Job Description
Salary: $23.14 - $32.56 Hourly
Location : Spokane County - Medical Lake, WA
Job Type: Various Job Types
Job Number: 2026-03576
Department: Dept. of Social and Health Services
Division: BHHA
Opening Date: 05/01/2026
Closing Date: 5/14/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step
Description Eastern State Hospital (ESH) is seeking motivated, supportive Nurse Assistants to work as Forensic Care Associateswho have compassion for helping people with a behavioral health diagnosis. Under the direction of a Registered Nurse, you will learn areas of behavioral health treatment that can further your career path in nursing, therapy, or counseling. In this role, you will provide nursing care and forensic ward de-escalation to our patients. As a part of our team, you'll help people obtain their treatment goals who have been diagnosed with behavioral health conditions and are awaiting competency restoration.
Opportunities performed on-site at this work location at least three days a week may be eligible for an additional 5% premium pay in addition to the advertised salary.
We currently have part-time and on-call employment. Evening and Night shifts include a $2.50/hour shift differential in addition to the standard compensation rate.
Permanent Part-Time opportunities: Must have at least two years of experience in Behavioral Health.
On-Call opportunities: Must have at least two years of experience in Behavioral Health and be available to work a minimum of 24 hours per week, including every weekend and all holidays.
Some of what you will do: - Help create a supportive and positive environment by guiding people to improve their behavior.
- Engage with and provide for patient safety and comfort through attention to general health and guidance in personal care skills, cleanliness, grooming, rest, activity, diet, and finances.
- Maintain a pleasant, attentive, fully stocked, and comfortable ward environment.
- Participate in the directed treatment plan for patients; assist the nurses and staff in the administration of food, medications, activities, and treatments prescribed by a physician.
- Promote safe environments for employees and patients; observe patients for unusual or significant behavior.
- Maintain security in housing and treatment areas, inspect patient living areas for cleanliness and order, search living areas and persons for unauthorized items.
- Assist care team with documentation of vitals and observations on patient charts.
- Obtain a current and current CPR certification.
- Encourage and supervise patients in a group or in independent recreational, social, and related activities, escort patients to appointments or outside trips.
Who should apply - Those with a high school diploma or GED.
- And, a current WA (NAR) or Nursing Assistant Certification (NAC/CNA) or Medical Assistant (MA).
Preferred knowledge, skills, & abilities: - Patience in delivering quality health care and daily living assistance.
- As a team member, willing to deescalate behavioral health issues in a calm, non-threatening manner.
- Comprehend and communicate effectively both verbally and in writing with patients, peers, management, and the public.
- Capable to provide patient safety and comfort through attention to their general health and assistance in accomplishing daily hygiene issues.
All FCAs receive classroom and on-the-job training related to patient interaction, facility rules and procedures, and ward observation.
Candidates selected must be available to complete the ESH New Employee Orientation for two weeks Monday-Friday, 8am-4:30pm.
See why people like you chose careers with DSHS.
Interested? Apply today!
Questions? Please contact and reference 03576.
The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Supplemental Information Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security
More than Just a Paycheck! Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits: The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement and Deferred Compensation State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.
Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.
Sick Leave Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.
Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.
Vacation (Annual Leave) Full-time employees accrue vacation leave at the rates specified in (1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.
Part-time employees accrue vacation leave hours in accordance with (1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.
Pay status includes hours worked, time on paid leave and paid holiday.
As provided in , an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.
Note: Most agencies follow the civil service rules covering leave and holidays for
exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.
Military Leave Washington State supports members of the armed forces with 21 days paid military leave per year.
Bereavement Leave Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.
Additional Leave Leave Sharing
Family and Medical Leave Act (FMLA)
Leave Without Pay
Please visit the State HR Website for more detailed information regarding benefits.
Updated 01-07-2026
01
Do you currently hold one of the following valid credentials in Washington State? Select any that apply
- Nursing Assistant Registration (NAR)
- Nursing Assistant Certification (NAC/CNA)
- Medical Assistant (MA)
- None of the above
02
In the space provided, please enter your credential number and license type for your NAR (Nursing Assistant Registration), NAC (Nursing Assistant Certification), or MA (Medical Assistant). If you hold an out-of-state credential, include the number and issuing state. If you do not have any of these credentials, enter "N/A."
03
Please choose from the list below the shift/s and employment type/s in which you are interested. Select ALL that apply.
- Part-Time Employment (Must have at least two years of experience in Behavioral Health.)
- On-Call Employment (Must have at least two years of experience in Behavioral Health and be available to work a minimum of 24 hours per week, including every weekend and all holidays)
04
Do you meet one or both of the following qualifications for consideration at the Forensic Care Associate 2 (FCA2) level?
- I have at least two years of experience in Mental Health
- I have successfully completed a 12-month training plan as a Forensic Care Associate 1 (FCA1)
- Neither of the above
Required Question
Job Tags
Hourly pay, Permanent employment, Full time, Part time, Monday to Friday, Flexible hours, Shift work, Night shift, Afternoon shift, 3 days per week