Registered Nurse - Mental Health Domiciliary

Veterans Health Administration, Department of Veterans Affairs; San Antonio (TX); On-site; USD 85,000 - 120,000; Full time

Job summary

Veterans Health Administration (VA) is seeking a Registered Nurse for Domiciliary-Mental Health to deliver and supervise nursing care through the full spectrum of the care continuum.

The role emphasizes patient education, self-management, and coordination with the interdisciplinary team to improve outcomes and satisfaction. A valid RN license and BLS are required, with preferred BSN and several years in mental health.

Qualifications

• English language proficiency required per policy.
• Graduate of a nursing program approved by ACEN or CCNE.
• Current, full, active, unrestricted nursing license in a US state or territory.
• Foreign education: degree equivalency validation may be required.
• BLS certification required.
• Preferred: BSN or higher with 5 years of mental health experience.

Responsibilities

• Provides competent, evidence-based, patient-centered care.
• Oversees safe-medication management.
• Participates in MH interdisciplinary teams and safety rounds.
• Facilitates hand-offs and psychoeducational groups.
• Maintains professional boundaries and documentation.

Skills

English proficiency

Leadership

Interdisciplinary teamwork

Patient education

Crisis management

Education

ADN or Diploma in Nursing

BSN + 1 year experience

BSN + 2 years experience

MSN or related field with BSN

Job description

Summary

The Registered Nurse - (Domiciliary-Mental Health) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Follows procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

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/13082575
• 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
• Preferred Experience: BSN or higher 5 years of Mental Health Experience ANCC certification Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Pre-Employment/Post-Employment Physical Examination: May be required - depending on the needs of the organization.

Duties

• Major Duties: Provides competent - evidence-based - patient-centered - recovery-oriented care
• Maintains self-awareness when caring for individuals with substance use disorders and/or mental health conditions
• Facilitates shift reports - warm hand-offs - and nurse-led psychoeducational groups
• Uses therapeutic communication - de-escalation - and recovery-oriented language
• Oversees patient safe-medication management
• Participates in interdisciplinary MH treatment teams - patient safety rounds - and environment-of-care rounds
• Responds to psychiatric and medical needs and emergencies
• Reports safety concerns and documents assessments - risk screens - plan of care - and safety/environmental rounds per policy
• Maintains professional boundaries
• May face exposures to infectious materials - combative patients - loud/chaotic environments - and modified work conditions
• May be required to use PPE for extended periods - work in various settings - screen potentially infectious patients - and participate in labor pools
• Basic Life Support (BLS) certification required Assists with nursing education - orientation - competency development - and quality improvement initiatives
• Participates in MH interdisciplinary teams - safety rounds - and emergency responses
• Reports safety concerns and documents assessments - risk screens - plan of care - and required rounds
• Fosters a safe - supportive environment for professional development
• Supports colleagues through knowledge sharing and safe practice promotion
• Demonstrates strong leadership within interdisciplinary MH teams
• works collaboratively and independently
• Promotes critical thinking and leads participation in safety and environment-of-care rounds
• Directs team responses to psychiatric/medical emergencies and helps resolve safety concerns
• Documents assessments - risk screens - measurement-based care tools - plan of care - and required rounds
• Provides constructive feedback to peers
• 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: Rotating tours to include nights - weekends and holidays Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized