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Alternative Rn Jobs in Washington (NOW HIRING)

Goodwin Living

Clinic RN Charge Nurse

Alexandria, VA · On-site

Clinic RN Charge Nurse Position is primarily responsible for delivery of resident care utilizing ... Identifies needs for care at home, or alternatives such as outpatient treatment or Home Health and ...

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Alternative Rn information

See Washington salary details

$12

$51

$106

How much do alternative rn jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for alternative rn in Washington is $51.86, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $62.20 per hour, depending on experience, location, and employer.

What is an alternative RN?

Alternative RNs are registered nurses who work outside of traditional hospital or clinical settings. They may practice in holistic health, wellness coaching, home health, case management, telehealth, education, or legal consulting. These roles allow nurses to use their clinical expertise in non-traditional ways, often focusing on preventative care, patient advocacy, or education. Alternative RNs may require additional certifications depending on their specific field, and these positions can offer greater flexibility and work-life balance compared to standard bedside nursing.

What are the key skills and qualifications needed to thrive as an alternative RN?

To thrive as an Alternative RN, you need a valid registered nursing license, strong clinical assessment abilities, and knowledge of holistic or complementary care approaches. Familiarity with electronic health records (EHRs), integrative therapies, and certification in areas like holistic nursing or complementary medicine is often beneficial. Excellent communication, empathy, and adaptability help build trust and tailor care to diverse patient needs. These skills ensure that patients receive comprehensive, individualized care that addresses both traditional and alternative health perspectives.

What are some typical challenges faced by alternative RNs, and how can they be addressed in the workplace?

Alternative RNs, who often work in non-traditional healthcare settings such as home health, community clinics, or holistic practices, may encounter challenges like limited resources, varying patient needs, and less direct support from multidisciplinary teams. To address these challenges, it’s important to develop strong communication skills, resourcefulness, and adaptability. Building a network with other healthcare professionals and staying current with best practices in alternative and integrative care can also help ensure high-quality patient outcomes and job satisfaction.

What is the difference between Alternative Rn vs Licensed Practical Nurse?

AspectAlternative RnLicensed Practical Nurse
CredentialsRegistered Nurse license, possibly additional certificationsLicensed Practical Nurse license, certification varies by state
Work EnvironmentHospitals, clinics, long-term care, outpatient facilitiesLong-term care, nursing homes, clinics, home health
Job ResponsibilitiesAssessments, care planning, patient education, complex proceduresBasic patient care, medication administration, assisting RNs

Alternative Rns and Licensed Practical Nurses both work in healthcare settings, but Alternative Rns typically have more advanced training, broader responsibilities, and higher earning potential. LPNs focus on basic patient care and assist Rns, making the roles distinct in scope and complexity.

What are alternative careers for registered nurses?

Registered nurses can pursue alternative careers such as healthcare administration, medical sales, health education, case management, or clinical research. These roles often require strong communication, organizational skills, and relevant certifications or training, and they may involve less direct patient care than traditional nursing positions.

What are popular job titles related to Alternative Rn jobs in Washington?

For Alternative Rn jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Alternative Rn jobs in Washington look for?

The top searched job categories for Alternative Rn jobs in Washington are:

Alternative Rn jobs near you
Infographic showing various Alternative Rn job openings in Washington as of August 2026, with employment types broken down into 3% As Needed, 52% Full Time, 11% Part Time, 2% Temporary, and 32% Contract. Highlights an 94% Physical, and 6% Remote job distribution, with an average salary of $107,864 per year, or $51.9 per hour.

Field RN Case Manager in Washington, DC

Washington, DC • On-site

Vivian Health
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Vivian Healthexternal

$88K - $112K/yr

Other

Posted 7 days ago

Job description

Field RN Case Manager - Relocation Offered!
About this Job:

General Summary of Position
This position will be responsible for the Annual and periodically required Comprehensive Clinical Assessment as cited in section C.3.27.2 of the Department of Health Care Finance awarded contract. The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The Field RN Case Manager serves as the central point of contact for MedStar Family Choice D.C. Case Management and conducts activities and functions required for this role. The Field RN Manager will be responsible for the referral of MedStar Family Choice Enrollees to other MedStar Family Choice programs as needed i.e. Maternal Health Behavioral Health Food Insecurity relief and Non-Medical Transportation. They are also responsible for the report of Enrollees requiring assistance with Medicare and/or Medicaid beneficiary support Medicaid for Nursing Home Placement Crime Victims Vocational Rehabilitation and any/all other third-party coverage including other available local state and federal programs.

Primary Duties and Responsibilities

  • Integrates physical health behavioral health social environmental into a single person-centered seamless system of care.
  • Promotes person-centered approach to service and care planning that honors each Member's priorities goals needs and preferences.
  • Encourages Enrollee engagement in the person-centered service planning process and the use of person-centered planning teams with expertise in community integration behavioral health and health and wellness.
  • Leverages providers community partners and local community resources to ensure comprehensive coordinated and culturally appropriate care for each member.
  • Provides service and support to maintain members in the least restrictive and most appropriate setting as possible.
  • Leverages the use of evidence-based practice guidelines clinical pathways technology solutions and clinical decision support tools.
  • Provides Case Management for designated member population to include support for self-direction nursing home transition transition of care and Utilization Management (UM) activities. Completes field-based member assessments and identifies activities and interventions based on the member needs of this continuum aligning the level of engagement and interventions with identified member needs.
  • Oversees daily weekly and monthly functions of Field Case Manager coordinating member assessments and establishing priorities as needed. This includes the duties clinical analysis documentation and follow up for member clinical reviews and other similar duties to effectively manage the MedStar Family Choice D.C. case managed member population.
  • Prepares and provides reports to manager(s) on work in progress and address any backlogs for resolution.
  • Responsible for informing members about annual required assessments in-person centered service planning processes service alternatives service delivery options e.g. opportunities for self -direction roles rights including MedStar Family Choice D.C Fair Hearing rights risks and responsibilities. Assists with fair hearing requests when needed and requested and to protect the members' health welfare and quality on an ongoing basis.
  • Collects the necessary information including at a minimum: member preferences strengths and goals to inform the development of the person-centered needs and the reevaluation of level of care annually or more frequently as needed.
  • Assists member with person-centered care plans.
  • Works with members to complete activities necessary to maintain MedStar Family Choice D.C. eligibility.
  • Explores coverage of services to address identified member needs through other sources including services provided under medical assistance Medicare or private insurance and other community resources.
  • Actively coordinates with other individuals and entities in the care delivery of member services for physical behavioral and support service needs.
  • MedStar Family Choice DC policies procedures training quality oversight and monitoring for staff and contracted field case managers will ensure consistency in the execution and delivery of our MFC Model of Care.

Minimal Qualifications
Education

  • Bachelor's degree in Nursing required

Experience

  • 1-2 years At least 1 year working in social service or health care related setting required and
  • 1-2 years Experience working with people with Developmental Disabilities HIV Behavioral Health and/or other related vulnerable populations required

Licenses and Certifications

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire required

Knowledge Skills and Abilities

  • Knowledge of the home and community-based service system and how to access and arrange for services
  • Ability to conduct field-based member assessments up to 85% of the time
  • Experience conducting Department of Health Care Finance needs assessments
  • Cultural competency and the ability to provide informed advocacy
  • Ability to interact with physicians and other health care professionals in a professional manner is required
  • Experience with section C.3.27.2 of the Department of Health Care Finance awarded contract
This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Hr.

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