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Registered Nurse (Inpatient)


Job Location:

San Antonio, TX - USA

Yearly Salary: USD 85610 - 85610
Posted: 6 October 2026 (21 days ago)
Application Deadline: 3 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

The Inpatient Staff Registered Nurse provides safe evidence-based patient-centered care across the continuum. The nurse assesses plans implements and evaluates care; administers medications and treatments; coordinates with the interdisciplinary team; educates patients and families; promotes safety and quality improvement; and at higher grades leads staff practice improvement and broader clinical outcomes.


Duties

This position is located in Unit 2W.

Nurse I Level 1

  • Provides fundamental inpatient nursing care with close supervision using the nursing process.
  • Assesses patient needs administers medications and treatments and evaluates responses to care.
  • Establishes therapeutic relationships and involves patients families and caregivers in care planning and education.
  • Participates in interdisciplinary care planning and coordinates care across the continuum.
  • Applies evidence-based practice safety principles and appropriate delegation to support patient outcomes.
Nurse I Level 2
  • Provides competent evidence-based inpatient nursing care with general supervision.
  • Plans implements and evaluates technically competent care for assigned patients.
  • Coordinates patient education self-management and transitions across the healthcare continuum.
  • Directs and delegates appropriate care while ensuring assigned tasks are completed safely and timely.
  • Participates in interdisciplinary care professional development and unit-level performance improvement.
Nurse I Level 3
  • Independently provides self-directed evidence-based nursing care for patients with complex needs.
  • Prioritizes and manages patient care while evaluating outcomes and adjusting plans as needed.
  • Functions as an emerging leader or charge nurse by directing staff and coordinating care.
  • Collaborates with the interdisciplinary team to achieve patient-centered plans of care and improve safety.
  • Educates colleagues and students mentors staff and supports evidence-based performance improvement.
Nurse II
  • Leads evidence-based nursing care for patients with complex needs within the immediate practice setting.
  • Applies clinical judgment to lead care planning decision-making interventions and outcome evaluation.
  • Improves patient care by addressing safety coordination timeliness process and patient experience concerns.
  • Leads interdisciplinary teams mentoring precepting education and professional development activities.
  • Leads evidence-based practice performance improvement and effective resource utilization with demonstrated outcomes.
Nurse III
  • Leads and organizes evidence-based nursing care for complex patients and populations beyond the immediate practice setting.
  • Applies advanced clinical judgment to improve care planning decision-making and outcomes across programs or services.
  • Leads initiatives addressing patient safety experience coordination timeliness and care concerns.
  • Leads interdisciplinary teams mentoring education and development of current and future clinical leaders.
  • Leads evidence-based practice performance improvement policy development and resource management with outcomes beyond the immediate practice setting.

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: Includes Days/Nights/Weekends/Holidays
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Requirements
Conditions of employment

    • 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 ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
    • Pre-Employment/Post-Employment Physical Examination: May be required depending on the needs of the organization.
    • 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.
    Qualifications

    Basic Requirements:

    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: I Level IDelivers 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 IIDemonstrates 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 IIIDemonstrates 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 Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates 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 Masters 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 IIIExecutes 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 Masters 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 Requirements: The work is sedentary. Some work may require movement between offices hospitals warehouses and similar areas for meetings and to conduct work. Work may also require walking/standing in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds.

    Preferred Experience:
    1. Bachelor Prepared Nurse.
    2. 1-2 Years Recent Med/Surg Experience.
    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).

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    Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.


    Required Experience:

    IC