Registered Nurse - Domiciliary Mental Health
About The Position
The Veterans Affairs Black Hills Healthcare System is seeking a compassionate Registered Nurse for its Domiciliary Mental Health Residential Rehabilitation and Treatment Program. The position provides recovery-oriented nursing care to Veterans living with mental health and substance use concerns. Nursing practice supports patient safety, wellness, self-management, and successful transitions through treatment in a therapeutic residential environment. The nurse works closely with an interdisciplinary treatment team, engages Veterans in collaborative care planning, supports admissions and discharges, and contributes to a structured program emphasizing communication, professional boundaries, and Veteran-centered decision-making. The position aims to reduce fragmentation in care and strengthen each Veteran’s path toward recovery. The work schedule is described as six 12-hour shifts and one 8-hour shift per pay period, with rotating weekends and holidays. The posting lists both evening/night and daytime shift times in different sections. Telework and virtual work are not available. The position is permanent; relocation, recruitment, and permanent change-of-station incentives are not authorized.
Requirements
- Proficiency in basic written and spoken English.
- Graduation from an appropriately accredited school of professional nursing, subject to the stated education exceptions for bridge-program candidates and graduates of foreign nursing schools.
- Current, full, active, and unrestricted registered nurse licensure in a U.S. State, Territory, or Commonwealth, or the District of Columbia; the posting describes a temporary Graduate Nurse Technician exception for eligible candidates pursuing licensure.
- Meet the education and experience criteria for the grade and level assigned. Requirements vary by grade and may include an ADN or nursing diploma, BSN, MSN, doctorate, and specified professional or specialized nursing experience.
- U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited under VA policy.
- Complete required background/security investigation, onboarding, and pre-employment identification requirements.
- Pass a pre-employment physical evaluation.
- Participate in the seasonal influenza vaccination program.
- Males born after December 31, 1959, must meet Selective Service registration requirements.
- Complete all application requirements identified in the announcement’s Required Documents section.
Responsibilities
- Assess Veterans’ physical, mental health, psychosocial, and health literacy needs to support individualized, recovery-oriented care planning.
- Develop, update, and document nursing plans of care with realistic, measurable health goals and discharge planning priorities.
- Coordinate admissions, discharges, transfers, and warm hand-offs to promote safe transitions across units and healthcare settings.
- Facilitate communication among Veterans, families or caregivers, providers, and interdisciplinary team members to support shared decision-making.
- Oversee safe medication management, including medication reconciliation and assistance with prescribed inpatient medications.
- Lead or support nursing education activities, including assigned weekly classes that promote patient understanding, self-management, and recovery.
- Identify and respond to psychiatric, medical, environmental, and safety concerns to help maintain a safe therapeutic residential setting.
- When assigned Charge RN responsibilities, coordinate shift assignments, hand-off communication, admissions, discharges, breathalyzers, urine drug screens, treatment plan updates, quality checks, chart reviews, and supply needs.
Benefits
- Competitive salary, regular salary increases, and potential performance awards.
- 50 days of paid time off per year, including annual leave, sick leave, and paid Federal holidays, as described in the posting.
- Traditional federal pension and federal retirement savings plan contributions, including VA contributions and matching as described in the posting.
- Federal health, vision, dental, term life, and long-term care insurance; many programs may be carried into retirement.
- Premium pay for eligible overtime, Saturday, Sunday, holiday, on-call, and night work.
- Incentive and recognition awards.
- Paid parental leave, military leave, disabled veteran leave, organ donor leave, and leave sharing.
- Flexible spending accounts for medical and dependent care.
- Child care subsidies, employee assistance, wellness and physical fitness programs, and transit subsidies.
- Continuing education opportunities.
- Career growth and performance-based or accelerated increases, subject to eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
