The Domiciliary Mental Health Registered Nurse provides and leads competent, evidence-based care for assigned patients, including people living with substance use disorders and/or mental health conditions. The nurse supports patient-centered, recovery-oriented care and maintains self-awareness and professional boundaries while protecting patient vulnerabilities and acting in patients’ best interests. The role includes supporting nursing education, orientation, competency development, quality improvement, and outcomes-utilization consultation. The nurse facilitates shift reports, warm hand-offs, and nurse-led psychoeducational groups; uses therapeutic communication, de-escalation techniques, and recovery-oriented language; and oversees the patient safe medication management program. The nurse participates in interdisciplinary mental health treatment teams, patient safety and environment-of-care rounds, and responds to psychiatric and medical needs and emergencies as directed. The position also involves documenting assessments, risk screens, plans of care, and safety and environment-of-care rounds according to facility policy, reporting safety concerns, and supporting colleagues through knowledge sharing and evidence-based practice. The work schedule is 7:30 AM–8:00 PM, including weekends on a rotating basis. Telework and virtual work are not available. Relocation and recruitment incentives and permanent change of station are not authorized. The position is eligible for the Education Debt Reduction Program, subject to program eligibility and approval; awards may be up to $200,000, with an eligibility period of one to five years. VA’s stated total rewards include paid time off, retirement benefits, insurance, competitive salary, regular salary increases, and potential performance awards.
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree