Registered Nurse - Community Living Center

Summary

This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until 12/2/2026 or until filled. Qualified applicants will be reviewed and referred to hiring managers at regular intervals. The Grand Island VA Community Living Center (CLC), Registered Nurses (RNs) are at the heart of everything we do. You'll have the unique opportunity to build lasting connections with Veterans, provide hands-on care that truly makes a difference, and be part of a supportive, mission-driven team.

Duties

Whether you're administering treatments, developing individualized care plans, mentoring support staff, or guiding patients and families through safe transitions, your work will directly impact the health, dignity, and quality of life of those who served our nation. The mission of a Community Living Center is to restore each Veteran to his or her highest level of well-being, to prevent declines in health, and to provide comfort at the end of life. This CLC has a total of 36 beds, providing services to Veterans needing 30-90 days of skilled care, rehabilitation, and/or dementia/ neurocognitive support. The CLC RN duties include, but are not limited to, the following: Conduct holistic biopsychosocial assessments to identify patient needs and deliver personalized, age-appropriate care. Develop, implement, and evaluate individualized care plans in partnership with patients, families, and the interdisciplinary team. Safely administer medications and perform procedures per policy, carefully monitoring effectiveness and patient response. Educate and empower patients and families with strategies for self-management, independence, and improved quality of life. Coordinate seamless care transitions and discharges that support safety and continuity of care. Provide leadership and mentorship to licensed vocational nurses and nursing assistants, fostering collaboration and professional growth. Partner with the MDS Coordinator to ensure accurate documentation and proper reflection of resident needs and RUG scores. Support staff development through orientation, ongoing training, and skill-building to strengthen clinical excellence. Contribute to quality improvement projects that enhance patient outcomes, safety, and satisfaction. Actively participate in shaping and improving policies, procedures, and practices that advance nursing care in the CLC. Preferred Experience: Long-term care and/or hospice experience. Work Schedule: This is an intermittent position. Intermittent employment is defined as non-fulltime employment in which employees are appointed without a regularly scheduled tour of duty. Work is sporadic and unpredictable so that a tour of duty may not be regularly scheduled in advance. Will work a minimum of (2) 8 hour shifts or (1) 12-hour shift, per 2-week pay period, unless approved by the Nurse Manager. Additional hours may be scheduled as needed. Shifts may be scheduled Sunday-Saturday, including days, nights, weekends, and holidays. Telework: Not Available Virtual: This is not a virtual position. 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.

Qualifications

Basic Requirements: 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.) 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: https://apply.usastaffing.gov/ViewQuestionnaire/13078058. Grade/Level Scope Education Nurse I, Level I Delivers 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 II Demonstrates 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 III Demonstrates 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 Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *re