Registered Nurse - Domiciliary Mental Health

Join a mission-driven residential treatment team dedicated to helping Veterans build stability, confidence, and healthier futures. As a Domiciliary Mental Health Registered Nurse, you will provide meaningful, recovery-focused care in a therapeutic environment where nursing practice directly supports patient safety, wellness, self-management, and successful transitions through treatment. This position offers the opportunity to work closely with an interdisciplinary team, engage Veterans in collaborative care planning, support admissions and discharges, and contribute to a structured program that values communication, professional boundaries, and Veteran-centered decision-making. Your work will help reduce fragmentation in care and strengthen each Veteran's path toward recovery.

Duties include, but are not limited to:

- Assess Veterans' physical, mental health, psychosocial, and health literacy needs to support individualized, recovery-oriented care planning.
- Develop, update, and document nursing plans of care using realistic, measurable health goals and discharge planning priorities.
- Coordinate admissions, discharges, transfers, and warm hand-offs to promote safe transitions across units and healthcare settings.
- Facilitate communication among Veterans, families or caregivers, providers, and interdisciplinary team members to support shared decision-making.
- Provide oversight of safe medication management, including medication reconciliation and assistance with prescribed inpatient medications.
- Lead or support nursing education activities, including assigned weekly classes that promote patient understanding, self-management, and recovery.
- Identify and respond to psychiatric, medical, environmental, and safety concerns to help maintain a safe therapeutic residential setting.
- Serve in Charge RN responsibilities when assigned, coordinating shift assignments, hand-off communication, admissions, discharges, breathalyzers, urine drug screens, treatment plan updates, quality checks, chart reviews, and supply needs.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Works 6 twelve-hour shifts and 1 eight-hour shift per pay period
12 - Hour Shift: 7:30 AM-8:00 PM
8 - Hour Shift: 7:30 AM-4:00 PM
Works every other weekend
Works holidays on a rotating basis

• 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.)

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.