require no weekends.

Cardiology pay on WeekdayDoc is down 4.6% vs. the prior quarter (through Sep 2026).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$146k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

31 matches · ranked by pay

Salary Distribution31 jobs · 28 employers

13
<$150k
9
$150k-175k
4
$175k-200k
2
$200k-225k
3
$225k+

Annual compensation range

Benefits & Perks26 jobs

401k / retirement match
88% this job
CME allowance
46% this job
Sign-on bonus
42% this job
Relocation assistance
19% this job
Loan repayment
12% this job

Share of similar jobs offering each benefit

#1

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Reno, Nevada

$250k
#2

Nurse Practitioner

Sutter Health · Burlingame, California

$164k-$237k
#3

NP: Swank Inboxologist

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#4

APP (Nurse Practitioner or Physician Assistant), Cardiac ICU/Flex ICU, (Flex-Cardiac Critical Care Services), Harborview Medical Center

$134k-$210k
+ 29 more · ranked by pay

Work-life snapshot

median 5.1this job 5.1
Better work-life than 50% of Cardiology (NP) listings

Listing-based score, 0–10, across 360 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • On-site

Living in Spokane

Typical 3-bedroom home value
$397k≈ 3.2× annual pay
Typical market rent
$1,507/mo≈ 14% of gross pay
Residents’ average commute
21 min
Metro price indexU.S. average = 100
100.3
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Spokane-Spokane Valley, WA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

MultiCare Health System logo

About MultiCare Health System

Hospitals and Health Care
Tacoma, WA
10,000+ employees

Benefits & Perks

Medical Insurance
Dental
CME
Retirement Plans
Malpractice Insurance (including tail)
Generous Time Off
Student Loan Repayment
Leadership Training