Certified Nursing Assistant (CNA / NAC)

Cascadia HomeHealth and Staffing LLC
Washington State
Full-Time | Part-Time

Hourly Rate: $20-$26

The Certified Nursing Assistant (CNA/NAC) provides day-to-day personal care and supportive services to patients of Cascadia HomeHealth and Staffing LLC in their homes. Our culture is grounded in compassion, high clinical standards, data-informed care, and a commitment to helping seniors and individuals with disabilities remain independent for as long as safely possible. CNAs work under the supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN) and contribute directly to achieving patient-centered clinical outcomes.

For home health services, the minimum healthcare credential is Certified Nursing Assistant (CNA/NAC) or a higher-level healthcare credential as required to meet patient needs. Cascadia recognizes the following Washington State classifications:

• Nursing Assistant Certified (NAC) – credentialed under RCW 18.88A
• Nursing Assistant Registered (NAR) – registered under RCW 18.88A

Personnel holding NAR status must obtain NAC certification within twelve (12) months of their individual date of hire or may no longer provide patient care, unless exempt under applicable law. Home Health Aides participating in nurse delegation must complete required DSHS nurse delegation training prior to delegated tasks, unless the task is deemed a simple care task under Nursing Care Quality Assurance Commission guidance.

• Provide hands-on assistance with activities of daily living (ADLs), including bathing, dressing, grooming, toileting, feeding, mobility, transfers, bed positioning, continence care, catheter and ostomy care, and personal hygiene

• Apply universal precautions and infection control practices consistently

• Assist with medication assistance as permitted by scope of practice and care plan

• Provide skin care, foot care within scope (filing only; no clipping), and protective supervision as required

• Assist with instrumental activities of daily living (IADLs), including meal planning and preparation, light housekeeping, laundry, shopping, errands, and transportation

• Support social interaction and behavioral activities as outlined in the plan of care

• Measure and record vital signs, including temperature, pulse, respirations, and blood pressure, as directed

• Safely use equipment and supplies and assist with range-of-motion exercises as instructed

• Maintain accurate documentation of care provided in accordance with agency and DOH requirements

• Observe, document, and promptly report changes in patient condition to the supervising nurse

• Maintain written logs and receipts for patient funds used for care-related purchases

• Perform other duties as assigned to support patient care and agency operations

• Current Washington State CNA (NAC) or Nursing Assistant Registered (NAR) credential

• Ability to obtain NAC certification within required timelines if hired as NAR

• Ability to pass a Washington State Patrol criminal background check

• Ability to read, write, and communicate effectively in English

• Ability to remain calm, professional, and patient-centered under stress

• Valid driver’s license and reliable transportation or access to public transportation

• Current automobile insurance and clean driving record if driving is required

• Current food worker card or equivalent training if involved in food preparation

• Ability to follow oral and written instructions

• CPR certification or ability to obtain prior to assignment

The physical and mental demands described are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be made.

• Ability to lift, reposition, and transfer patients
• Ability to stand, walk, bend, reach, and assist others with mobility
• Ability to coordinate multiple tasks simultaneously
• Ability to communicate verbally and electronically
• Ability to work in environments with quiet to moderate noise levels

This position has no supervisory responsibilities.

• Competitive pay

• Flexible scheduling (full-time and part-time options)

• Supportive supervision and clear communication

• Training and onboarding support

• A respectful, mission-driven work environment

• Meaningful work serving seniors and individuals with disabilities