This position is eligible for the Education Debt Reduction Program (EDRP). Join VA Black Hills Health Care System as an Emergency Department Registered Nurse and make a difference when Veterans need care most. Assess and triage urgent needs, respond to medical, surgical, and psychiatric emergencies, and provide lifesaving stabilization and treatment.
Collaborate with an interdisciplinary team while advancing your emergency and critical care skills in a fast-paced, mission-driven environment.
As an Emergency Department Registered Nurse at VA Black Hills Health Care System, you will play a vital role in delivering timely, compassionate care to Veterans experiencing urgent and life-threatening health conditions. Working in a dynamic environment where every moment matters, you will collaborate with an interdisciplinary team to provide responsive, individualized care across a wide range of medical, surgical, and psychiatric emergencies.
This position offers valuable opportunities to expand your clinical expertise through specialized emergency and critical care practices, strengthen your assessment and decision-making skills, and contribute to positive patient outcomes. Join a team dedicated to clinical excellence, professional growth, and making a meaningful difference in the lives of Veterans and their families.
Duties include, but are not limited to: Assess and prioritize Veterans presenting with urgent and emergent conditions using the five-level Emergency Severity Index triage system to identify immediate care needs. Deliver comprehensive emergency nursing care to Veterans experiencing acute and chronic medical, surgical, and psychiatric conditions.
Provide critical interventions, including patient stabilization, resuscitation, and life-support measures, to address life-threatening emergencies. Perform specialized emergency and critical care interventions, including hemodynamic monitoring and cardiovascular medication management. Develop, implement, and evaluate individualized nursing care plans based on comprehensive assessments, patient needs, and clinical responses to treatment.
Administer prescribed medications, perform nursing procedures, and monitor patient responses to support safe and effective emergency treatment. Coordinate care with interdisciplinary team members to facilitate timely interventions, continuity of care, and informed clinical decision-making. Educate Veterans and their families about health conditions, treatment plans, and self-management strategies to support recovery and ongoing health needs.
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: 24/7 rotating schedule 12-hour shifts: Day Shift: 6:00 a.m.
to 6:00 p.m. Night Shift: 6:00 p.m. to 6:00 a.m. Tour of Duty: Employees work rotating 12-hour shifts to support 24/7 operations. Holiday assignments are required. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Beth.Spitzer@va.gov, the EDRP Coordinator for questions/assistance.
Learn more This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.
Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. The EDRP Coordinator(s) can be reached at VHAVISN23EDRP@va.govVHAVISN23EDRP@va.gov Permanent Change of Station (PCS): Not Authorized The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers.
This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community.
This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.
sandi.ortega@va.gov · 910-232-7476
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $71638 – $134624/yr.
Applications close on 2026-10-22.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-15 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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