Domiciliary Mental Health RN (RTTP)

Veterans Health Administration, Department of Veterans Affairs; Cheyenne (WY); On-site; USD 80,000 - 120,000; Full time

Job summary

Cheyenne Veterans Affairs Healthcare System (CVAHCS) seeks a Domiciliary Mental Health Registered Nurse (RN) to provide evidence-based, patient-centered care in a Veterans Affairs facility. The role includes directing nursing education, maintaining safety, and collaborating with an interdisciplinary team to support recovery-oriented care for veterans with MH conditions.

The position requires an active RN license, English proficiency, and compliance with VA nursing standards.

Qualifications

• Graduate of an approved nursing program with active RN license.
• English proficiency for direct patient care.
• Current, full, active, unrestricted U.S. nursing license.
• Foreign nursing grads require degree equivalency validation.
• Compliance with VA Qualification Standards for Nursing.

Responsibilities

• Provide competent, evidence-based care to domiciliary MH patients.
• Assist in directing nursing education, orientation, competencies and quality improvement.
• Support patient-centered, recovery-oriented nursing care for MH patients.
• Facilitate shift reports, warm hand-offs, and psychoeducational groups.
• Utilize therapeutic communication, de-escalation, and recovery-oriented language.
• Participate in MH interdisciplinary treatment teams and patient safety rounds.

Skills

Nursing care

Patient safety

Communication skills

Team collaboration

Education

RN license

Nursing degree (ADN/BSN)

Job description

Summary

Cheyenne Veterans Affairs Healthcare System (CVAHCS) is a Level 3 facility with service-lines serving medical - mental health - surgical - and neurological outpatients - with a Level 3 Emergency Department - and multiple Community-Based Outpatient Clinics (CBOCs).

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13107580
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Pre-placement evaluation Required - however incidental drivers shall undergo a standard Pre-Placement examination and periodic medical evaluation at least once every 4 years to ensure that employees who operate government owned or leased vehicles are medically able to do so without undo risk to themselves or others.

Duties

• Domiciliary Mental Health (MH) Registered Nurse (RN) is responsible for providing competent - evidence-based care to patients
• They will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization
• The domiciliary RN provides patient-centered and recovery-oriented care and maintains self-awareness while caring for patients living with substance use disorder and/or MH conditions
• They facilitate shift report - warm hand-offs - and nurse-led psychoeducational groups
• use therapeutic communication techniques - practice de-escalation techniques - utilize recovery-oriented language - and provide oversight of the patient safe medication management program
• The domiciliary RN actively participates in MH interdisciplinary treatment team - patient safety and environment of care rounds - and responds to psychiatric and medical care needs and emergencies as directed
• The domiciliary RN reports safety concerns - and documents nursing assessments - risk screens - nursing plan of care - patient safety rounds - and environment of care rounds according to facility policy
• The domiciliary RN maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
• The domiciliary RN demonstrates competence in practice and decision-making - deliberate planning - and critical thinking skills
• Other duties as assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: PRN Days 6:30am to 7pm or Nights 630pm to 7am Telework: Not Authorized Virtual: This is not a virtual position.