About the Role

We’re seeking a highly skilled Nurse Manager (RN) to serve as the clinical leader for our Assisted Living and Memory Care units. This is a meaningful opportunity to elevate resident care, strengthen clinical practice, and shape the culture of a dedicated team that values excellence, collaboration, and person-centered service. In this role, you’ll guide clinical operations, champion regulatory compliance, and ensure our caregiving teams provide safe, consistent, and compassionate care every day.

If you’re looking for an opportunity to lead, while developing and improving systems to support both residents and frontline staff, this role offers the perfect combination of purpose and professional growth.

Starting Pay Range: $115,000 - $125,000 annually

What You’ll Get

• Make a visible impact. Lead change at a single-site community of 250 employees where your decisions directly improve resident and team experiences.
• Lead with clinical expertise. Oversee RN delegation, assessments, care planning, and change-of-condition evaluations to ensure safe, compliant, and person-centered care.
• Build and develop strong clinical teams. Supervise, coach, and develop Medication Technicians and nursing staff to deliver safe, confident, high-quality care.
• Drive meaningful change. Evaluate operations, strengthen processes, and implement improvements that truly make a difference.
• Champion collaboration in care delivery. Partner with pharmacy, hospice, home health, and interdisciplinary leaders to provide seamless, coordinated services.
• Lead with purpose. Support aging adults —one of the fastest-growing populations — in a community focused on dignity, compassion, and service excellence.
• Grow as a leader. Join a culture that values professional development and continuous improvement.

Key Responsibilities

• Serve as the primary clinical authority for Assisted Living and Memory Care.
• Lead the RN Delegation Program, including resident eligibility, task delegation, competency checks, and regulatory compliance.
• Lead, develop, and supervise Medication Technicians and nursing staff.
• Oversee care assessments, care planning, admissions, annual reviews, and change-of-condition evaluations.
• Manage incident reporting, investigations, documentation, and trend analysis.
• Ensure survey readiness through audits, corrective actions, and documentation integrity.
• Set clear expectations for clinical excellence, documentation, and safe practices.
• Partner with the Assisted Living Manager to align clinical and operational performance.
• Lead clinical quality assurance initiatives and performance improvement efforts.
• Strengthen medication management systems, infection prevention practices, and safety protocols.
• Track and resolve clinical grievances with timely follow-through.
• Partner with pharmacy, hospice, home health, and other providers to ensure coordinated care.
• Participate in committees and policy development to support organizational goals.
• Collaborate with Life Enrichment leadership to reinforce Memory Care practices.
• Develop and deliver training related to delegation, medication systems, safety, emergency procedures, and clinical risk management.
• Assess team learning needs and implement targeted training and coaching.
• Provide education to residents and families on clinical systems and care processes.
• Participate in the manager-on-call rotation to support clinical decision-making.

Qualifications

• Active RN license in good standing with the State of Washington.
• 2+ years of recent experience working with a senior population.
• 2+ years of recent RN Delegator experience.
• 3+ years supervising 10+ direct reports in a healthcare environment.
• Current CPR certification and BLS training.
• Background working with dementia, aging-related needs, and complex family dynamics.

Skills

• Proficiency with Microsoft 365 applications.
• Strong communication and interpersonal skills.
• Ability to work collaboratively and independently in a fast-paced, 24/7 care environment.
• Demonstrates initiative, adaptability, and strong clinical judgment.

Benefits and Perks

• Highly Competitive Benefits Package with Low Deductibles: Medical, Dental, and Vision Benefits
• Paid Time Off and Sick Leave
• Discounted Costco Membership
• Discounted Meals
• 403(b) Retirement & Company Match
• Company Paid Training & Professional Development Opportunities
• ORCA Card Discount or Discounted Employer Paid Parking
• Staff Scholarship Program - up to $24,000 per year including dependents
• Free Gym and Pool access for employees
• Student Loan Assistance Program - up to $1,200 per year
• Fun and Exciting Staff Events

Please apply online and find out more about Horizon House on our website at https://horizonhouse.org/

Horizon House is more than a place to work. It is an opportunity to build a career in a dynamic community dedicated to wellbeing, life fulfillment, and purposeful living in a diverse community. We are looking for future team members who understand that new ideas are welcomed and meant to build and improve on old traditions. We care, we listen, and we value our employees and demonstrate this in everything we do. At Horizon House we foster meaningful work on a diverse team by using the power of an employee driven workplace to enhance wellbeing. Join our team and help make a difference in someone’s life every day.

Physical Requirements: The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

Confidentiality Requirements: Employee accesses, uses and/or discloses Protected Health Information, as defined by HIPAA, only to the extent minimally necessary to accomplish essential job functions. Employee practices appropriate safeguards to prevent unauthorized access, use and/or disclosure of PHR (paper, electronic and oral) within his/her work area.

Equal Opportunity: Horizon House is an equal opportunity employer and seeks to attract and retain the most qualified individuals without regard to race, color, religion, national origin, gender or gender identity, sexual orientation, age, genetic information, disability, or veteran status. Learn more about what it means to be an Equal Opportunity Employer. Additional information can be found here.

All staff must demonstrate the legal right to work in the United States. Horizon House is an E-Verify employer. All applicants offered a role must pass a DSHS background check, and drug screening.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodations while seeking employment, please email hr@horizonhouse.org. or call (206) 382-3206 with the nature of your request.