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Pennant Group
Federal Way, Washington

Registered Nurse Case Manager - Home Health | Signature Healthcare at Home | Pierce County

Registered NurseIncludes callNo weekendsNo nightsFull-Time

Listed compensation

$47-$57/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting and time off.

Posted 1h ago · Verified live

Job Description

  • Now Hiring
  • Coverage Area: Pierce County-Tacoma
  • Compensation: $47.00 - $57.00
  • Type: Full Time
  • Shift: Day Shift
  • Work Schedule: Monday - Friday, 8:00 AM to 5:00 PM

Location: Signature Healthcare at Home

909 South 336th St #100, Federal Way, WA 98003

Phone: (253) 661-5166

Signature Healthcare at Home is a leading provider of home health in Oregon, and Washington. Our services are designed to complement your lifestyle through innovative home-based healthcare solutions. The Signature Home Health team possesses character, heart, and the desire to enhance the life of every person we serve.

This includes working to achieve and sustain health, activity, and independence. The statement: “Care Where You Are” guides our organization’s dedication to offer quality care for our clients whose goal it is to remain in their chosen home setting.

Signature Healthcare at Home is a subsidiary of the Pennant Group network with 300+ locations throughout the country. We offer the best of both worlds –The backing and stability of a proven healthcare “giant”, with the permission to operate locally as if it were our own Federal Way based business.

Duties and Responsibilities

Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family/caregiver living situation to determine care needs. Provides a complete physical assessment and history of current and previous illness(es).

Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.

Assesses and Evaluates Patient’s Status By

Establishing the initial individualized plan of care in collaboration with the certifying medical provider based on comprehensive assessment and patient goals.

Regularly re-evaluating patient and family/caregiver needs.

Participating in revising the plan of care as necessary in collaboration with the certifying medical provider as patient status and needs change.

Develops a care plan that establishes interventions and goals. Includes the patient and the family/caregiver in the planning process.

Works autonomously to initiate appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the medical provider in the plan of care.

  • Involves the patient and family/caregiver to address needs and meet related goals.
  • Provides health care instructions to the patient as appropriate per assessment and plan.
  • Facilitates the patient’s efforts toward self-sufficiency or obtaining appropriate caregiving.

Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload.

Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements.

Records pain/symptom management changes/outcomes as appropriate.

Communicates with the medical provider regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives medical provider orders as required.

Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the medical provider and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary team.

  • Assists the patient and family/caregiver and other team members in providing continuity of care.
  • Attends required staff meetings, interdisciplinary team meetings and care coordination activities.
  • Participates in on-call duties as defined by the on-call policy.
  • Ensures that arrangements for equipment and other necessary items and services are available.
  • Supervises ancillary personnel and delegates responsibilities when required.
  • Coordinates patient care in tandem with LPN/LVN as assigned by Clinical Manager.
  • 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.
  • Fulfills the obligation of requested and/or accepted case assignments.

Actively participates in quality assessment performance improvement teams and activities or other committees as assigned.

May be required to work outside of designated geographical area based on census fluctuations and current staffing.

  • Completes mandatory education requirements annually to maintain competence.
  • May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke.
  • Driving conditions may be difficult related to weather and/ or traffic.
  • Maintains knowledge of and adheres to all applicable laws, rules, and standards.
  • Participates in the orientation of new employees and preceptorship of students as assigned.
  • Meets productivity expectations.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications/Skillsets

Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home health preferred.

  • Currently licensed as a Registered Nurse in the State(s) of planned practice.
  • Possesses and maintains CPR certification.

Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.

Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

Self-directed and able to work with minimal supervision.

Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills.

Benefits

Medical, Dental, Vision, 401K Plan, Life/Disability Insurance, Voluntary Benefits, up to 4 weeks of PTO, 6 paid holidays, mileage reimbursement, cell phone, employee referral bonus, continuing education, and higher education reimbursement program.

Home Health Acute Care Patient RN Training provided.

Learning opportunities: MedBridge Account, many learning opportunities available for PRN, Part-Time and Full-Time employees.

We look forward to hearing from you!

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.

Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at pennantgroup.com.

Key Responsibilities

The Registered Nurse Case Manager conducts comprehensive patient assessments and develops individualized care plans in collaboration with medical providers. They provide professional nursing care, coordinate services within an interdisciplinary team, and ensure accurate documentation of patient status and outcomes.

Requirements

Candidates must be graduates of an accredited nursing school and hold a current Registered Nurse license in Washington. The role requires 1-2 years of recent acute care experience, with home health experience preferred, and a valid driver's license with reliable transportation.

Qualifications

Experience
2+ years of experience

Key Skills

Case ManagementPatient AssessmentCare PlanningMedication AdministrationWound CarePatient EducationInterdisciplinary Team CollaborationClinical AssessmentTime Management

Home Health Nursing — Registered Nurse Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$108k midpoint carries the purchasing power of roughly $101k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Nurse Case Manager market look like in Washington?
MeasureThis jobMarket
Work-life score7.0 / 10 · top 10% in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Cost-of-living adjusted pay~$101k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Nurse Case Manager listings in Washington110 active6,074 nationallylive on WeekdayDoc, Oct 2026
Sign-on & loan repaymentnot statedWashington Registered Nurse listings: 10% state a sign-on bonus · 9% offer loan repayment110 active listings, Oct 2026
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Registered Nurse Case Manager - Home Health | Signature Healthcare at Home | Pierce County at Pennant Group a 7.0 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Nurse Case Manager — ranked against 2,789 active Nurse Case Manager listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$108k midpoint, that is roughly $4k–$8k a year versus a typical 4–7% state rate.

Top Nurse Case Manager Jobs

24 matches · ranked by pay

Salary Distribution

15 jobs · 14 employers
5
<$95k
6
$95k-110k
3
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1
$135k

Annual compensation range

Work-Life Balance Distribution

24 jobs · 14 employers
0
1-2
0
3-4
0
5-6
12
7-8
12
9-10

Higher = better work-life balance

#1

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Rocky Mountain Care Group · Jackson, California

$62-$65/hr
#2

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Elevance Health · Las Vegas, Nevada

$79k-$125k
#3

Hospice RN Case Manager- Round Lake, Lake Villa and surrounding areas

$38.2-$57.3/hr
#4

Telephonic Nurse Case Manager I

$67k-$116k
+ 22 more · ranked by pay

Work-life snapshot

median 3.9this job 7.0
Among the best 10% of Nurse Case Manager listings for work-life

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • Includes call
Pennant Group logo

About Pennant Group

Hospitals and Health Care
Eagle, Idaho
501-1,000 employees

Benefits & Perks

Medical, Dental, Vision
401K Plan
Life/Disability Insurance
Voluntary Benefits
Up to 4 weeks PTO
6 paid holidays
Mileage reimbursement
Cell phone

Living in Federal Way

Typical 3-bedroom home value
$552k
Typical market rent
$1,944/mo
Residents’ average commute
32 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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