Registered Nurse (NICU)
Planned Systems International, Inc. · Tacoma, WA, US · United States · On-site
Posted Sep 16, 2026
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Overview
QuarterLine (QL), a Planned Systems International (PSI) company, is seeking dedicated and experienced Registered Nurse (RN) candidates to provide high-quality, comprehensive nursing care within the Neonatal Intensive Care Unit (NICU) at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord (JBLM), WA.
The NICU RN will provide specialized care to critically ill newborns, including infants requiring advanced respiratory support and specialized monitoring. Responsibilities include comprehensive patient assessment, development and implementation of individualized care plans, medication and IV therapy, blood and blood product administration, neonatal catheter care, feeding and hygiene, and operation of specialized equipment such as ventilators, CPAP/SiPAP systems, oxygen delivery systems, infusion pumps, and hypothermic units.
The RN must be able to recognize changes in an infant's condition and respond quickly to emergency and neonatal resuscitation situations. NICU nurses may participate on the Neonatal Resuscitation Team, attend high-risk deliveries, and initiate neonatal resuscitative measures as directed. The position also requires collaboration with physicians and other healthcare professionals, patient/family education, breastfeeding support, and participation in quality improvement and research activities.
This role requires a dependable nursing professional who can meet government qualification, credentialing, security, and onboarding requirements while working under a personal services arrangement. The ideal candidate will have recent NICU nursing experience, a current unrestricted RN license, strong clinical judgment, and the ability to independently manage the complex needs of critically ill neonates in a high-acuity environment.
Duty Location: Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, WA 98431. No Telework allowed.
Duty Hours:
Day Shift Duty Hours: 0700 - 1930; 0700 – 1730; 0700-1530; 0900-1930, 1100-1930; 0600-1630; 0900-1730; 0900-2130; 1100-2130;1200-2030; 0800-1630; 0830-1700; 0900-1730; 0930-1800; 1030-1900; 0530-1800
Evening Shift Duty Hours: 1100-2330; 1500-2330; 1500-0330; 1000-2230; 1200-0030;1500-0330; 1300-2330; 1300-2130; 1700-2330
Night Shift Duty Hours: 1900-0330; 1900-0730; 2300-0730; 2100-0730
4-hour shifts may be implemented into the duty hours if needed by the unit.
Essential Functions and Job Responsibilities
Provide age-specific critical care to critically ill neonatal patients throughout the assigned shift.
Assess, plan, implement, and evaluate individualized neonatal nursing care plans.
Perform physical assessments and health histories while monitoring changes in condition.
Manage infants requiring ventilators, oscillators, iNO, CPAP, SiPAP, nasal cannula, and tracheostomy support.
Monitor IV fluids, blood and blood products, including rates, volumes, and insertion sites.
Perform neonatal catheter care and identify and correct potential…