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Join Harborview Medical Center’s Edward Thomas House – Respite at Jefferson Terrace as a per diem ARNP; Nurse Practitioner; or PA-C, Physician Assistant. This program provides care for patients discharged from hospitals, clinics and EDs who are homeless and too sick to function on the streets or in shelters and not sick enough to stay in the hospital. The Respite Program is operated by Harborview Medical Center under a contract with Seattle -King County Public Health.

This position requires experience working with homeless and a desire to help implement a state of the art unit to care for patients just discharged from the hospital, clinics and EDs who are too sick for the street or shelter yet not sick enough for the hospital. Wound care experience very helpful.

As the region’s only Level I Trauma center, Harborview Medical Center (HMC) is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD, Center for Advanced Reconstruction and Rehabilitation (CARER), and mentally-and medically- vulnerable populations. In addition to the centers of emphasis, HMC serves a mission population for King County. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. HMC is owned by King County and managed by the University of Washington (UW) and serves as a training site for UW’s School of Medicine. The UW is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.

The ARNP; Nurse Practitioner; or PA-C, Physician Assistant functions independently in a staff position to implement the role of expert practitioner, consultant, educator and researcher within the specialized area of patient care. The ARNP/PA-C possesses and exhibits a high degree of knowledge, skill and competence in the provision of health care directly to the patient, family or community, or indirectly through guidance of care by other professional personnel. The ARNP/PA-C performs within the scope of licensure and in accordance with clinic, hospital and university policies/standards.


Maintains customer service competencies.

Provides comprehensive assessments of complex/specialized patients, and when appropriate, their families.

Maintains the care of a “panel” of patients in the assigned clinical area.

Obtains and records medical histories, performs physical examinations, orders and interprets diagnostic tests, establishes diagnosis and follows current standards of practice for prescribing medications and/or establishing treatment protocols. Recognizes own limitations and consults when appropriate.

Recognizes deviations from normal in the physical assessment and works in collaboration with the physician to develop management and treatment plans.

Documents findings, reports and plans of care including needed patient education and appropriate follow up of care in the medical record.

Performs efficiently during emergency situations, using sound judgment and following established protocol.

May perform minor surgical procedures, such as suturing lacerations and incision and drainage of abscesses, including administration of local anesthesia.

Participates in the QA and process improvement activities of the clinic. Shares in the improvement in quality of patient care through participation in committees, implementation of new trends in nursing or medical care, and by contributing suggestions for improvement in organized delivery of care.

Participates in an interdepartmental effort to facilitate a safe environment for staff and patient care.

Follows clinic standards on the use of safety equipment and regulations for personnel (i.e., blood borne pathogens, TB, etc.).

Assists in the training of various levels of health care professionals.

Delegates tasks and duties for the purpose of coordinating effective and efficient health care.

Develops and maintains relationships with clinic staff, clinic manager, clinic medical director, interdisciplinary patient care teams and other hospital staff to ensure maximizing positive department and employee relationships.

Utilizes appropriate lines of authority to maintain effective communication.

Supports and advocates the mission and objectives of the medical center and division and assists in interpreting these to patients, visitors and the community.

Demonstrates professional responsibility and leadership through participation in hospital, University and professional opportunities.

Demonstrates responsibility for own professional growth through pursuit of work related experiences and educational opportunities.

Demonstrates understanding of laws applicable to clinical practice.

Other duties as assigned.

Performs Other Related Duties As Assigned.

See clinic job description for specific knowledge/skills requirements and clinic specific scope of care statement for ages and descriptions of populations served.


Quality of work

Mission centered professional practice

Interpersonal and customer service skills

Integrity and compassion

Patient care advocacy

Team work/collaborative practice

Patient/family satisfaction/customer service

Respect for patient confidentiality

Quality of customer service

Harm Reduction and Trauma Informed Care

Equity and Inclusion in professional development and delivery of healthcare

Minimum Requirements:

Licensure as either an Advanced Registered Nurse Practitioner in the State of Washington or a Physician’s Assistant (PA) in the State of Washington

Must be eligible to receive hospital staff appointments for adjunct staff membership by the organized medical staff of the hospital under Medical Staff By-Laws for Hospital-based positions.

Click Here To Apply

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