TriState Health logo
TriState Health
Clarkston, Washington

Chief Nursing Officer

Registered NurseFull-Time

Listed compensation

$181k-$275k

Listing transparency2 of 6 stated

Ask the employer about the work setting, call expectations and weekend coverage.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 1h ago · Verified live

Job Description

[https://www.tsh.org/wp-content/uploads/2025/12/2025-Awards-HR-Image-scaled.jpg]LEAD WITH PURPOSE AND MAKE A LASTING IMPACT IN RURAL HEALTHCARE AS OUR NEXT CHIEF NURSING OFFICER, WHERE YOUR PASSION FOR LEADERSHIP WILL SHAPE THE FUTURE OF

PATIENT CARE AND STRENGTHEN THE COMMUNITY WE SERVE!

Job Summary

The CNO ensures that quality nursing care is rendered to all patients in accordance with the Nurse Practice Act, DNV, TriState Health (TSH) and nursing department standards.

Oversees, directs, and evaluates all activities and programs associated with the day-to-day operations of nursing and other departments as assigned. Supervises and evaluates performance of all direct reports.

Assures implementation of TSH initiatives and policies while guiding TSH to be high-performing in the areas of patient safety; clinical outcomes (quality), and positive financial performance.

Education and Training

  • Bachelor’s degree in Nursing and Master’s degree in Nursing, Business Administration, or Health Care Administration, required.

Licensures and Certifications

  • Current Washington State RN license or Multi-State RN license, required.

Experience

  • Minimum of five (5) years as a hospital nursing executive.

Skills and Abilities

  • Demonstrated leadership and an ability to influence and motivate others.
  • Thorough knowledge of legal, regulatory, ethical, managerial, organizational requirements, principles and standards of nursing care for hospitals and health care systems.

Benefits Overview

  • Paid Time Off
  • Paid Sick Leave
  • Medical, Dental and Vision
  • Flexible Health Spending Account and Dependent Care Spending Account
  • Retirement - 403(b) with matching contributions
  • Employee Assistance Program
  • Tuition Reimbursement
  • Life Insurance
  • Employee Wellness Program

About TriState Health

Learn more about TriState Health here. [https://youtu.be/6CxPIR0RhQE]

TriState Health is a not-for-profit, critical access hospital and medical campus, community owned and operated since 1955. As the largest employer in Asotin County, TriState remains committed to our mission of caring for the community and ensuring, “Your Health Is Our First Priority.”

Serving an 8-county region in Washington, Idaho, and Oregon, TriState Health continues to receive awards for excellent service to the community such as “2025 Get with the Guidelines Gold in Rural Stroke” and “1 of 6 Top Recommended Hospitals in Washington State." TriState proudly promotes a 4:1 nurse to patient ratio, with an even lower ratio for critical care patients.

Located in Clarkston, WA, and nestled within the Lewis Clark Valley - a hidden gem found at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge.

With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley.

Our Mission: Your Health Is Our First Priority!

Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always.

Our Values

  • Quality. Through teamwork, we strive to continuously improve our quality of care and service.
  • Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care.
  • Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families.
  • Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care.
  • Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.

Key Responsibilities

The Chief Nursing Officer oversees daily nursing operations, ensuring compliance with the Nurse Practice Act and organizational standards. They are responsible for driving initiatives that improve patient safety, clinical quality, and the hospital's financial performance.

Requirements

Candidates must hold a Bachelor's degree in Nursing and a Master's degree in Nursing, Business, or Health Care Administration. A minimum of five years of experience as a hospital nursing executive and a current Washington State or Multi-State RN license are required.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Key Skills

Nursing LeadershipStrategic PlanningClinical Outcomes ManagementRegulatory ComplianceFinancial Performance ManagementStaff SupervisionPolicy ImplementationHealthcare AdministrationTeam MotivationCommunicationCritical Thinking

Nursing Administration — Registered Nurse Career Context

Of the 40 active Nursing Leadership listings this role was benchmarked against, 48% are remote, 45% have no call, 80% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$228k midpoint carries the purchasing power of roughly $213k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$228k midpoint, that is roughly $9k–$16k a year versus a typical 4–7% state rate.

Top Registered Nurse Jobs

20 matches · ranked by pay

Salary Distribution20 jobs · 12 employers

10
<$160k
2
$194k
2
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6
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Annual compensation range

Benefits & Perks17 jobs · 12 employers

401k / retirement match
82% this job
CME allowance
53%
Sign-on bonus
6%
Loan repayment
6%

Share of similar jobs offering each benefit

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#3

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#4

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+ 18 more · ranked by pay

Work-life snapshot

1.5/ 10
Listing-based score

Living in Clarkston

Typical 3-bedroom home value
$367k
Median resident rent
$917/mo
Residents’ average commute
13 min
Metro price indexU.S. average = 100
91.2
State income tax
None
Sources & methodology

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

BEA 2024 · Lewiston, ID-WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

TriState Health logo

About TriState Health

Hospitals and Health Care
Clarkston, Washington
201-500 employees

Benefits & Perks

Paid Time Off
Paid Sick Leave
Medical, Dental and Vision
Flexible Health Spending Account
Dependent Care Spending Account
Retirement - 403(b) with matching contributions
Employee Assistance Program
Tuition Reimbursement