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Registered Nurse MedicalSurgical-CardiologyIntermediate Care Step Down (4B)


Job Location:

Madison, OH - USA

Yearly Salary: USD 75111 - 75111
Posted: 6 October 2026 (20 days ago)
Application Deadline: 3 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval award amount (up to $200000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.


Duties

The Medical/Surgical/Cardiology/Intermediate Care Step Down Unit known as 4B at the Madison WI VA is a 20-bed multi-service unit which includes Medical Surgical Transplant and Cardiology patients. Medical conditions include: Non-ST-Elevation Myocardial Infarction (NSTEMI) Congestive Heart Failure (CHF) Cardiac Arrhythmias and Heart/Renal/Liver End Stage Disease. Surgical services include: Cardiac Thoracic Peripheral Vascular Heart/Liver/Lung/Kidney transplants and Ventricular Assist Device (VAD). Centralized telemetry oversight is provided for 3B 4B 7B patients and remotely for Tomah. All beds have telemetry capability with additional monitoring available for patients meeting the intermediate care criteria.

Nursing care is provided on a 24-hour basis by registered nurses and nursing assistants. The nursing process of assessment planning implementation and evaluation is applied in an ongoing systematic manner to all patients. Nursing personnel are intricately involved in the development implementation and evaluation of interdisciplinary care. This requires nursing staff to participate with an interdisciplinary approach in meeting Veteran health care needs which includes being an active participant in Interdisciplinary discharge rounds. Rounds consist of the entire Interdisciplinary team consisting of Physicians Nurse Practitioners Nutrition Service/Dietician Physical Therapy Occupational Therapy Social Work Pharmacy and other specialty groups as needed; coordinating care of all patients. Unit 4B provides acute and intermediate care level nursing care and is intricately involved in the interdisciplinary approach in meeting patient needs. This systematic process is applied to all patients with a goal of care to restore the Veteran to maximum function prevent further decline maximize independence and/or provide comfort as necessary. Discharge planning is an essential component of our nursing practice and an interdisciplinary approach for teaching and discharge planning assures continuity of care for the Veterans we serve.

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: Full Time PM/NOC
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 the EDRP Coordinator for questions/assistance.
Learn more
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.
    • 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.
    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 Experience: Prior nursing experience is preferred.

    Physical Requirements: Walking bending stooping and some lifting in the direct care of patients. There may also be extended periods of sitting.
    Education

    IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

    Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here:
    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: information

    This job opportunity announcement may be used to fill additional vacancies.

    This position is in the Excepted Service and does not confer competitive status.

    VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38 and are not covered by the Schedule A excepted appointment authority.

    If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.

    Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit
    Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.

    Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    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