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Neonatal Nurse Practitioner Specialist
Company : Legacy Health
Location : Vancouver, WA, 98686-2742
Job Type : Full Time
Date Posted : 13 January 2026
Overview
Legacy Health has a growth opportunity to join a well-established team of energetic NNP’s. The NNP role has opportunities at both Level III and IV NICU units within Legacy. Both units offer delivery attendance, medical management of high-risk neonates and infants, including rounding on NNP service patients. Telemedicine Resuscitation coverage of other Legacy level I nursery sites is also a vital part of the NNP role.
The Level IV 45 bed unit is within Randall Children’s Hospital, a free-standing 9 story children’s hospital, and offers comprehensive care with all subspecialties, including cardiac and neurology surgery specialties, genetics and ECMO, within the framework of family integrated care. Randall Children’s Hospital has a dedicated children’s transport team. No transport requirement for the NNP role. Rotating 12-hour shifts.
The Level III 22 bed unit at Legacy Salmon Creek Medical center is eagerly awaiting the addition of NNP’s to join the care team. The schedule is emerging and includes 12, 16 and 24-hour shift options.
The role requires dual licensure in Oregon and Washington. Rotation frequency through both units is individualized to maintain 24-hour coverage at both sites, including nights, holidays, and weekends. Holiday tracks and a well-established self-scheduling model bring increased satisfaction and balance to the team.
QUALIFICATIONS AND ESSENTIAL FUNCTIONS:
Patient Care Management: The NNP’s work collaboratively with Neonatologists and pediatric subspecialists in the NICU as well as pediatricians and obstetricians in the Labor and Delivery and Family Birthing centers to guide the care of neonates and infants across the care continuum. The NNP’s are able to practice in an autonomous role utilizing all technical procedural skills as well as essential decision making in the care of these patients.
Nursing Care Support: The NNP team provide ongoing support to the nursing staff whether on the unit or through formal education opportunities. The NNP’s are key leaders in patient care projects that support both nursing care and medical management.
Resuscitation: The NNP’s attend deliveries in person at each of the medical centers and via a telehealth support platform at the other level I nursery sites to provide a consistent high level of care for newborns throughout the Legacy system.
Discharge Planning: The entire NICU team works to provide an integrated family care experience to enable families to care for their high-risk infants within the NICU setting and beyond. The NICU values input from all members of the team including dedicated neonatal RT’s, consultants from dietary, OT/PT, lactation, as well as the core nursing, medical and leadership staff.
EDUCATION:
As required by licensure.
EXPERIENCE:
Minimum 2 years’ experience Level IV NICU preferred.
LICENSURE:
- Current applicable state RN license required.
- Current applicable state license as a Neonatal Nurse Practitioner with Prescriptive Privileges (NNP-PP) required.
- National Certification as a Neonatal Nurse Practitioner (NNP) required.
- Current Neonatal Resuscitation Program Instructor Certification preferred.
- Credentialed by Legacy Medical Staff for Category I and II privileges.
- NRP certificate from the American Heart Association.
Applications can be accessed through our website at, Careers | For Health Professionals | Legacy Health. For additional information please email Forrest Brown, FoBrown@LHS.org.
Equal Opportunity Employer/Vets/Disabled. Sorry, no J-1 waivers available.
Pay Range
USD $70.53 - USD $100.86 /Hr.Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you
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Frequently asked questions
In Vancouver, WA, neonatal nurse practitioners coordinate comprehensive discharge planning by collaborating with multidisciplinary teams to prepare families for high-risk infant care, ensuring continuity beyond the NICU. This approach improves outcomes and supports family confidence in managing newborn health at home.
Besides the national NNP certification, Washington state values NRP instructor certification and dual licensure for Oregon and Washington. These credentials ensure practitioners meet regional clinical standards and enhance their ability to perform critical neonatal resuscitation and manage complex newborn cases.
Unlike general neonatal nurses, NNP specialists autonomously manage medical care for high-risk neonates, attend deliveries, and lead care coordination with pediatric subspecialists. Their scope often includes prescriptive authority and procedural interventions, reflecting advanced clinical responsibilities.
Legacy Health supports NNP specialists through self-scheduling models and diverse NICU unit rotations, promoting work-life balance and clinical skill development. The hospital's integrated care culture encourages leadership in patient projects and continual education, enhancing career advancement.
The dual-level NICU setup at Legacy Health requires NNP specialists to adapt swiftly between Level III and IV care settings, balancing delivery attendance, telemedicine coverage, and multidisciplinary collaboration, fostering a dynamic and varied clinical experience.
Vancouver's healthcare scene shows steady demand for neonatal NNPs with Legacy Health actively recruiting to expand its NICU teams. Candidates with dual licensure and Level IV NICU experience gain an edge, reflecting the specialized skill set sought in this region.
Legacy Health offers between $70.53 and $100.86 per hour, which is competitive for Vancouver, WA, considering the advanced qualifications required for NNP roles. This pay range reflects regional healthcare salary trends and the specialist nature of neonatal care.
NNP specialists at Legacy Health engage in rotating 12-hour shifts, covering nights, weekends, and holidays across Level III and IV NICUs. The flexible self-scheduling system helps balance clinical demands with personal needs, supporting team satisfaction.
In Vancouver, dual-state licensure and telemedicine resuscitation coverage are key differentiators, whereas Texas or Louisiana roles may focus more on single-state practice with varying NICU levels. The presence of a free-standing children's hospital adds complexity and subspecialty exposure unique to this locale.
Legacy Health's commitment to family-integrated care, comprehensive subspecialty support, and innovative scheduling models create an enriching environment for NNP specialists seeking clinical autonomy and professional growth in the Pacific Northwest.