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Registered Nurse - Mental Health Domiciliary

Veterans Health Administration · Department of Veterans Affairs
📍 San Antonio, Texas 💰 $85610 – $173974/yr

Quick Facts

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Job 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.

Key Responsibilities

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

Requirements & Education

The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE).

Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp If your school has changed names, or is no longer in existence, you must provide this information in your application.

If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Contact

Christopher.Klinkhammer@va.gov

Frequently Asked Questions

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $85610 – $173974/yr.

What security clearance is required?

This position requires a Other security clearance.

What is the application deadline?

Applications close on 2026-10-14.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.

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