RN Staff- Domicillary

Veterans Health Administration, Department of Veterans Affairs; Cheyenne (WY); On-site; USD 75,000 - 110,000; Full time

Job summary

Veterans Health Administration's Cheyenne VA Health Care System is seeking a qualified registered nurse to provide comprehensive patient care across medical, surgical, and mental health services. The role emphasizes clinical excellence, collaboration with an interdisciplinary team, and adherence to VA nursing standards.

Candidates must meet licensure and education requirements and are offered a comprehensive benefits package.

Qualifications

• Must hold an active nursing license in the United States.
• Graduate of an accredited nursing program (ADN/ Diploma or BSN).
• English language proficiency is required for direct patient care.
• State licensure upon graduation with potential temporary appointment per VA rules

Responsibilities

• Demonstrates integration of biopsychosocial concepts in patient care.
• Performs nursing assessments, plans, implements, and evaluates care.
• Coordinates care with the interdisciplinary team to ensure patient safety and outcomes.
• Maintains documentation of nursing assessments, plans of care, and rounds.

Skills

Communication skills

Clinical judgment

Education

ADN or Diploma in Nursing

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). There is a large outpatient psychiatric population - with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home.

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/13098503
• 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 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 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/.

Duties

• Major duties include - but are not limited to: - Demonstrates integration of biopsychosocial concepts - cognitive skills - and technically competent practice while providing care to clients
• - Assesses - plans - implements - and evaluates care based on age-specific components
• - 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
• responsible for providing competent - evidence-based care
• - Provides patient-centered and recovery-oriented care and maintains self-awareness while caring for patients living with substance use disorder and/or MH conditions
• - 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
• - 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
• - 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
• - Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
• - Other duties as assigned
• PREFERRED EXPERIENCE: Two or more years of experience with RRTP or Inpatient Mental Health experience
• 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: 6:30pm - 7:00am - Tour of Duty (TOD) Days Vary With Rotating Weekends
• Telework: Not Authorized Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized