Catholic Health Initiatives RN Telemedicine ICU Per Diem in TACOMA, Washington

RN Telemedicine ICU Per Diem


CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!

Job Summary

The job is responsible for providing consultative patient care nursing services via the centralized CHI Franciscan Health (CHI-FH) Virtual Health Network which focuses on the provision of virtual remote care for patients in intensive care units. From a centralized command center location, an incumbent works collaboratively with the Tele-ICU and an interdisciplinary team of healthcare providers to facilitate achievement of clinical objectives, quality/customer service standards and improvement of patient care outcomes. Work is conducted in accordance with CHI-FH policies, applicable regulatory requirements and scope of practice for the nursing profession and is strongly focused on patient safety. Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.

Work also includes: 1) collaborating with patients, families and on-site healthcare providers in developing/implementing/assessing the patient’s plan of care and appropriate nursing interventions for optimal patient care/safety; 2) monitoring electronic systems/equipment to identify variations from standard norms relating to patient care/status; and 3) providing education/guidance on best practice intensive care nursing and ensuring that providers are following established patient care procedures and documentation standards.

Work is performed in accordance with standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the application of judgment and critical thinking skills in making recommendations/decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources.

Essential Duties

Monitors assigned patients from a command center remote location via live streaming video equipment; makes ongoing assessments with respect to physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs; communicates with members of the Tele-ICU Center team across all locations and the bedside ICU interdisciplinary team in a collegial manner to provide safe and error-free care during routine and emergent conditions.

Initiates and/or implements appropriate patient interventions as necessary to respond to routine, urgent and emergent patient issues; assesses and evaluates results to facilitate positive outcomes.

Monitors and evaluates team performance to ensure the quality of care provided is consistent with the CHI-FH standards, documentation procedures and applicable regulatory requirements.

Documents care delivered and patient status utilizing the nursing process in accordance with CHI-FH standards of care, including changes in patient condition, patient responses to intervention and reassessments of pertinent findings.

Provides health care education and guidance to healthcare providers, patient and/or families; educates regarding results, findings and diagnoses to patient and/or patient’s family within scope of practice.

Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.

Additional Responsibilities

Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.



Bachelor’s degree in nursing or other healthcare-related discipline, graduation from an accredited school of nursing, and three years of related work experience that demonstrates the attainment of the requisite job knowledge, skills and abilities. Work experience in an intensive care unit setting is required.

An equivalent combination of additional qualifying work experience may be substituted for the Bachelor’s degree requirement (Associate’s degree in Nursing required).


Current licensure as a Registered Nurse issued by the Washington State Board of Nursing.

If classified as RN-Tele-ICU Cert: Current Critical Care RN (CCRN) and/or Neuroscience RN (CNRN) certification is required.

Current Healthcare provider BLS Certification.

Advanced Cardiac Life Support (ACLS) at, or within six months, of date of hire into the position.

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic.

Job Critical Care/ICU


Daily Schedule Varies

Scheduled Hours per 2-week Pay Period 0

Weekends Required Occasional

Req ID: 2017-R0107964