For over 35 years, Alliance Nursing has been a trusted provider of private-duty nursing for medically fragile children and adults. We provide a unique bridge between hospital and home, helping patients receive high-quality skilled nursing care in a comfortable, family-centered environment.
Provide 1:1 nursing care for a medically complex child at home, follow the individualized plan of care, and work with the family and clinical team.
Assess the child's needs, document care, communicate condition changes, and provide skilled care within demonstrated competency.
What you need
Requires an RN or LPN with a current Washington State nursing license or qualifying multistate license.
The Roy case requires an experienced RN with extensive hands-on tracheostomy and ventilator experience; the Graham case has no minimum nursing experience requirement.
Key skills
Washington State nursing licensetracheostomyventilator1:1 nursing careskilled nursing carepatient safetycommunication
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Pediatric Home Health Nurse - RN or LPN
1:1 Private Duty Nursing | Roy Graham, WA
Two Pediatric Home Health Opportunities Available
Whether you're an experienced nurse or just beginning your nursing career, Alliance Nursing offers 1:1 pediatric opportunities where you can make a meaningful difference in a child's life.
At Alliance Nursing, we specialize in one-on-one pediatric home health care. Our nurses have the opportunity to build meaningful relationships with their patients and families while providing exceptional care to children with complex medical needs.
We are currently hiring for two separate pediatric Home Health cases in Roy and Graham, WA. Each opportunity has different experience requirements, schedules, and pay.
~ ROY, WA - EXPERIENCED RN
Experienced RN | Extensive Trach/Vent Experience Required
This is an opportunity for an experienced Registered Nurse to provide dedicated 1:1 care for a medically complex pediatric patient in the home.
Position Details:
RN only
Extensive hands-on tracheostomy and ventilator experience required
Full-Time Day shifts available
Part-Time NOC shifts available
RN Pay: $40-$43/hour
+$1/hour NOC shift differential
1:1 pediatric private-duty nursing
Additional case-specific training and orientation provided
Please Note: Due to the complexity of this patient's care, new graduate nurses and nurses without established hands-on trach/vent experience cannot be considered for the Roy case.
Newer nurse? LPN? Keep reading! Our Graham opportunity may be a great fit.
~ GRAHAM, WA - RN OR LPN
Newer Nurses Welcome | Paid Trach Vent Training Provided
Our Graham case is open to RNs and LPNs, including newer nurses interested in building their pediatric Home Health experience.
Position Details:
RN or LPN
No minimum nursing experience required
New graduate nurses encouraged to apply
Part-Time Day or NOC shifts available
RN Pay: $34-$37/hour
LPN Pay: $26-$33/hour
+$1/hour NOC shift differential, when applicable
1:1 pediatric private-duty nursing
Paid, hands-on trach and vent training provided
Why Nurses Choose Alliance Nursing
Make a Meaningful DifferenceProvide dedicated 1:1 care for one medically complex child, allowing you to build a relationship with your patient and family while delivering personalized nursing care that's difficult to achieve in a facility setting.
Paid Training Clinical SupportWe provide paid, hands-on training and ongoing clinical support based on the needs of the individual case and your existing experience.
24/7 Clinical SupportOur nurses have access to 24/7 clinical support, low nurse-to-patient ratios, and employer-provided malpractice coverage.
Scheduling That Fits Your LifeWith multiple pediatric cases and a variety of schedules, we offer opportunities for nurses seeking full-time, part-time, day, night, and weekend work.
Competitive BenefitsEligible employees receive medical, dental, and vision insurance options, a 401(k) with company match, and paid time off with PTO and sick leave accruing from day one.
Nursing License Renewal ReimbursementAvailable after one year of continuous employment.
A Team That Knows Your NameFor more than 35 years, Alliance Nursing has remained a locally owned, mission-driven company where nurses are supported, appreciated, and trusted to provide exceptional care in the home.
What You'll Do
As an Alliance Nursing Home Health nurse, you will:
Provide skilled, compassionate 1:1 nursing care for a medically complex child in the patient's home.
Follow the child's individualized plan of care based on your training and qualifications.
Work closely with the patient's family and Alliance Nursing clinical team.
Assess and respond to the child's medical and developmental needs.
Accurately document care and communicate changes in condition.
Provide tracheostomy, ventilator, and other skilled nursing care as required by the assigned case and within your demonstrated competency.
Who We're Looking For
RN or LPN with a current Washington State nursing license or qualifying multistate license from a participating Nurse Licensure Compact state.
Nurses who enjoy one-on-one patient care and building relationships with children and their families.
Dependable, compassionate nurses who communicate well and take patient safety seriously.
Nurses who prefer a personal, focused care environment over a traditional facility setting.
Experience Requirements by Case
ROY: Experienced RN with extensive hands-on trach/vent experience required.
GRAHAM: RN or LPN; no minimum nursing experience required. New graduates are encouraged to apply!
About Alliance Nursing
For over 35 years, Alliance Nursing has been a trusted provider of private-duty nursing for medically fragile children and adults. We provide a unique bridge between hospital and home, helping patients receive high-quality skilled nursing care in a comfortable, family-centered environment.
One Application. Multiple Opportunities.
If one of these cases isn't the right match, our Recruiting team can also discuss other current or upcoming Alliance Nursing opportunities that may better fit your experience, location, and availability.
Join a team where your nursing skills change lives-one child, one shift, one home at a time.
Apply today and start your journey with Alliance Nursing!
Alliance Nursing is an Equal Opportunity Employer. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, marital status, or any other protected characteristic under federal, state, or local law. We comply with all applicable laws regarding reasonable accommodations for qualified individuals with disabilities. If you need assistance in the application process, please contact us.