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At MultiCare Mary Bridge Children's Hospital & Health Network, caring for kids is more than what we do — it's our purpose. As the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington's South Sound, we provide a comprehensive network of care designed specifically for children and adolescents.

Our vision is to be the safest, highest-quality place for children to receive care, where every child has a medical home and every family feels supported.

FTE:.8, Shift: Day, Schedule: TBD

The team is seeking an experienced ARNP with a strong pediatric background and/or prior genetics experience. Ideal candidates may include experienced Genetics APPs, Pediatric Specialty APPs with genetics-related exposure, or providers with experience caring for patients with genetic and metabolic conditions, newborn screening follow-up, and rare or complex pediatric diseases.

Highlights:

• Brand-new Mary Bridge Children's Hospital
• Opportunity to specialize in a highly niche, impactful, and rapidly evolving field
• Strong mentorship and training support
• Exposure to rare and complex diagnoses
• Collaborative, multidisciplinary team environment
• Opportunity to make a meaningful difference for patients and families navigating complex diagnoses and care journeys

Position Summary

The Genetics Advanced Registered Nurse Practitioner (ARNP) delivers specialized genomic, metabolic, and genetic services for pediatric and adult patients and families. This role encompasses diagnostic assessment, genetic and metabolic testing coordination, infusion therapy administration, newborn screening follow-up, gene variant interpretation, and personalized management of inherited and metabolic conditions. Working closely with geneticists, metabolic specialists, genetic counselors, dieticians, and multidisciplinary teams, the ARNP ensures evidence-based care plans and seamless integration of precision medicine into clinical practice. The ARNP also leads program development and quality initiatives to advance health outcomes.

Responsibilities

• Direct Patient Care
• Conduct comprehensive genetic and metabolic diagnostic assessments, pedigree analysis, and medical/family history reviews
• Provide pre-test and post-test genetic counseling for inherited disorders, including inborn errors of metabolism
• Coordinate and interpret genetic/genomic tests (panels, exome, genome) and metabolic assays (e.g., plasma amino acids, acylcarnitine profile)
• Manage pharmacological, nutritional, and other therapeutic interventions, including infusion therapies for genetic and metabolic diseases in both outpatient and inpatient settings
• Oversee newborn screening follow-up: review results, order confirmatory testing, initiate early interventions, and counsel families on outcomes
• Document genetic and metabolic encounters, infusion orders, and newborn screening plans accurately in the electronic health record
• Genetic & Metabolic Program Development
• Participate in developing and updating protocols for genetic and newborn screening workflows, informed consent, metabolic emergency plans, and infusion therapy
• Monitor key metrics such as test turnaround time, infusion complication rates, dietary compliance, and newborn screening referral completion
• Lead quality improvement projects to optimize metabolic crisis interventions, infusion therapy optimization, and patient education materials
• Multidisciplinary Team Care & Leadership
• Collaborate in case conferences and team meetings
• Supervise and mentor genetic counseling interns, clinical trainees, nursing staff, and infusion teams on metabolic best practices
• Professional Citizenship
• Embody organizational values of compassion, stewardship, collaboration, and respect
• Adhere to hospital, departmental, and regulatory standards (e.g., HIPAA, CLIA, CAP, state newborn screening mandates)
• Engage in departmental meetings, community outreach, newborn screening advocacy, and continuing professional development

Requirements

• Master's or Doctoral degree in Nursing (MSN or DNP) with a focus on genetics, pediatrics, or metabolic nursing
• Current, unrestricted Washington State APRN license and Nurse Practitioner certification
• National genetics nursing certification (e.g., ANCC Genomics Nursing Certification) certification preferred
• Competency in infusion therapy protocols, infusion pump technology, and aseptic technique preferred
• Familiarity with newborn screening programs, confirmatory testing guidelines, and early intervention services preferred
• Basic Life Support (BLS) required
• 2 years of clinical experience in genetics, metabolic disease management, or infusion therapy preferred
• Proficiency with Epic preferred
• Strong analytical, diagnostic reasoning, and patient/family education skills

About Mary Bridge Children's

For more than 70 years, MultiCare Mary Bridge Children's Hospital & Health Network has cared for children and families across the South Sound. Anchored by an 82-bed pediatric hospital in Tacoma, Mary Bridge offers a Level IV Neonatal Intensive Care Unit, a 24-hour pediatric-only Emergency Department and a state-designated Level II Pediatric Trauma Center.

As a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve.

Why Mary Bridge Children's?

Built for children and families

Delivering care designed specifically for kids and the families who support them, with a strong focus on family-centered care.

Award-winning care

Named a Top Children's Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.

Growing for the future

A new pediatric hospital and medical office building designed to support the future of children's care.

Well-being and support

Generous time off, wellness resources and programs designed to help you maintain balance in your work and life.

Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $164,313.73 - $187,843.14 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.