Registered Nurse-Nurse Manager (IR/OPS/PACU)
Veterans Health Administration
San Antonio, Texas
$91k–$182k/yr
Posted pay
About a minute · no account or résumé needed.
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Last seen active Aug 16, 2026
What this might mean for you
Veterans Health Administration is hiring for its own floors — no agency between you and the manager. The posted pay pencils out to roughly $91k–$182k a year.
What the posting states
- Base pay
- $91k–$182k/yr
About this role
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Requirements
- Current, full, active, and unrestricted registration as a graduate professional nurse
- 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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.
About the employer
Day to day you chart in CPRS/VISTA, and union coverage across VA postings shows up as mixed, so the contract details on your offer letter matter. Cleveland’s cost of living sits roughly 6% below the national level, and Ohio is…
What reviewers appreciate
- Cleveland cost of living about 6% below the national level
- Ohio compact-license state
- CPRS/VISTA already in use as the EHR
What reviewers flag
- VA on pace to cut nearly 30,000 staff by end of FY2025 via attrition, early outs, and hiring freeze
- Nurses discuss anxiety, stress, and uncertainty about staying in VHA roles
- Public threads note doctors and nurses turning down VA offers
Living in San Antonio, TX
San Antonio blends rich Tex-Mex culture, historic missions, and a laid-back river city feel. The famous River Walk winds through downtown, while the Pearl District offers trendy dining and lofts. With no state income tax, major hospital systems, and warm weather year-round, it's an affordable, welcoming spot for nurses seeking authentic South Texas charm.
- Metro price level · San Antonio area
- 5% below the national average
- BEA index 94.7 (100 = national)
- Median gross rent
- $1,324/mo
- rent and tenant-paid utilities
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
On your path
Operating Room is a first-year unit lane. Periop programs often train from the ground up.
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- Can you walk me through the differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
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