Assisted Living Nurse Manager

Pay Range: $95, $107,120.00

We are actively seeking a passionate Assisted Living Nurse Manager (RN Delegator) who�s ready to lead with purpose, inspire a team, and make a real difference in the lives of older adults. This role is a vital leader, helping to ensure that every resident receives dignified, person-centered care rooted in clinical quality excellence and our core values. Horizon House, a vibrant Senior Living Community where aging is celebrated as a meaningful journey�and compassionate care is the heartbeat of everything we do.

This isn�t just another nurse manager role�it�s a chance to build something new and exciting You�ll take the reins on launching an RN Delegation Program, shaping how we develop the program, train staff, deliver safe, and evidence-based medication services. In this role, you will develop, implement, train and oversee a Medication Delegation Program (Med Tech) guiding the healthcare staff to deliver safe, evidence-based medication delegation services. You�ll collaborate closely with the Assisted Living leadership team to support staff development, uphold regulatory standards, and foster a culture of learning, accountability, and clinical excellence.

What You�ll Do

• Provide leadership in Assisted Living, embodying Horizon House�s mission, vision, and values.
• Develop, implement, and oversee a Medication Delegation Program (Med Tech), ensuring compliance with Washington State regulations.
• Develop, implement, and maintain nurse delegation documentation, including negotiated service agreements and care plans, ensuring timely assessments and follow-up on condition changes or new treatment orders.
• Serve as the primary RN signer for resident initial, annual, and/or change of condition assessments.
• Assess residents who require or may benefit from RN delegation services and provide responsive oversight.
• Supervise, lead, train, and evaluate Medication Technicians (Med Techs), building a strong, skilled team.
• Oversee safe, organized, and standardized medication administration systems, including med carts and medication rooms
• Conduct and oversee resident nursing assessments, care planning, and participation in care conferences.
• Lead and participate in QAPI projects, policy development, and quality improvement initiatives.
• Serve as a key and trusted liaison with residents, families, staff, and pharmacy providers.
• Partner with Assisted Living leadership team on strategic planning and execution.
• Participate in weekend manager on-call rotation and provide clinical support as needed.
• Ensure compliance with all Washington State Assisted Living regulations and related standards.

The ideal candidate will possess:

• Active unencumbered RN license in good standing with the State of Washington
• 2+ years RN experience with knowledge of Washington State Assisted Living and RN Medication Delegation regulations.
• 3+ years of experience supervising 10 or more direct reports in a healthcare setting.
• 2+ years of experience as an RN Delegator is highly preferred or training with working knowledge of RN Nurse Delegation practices will be considered.
• Prior supervisory experience in a similar setting with duties including: performance management, coaching, training, program development, and supervision of staff.
• Understanding and demonstrated experience in working with older adults, dementia, aging issues, complex family dynamics and transition plans.
• CPR certification and BLS training
• Proficiency in Microsoft 365 tools
• Familiarity with Assisted Living and interdisciplinary team approach, knowledge of community services and programs. (highly preferred)

This is more than a great career�it�s a calling. If you thrive in a collaborative environment, enjoy mentoring others, and believe that aging should be met with dignity, joy, and top-notch clinical care�this is your moment to be part of our team

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

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 or call with the nature of your request.