Registered Nurse (Inpatient)

Diversity Group; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Diversity Group is seeking an Inpatient Staff Registered Nurse to provide safe, evidence-based patient-centered care across the continuum. The nurse assesses, plans, implements, and evaluates care; administers medications and treatments; coordinates with the interdisciplinary team; educates patients and families; promotes safety and quality improvement.

This role includes responsibilities at higher grades for leading staff, practice improvement, and broader clinical outcomes within a VA setting.

Qualifications

• Must be proficient in English (written and spoken).
• RN degree and state licensure required.

Responsibilities

• Delivers inpatient nursing care using the nursing process.
• Administers medications and treatments.
• Coordinates with interdisciplinary team to plan and evaluate care.
• Educates patients and families on care plans.
• Contributes to safety and quality improvement.

Skills

English proficiency

Job description

Summary

The Inpatient Staff Registered Nurse provides safe - evidence-based - patient-centered care across the continuum. The nurse assesses - plans - implements - and evaluates care; administers medications and treatments; coordinates with the interdisciplinary team; educates patients and families; promotes safety and quality improvement; and - at higher grades - leads staff - practice improvement - and broader clinical outcomes.

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/13070803
• 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: The work is sedentary
• Some work may require movement between offices - hospitals - warehouses - and similar areas for meetings and to conduct work
• Work may also require walking/standing - in conjunctions with travel to and attendance at meetings and/or conferences away from the work site
• Incumbent may carry and lift light items weighing less than 15 pounds
• Preferred Experience: Bachelor Prepared Nurse
• 1-2 Years Recent Med/Surg Experience.

Duties

• This position is located in Unit 2W
• Nurse I - Level 1 Provides fundamental inpatient nursing care with close supervision using the nursing process
• Assesses patient needs - administers medications and treatments - and evaluates responses to care
• Establishes therapeutic relationships and involves patients - families - and caregivers in care planning and education
• Participates in interdisciplinary care planning and coordinates care across the continuum
• Applies evidence-based practice - safety principles - and appropriate delegation to support patient outcomes
• Nurse I - Level 2 Provides competent - evidence-based inpatient nursing care with general supervision
• Plans - implements - and evaluates technically competent care for assigned patients
• Coordinates patient education - self-management - and transitions across the healthcare continuum
• Directs and delegates appropriate care while ensuring assigned tasks are completed safely and timely
• Participates in interdisciplinary care - professional development - and unit-level performance improvement
• Nurse I - Level 3 Independently provides self-directed - evidence-based nursing care for patients with complex needs
• Prioritizes and manages patient care while evaluating outcomes and adjusting plans as needed
• Functions as an emerging leader or charge nurse by directing staff and coordinating care
• Collaborates with the interdisciplinary team to achieve patient-centered plans of care and improve safety
• Educates colleagues and students - mentors staff - and supports evidence-based performance improvement
• Nurse II Leads evidence-based nursing care for patients with complex needs within the immediate practice setting
• Applies clinical judgment to lead care planning - decision‑making - interventions - and outcome evaluation
• Improves patient care by addressing safety - coordination - timeliness - process - and patient experience concerns
• Leads interdisciplinary teams - mentoring - precepting - education - and professional development activities
• Leads evidence-based practice - performance improvement - and effective resource utilization with demonstrated outcomes
• Nurse III Leads and organizes evidence‑based nursing care for complex patients and populations beyond the immediate practice setting
• Applies advanced clinical judgment to improve care planning - decision‑making - and outcomes across programs or services
• Leads initiatives addressing patient safety - experience - coordination - timeliness - and care concerns
• Leads interdisciplinary teams - mentoring - education - and development of current and future clinical leaders
• Leads evidence‑based practice - performance improvement - policy development - and resource management with outcomes beyond the immediate practice setting
• 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: Includes Days/Nights/Weekends/Holidays Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized