CNA with Nurse Delegation – NOC Shift (Pediatrics)

Experienced CNA with Nurse Delegation (Per Diem) – NOC & Weekends

Pediatric Group Home | Spokane

At Ashley House NW, our Spokane pediatric group home exists for one clear purpose: to provide comprehensive, high-quality care to medically fragile children and teens in a home-like setting—while supporting families, building trust, and nurturing each individual’s development.

We are seeking an Experienced Certified Nursing Assistant (CNA/NAC) with current Nurse Delegation credentials who is available for night shifts (5:45 PM – 6:00 AM) and weekend coverage. This role is ideal for a CNA who is clinically confident, detail-oriented, and comfortable working with delegated nursing tasks under RN supervision.

Our CNAs are essential members of the clinical team. You will provide direct, hands-on care while ensuring safety, dignity, and continuity of care throughout overnight and weekend shifts. At Ashley House, our residents are whole human beings—not diagnoses—and the quality of your presence matters as much as your skill.

Key Responsibilities

  • Provide direct care to medically fragile pediatric residents

  • Perform delegated nursing tasks in accordance with Washington State Nurse Delegation laws and RN oversight

  • Support medication administration and treatments as delegated

  • Monitor residents throughout the NOC shift and respond appropriately to changes in condition

  • Maintain accurate, timely documentation

  • Collaborate with RNs and interdisciplinary team members to ensure safe, consistent care

  • Support a calm, structured overnight environment

Required Qualifications

  • Active Washington State Nursing Assistant–Certified (NAC) credential

  • Current Nurse Delegation certification (or ability to obtain prior to hire)

  • 21 years of age or older

  • Current BLS CPR certification

  • Valid Washington State Driver’s License with acceptable driving record

  • Compliance with required immunizations and annual TB screening

  • Ability to pass Washington State and FBI fingerprint background checks

Preferred

  • Experience working with medically fragile or complex pediatric populations

  • Previous NOC shift experience

  • Weekend availability

Schedule Expectations

  • Primary need: Night shifts (5:45 PM – 6:00 AM)

  • Weekend availability strongly preferred

  • Ability to complete at least two weekday training shifts during onboarding

Because we operate as a small pediatric group home, scheduling needs may fluctuate. Staff with consistent NOC and weekend availability are most likely to receive additional shift opportunities.

Compensation & Benefits

Starting pay ranges from $25.89 to $38.47 per hour, in accordance with the applicable Collective Bargaining Agreement (CBA) and wage scale, based on prior CNA & NAR experience and location.

Depending on employment status (Full-Time, Part-Time, or Per Diem), benefits may include:

  • Medical, Dental, and Vision insurance

  • Life & Disability Insurance

  • Health Reimbursement Account (HRA) & Wellness Program

  • PTO, Extended Illness Time (EIT), and Paid Holidays

  • Paid Bereavement Leave

  • 12% pay differential for Per Diem staff after 180 days

  • Employer-matched 403(b) retirement plan

  • Sick Leave (eligible positions)

  • Career flexibility between Per Diem, Part-Time, and Full-Time roles

Ashley House recognizes being a part of the medical community, we have responsibilities to advocate and provide the best care by overcoming existing historic, institutional, and systematic barriers. We are committed to advancing equity and fostering a diverse and inclusive community, organization, and culture..

Qualified and interested? Apply now to join a mission- and values-driven team.
More than a job—we change lives.

Job Description
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Alex Ekstrom