Ampersand Therapy

The work you would actually do is 1:1 support inside a school building—middle-school trach monitoring, suctioning, safety, family and staff communication, and documentation, or a shorter preschool LPN day a few hours at a time. Schedules track the school year and often stay part-time and flexible rather than rotating hospital shifts. Roles are W-2, with eligible healthcare and 401(k) match, paid sick leave, mileage, liability coverage, referral bonuses, and reimbursement help for licensing and continuing education. Colleagues describe a small close-knit team and management that answers the phone; they also note that benefits and PTO still leave some people wanting more, and that recruiter talk has not always matched HR follow-through. Washington has no state income tax on wages and is a compact-license state, which matters if you are bringing an LPN/LVN compact license. You will still feel Seattle-area housing costs—rent is the line item people talk about most—so many clinicians look at Snohomish and other commuter suburbs when they need a lower monthly number than living next to the building.

Described as a small women- and therapist-owned Western Washington company offering an ethical alternative to large staffing agencies; emphasizes flexible school placements, mentorship into schools, and professional-cost support.