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Registered Nurse-Nursing Officer of the Day

US Veterans Health Administration

San Antonio, Texas

$97k–$176k/yr

Posted pay

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US Veterans Health Administration workplace

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US Veterans Health Administration workplace

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US Veterans Health Administration workplace

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US Veterans Health Administration workplace
RN

Posted Aug 28, 2026 · Last seen active Sep 2, 2026

What this means for you

US Veterans Health Administration is hiring for its own floors — no agency between you and the manager. The posted pay pencils out to roughly $97k–$176k a year.

What the listing says

Base pay
$97k–$176k/yr
Weekends, holidays, call
Full-time; Rotating shifts, Nights, Holidays · Weekends required
Patient load & staffing
and support staff from a leadership perspective using professional standards of care, scientific evidence
EHR & union
Union position

About this role

Show full description
Summary Functions to deliver and coordinate safe, efficient, and effective patient care throughout all areas of the facility. Provides care and directs others in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems. Learn more about this agency This job is open to The public U. S. Citizens, Nationals or those who owe allegiance to the U. S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency Open to US Citizens NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties As the Nursing Officer of the Day (NOD) Registered Nurse (RN) you will execute position responsibilities that demonstrate leadership, experience, and creative approaches to the management of complex patient care. The NOD is in a position that require or authorize employees to formulate, determine, or influence the policies of VA. You will act in a confidential capacity with respect to an individual who formulates or effectuates management policies in the field of labor-management relations. You have the management responsibility to provide oversight for all nursing employees on duty and is authorized to communicate and enforce adherence to VA policies and directives. Demonstrate the ability to lead and organize the delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. You are an expert in the delivery of patient care and serves as the facility nursing expert at all hours to support, provide and facilitate emergency medical support throughout the facility. Serve as the facility expert for all patient care areas in identifying escalating medical crises, environmental factors, and in allocating staffing resources appropriately throughout the facility to meet the care needs of Veterans. Use advanced clinical knowledge and judgment to promote staff involvement in planning, decision-making, and evaluating outcomes. Function as an expert in clinical practice and/or areas related to the assigned roles and responsibilities for nursing. Systematically evaluate current practice and formulate outcomes for groups of patients and/or organizational processes within an area of expertise. Guide, develop, and support staff from a leadership perspective using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. You are an expert nurse who demonstrates expertise in leadership at the systems level that is sustainable, experience, and creative approaches to management of complex situations. Assume authority, responsibility, and accountability for managing and directing employees, staffing units, and allocating resources as necessary during weekends, holidays, and after-hours tours during the absence of nursing management/leadership. Responsible for rounding and is a consultant to providers. Collaborate with the Administrative Officer of the Day (AOD) and other members of the interdisciplinary team as needed for decisions related to on-going patient care and actions taken in emergency situations and disasters. Provide programmatic outcomes to nursing leadership to assist with improving organizational processes and the delivery of patient care. 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; Rotating shifts, Nights, Holidays Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized 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 (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. 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/13048233. 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 *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates 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 Master's 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 III Executes 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 Master's 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. Preferred Experience: • MSN preferred or higher (DNP) • Minimum of 3-5 years of recent full-time RN clinical acute/critical care inpatient setting • Proficient in computer software (MS word, excel, outlook) • Strong written and verbal communication skills • Recent NOD experience/supervisory experience, charge nurse • Knowledge in pathway to excellence or magnet accreditation Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.…

Skills for this role

Patient Care CoordinationEmergency Medical SupportStaffing ManagementDischarge PlanningEvidence Based Practice

Requirements

  • RN
  • Nursing policy compliance
  • Background check
  • Managed Registered Nurses (RNs)
  • Nursing department supervision
  • Hospital rounding experience
  • Nursing
  • Doctoral degree
  • Healthcare resource management

About the employer

US Veterans Health Administration
Hospital

The U.S. Veterans Health Administration (VHA) is the healthcare arm of the Department of Veterans Affairs, operating as the nation's largest integrated healthcare system serving America's veterans. The Seattle, Washington (98108) location is part of this federal healthcare network, which…

3.7 Google rating
US Veterans Health Administration workplaceUS Veterans Health Administration workplaceUS Veterans Health Administration workplace

What reviewers appreciate

  • Noble and mission-driven work serving veterans and their families
  • Clear core values (I CARE: Integrity, Commitment, Advocacy, Respect, Excellence) guiding all interactions
  • Interdisciplinary team collaboration model

What reviewers flag

  • Tiered hiring preference limits external applicant opportunities, with first consideration given to current permanent VA employees
  • Strict educational and experience requirements (BSN with 2 years or MSN with 1 year specialized experience) may create barriers to entry
  • Federal hiring process may be slower and more bureaucratic than private sector
mission-drivenveteran-focusedintegritycommitmentadvocacyrespect

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.

Map showing the location of San Antonio, TX
San Antonio, TX on the map · © Mapbox © OpenStreetMap· Open the live map
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
Median household income
$65,056/yr
all local households, not nurse pay

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

Browse open roles in San Antonio

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, holiday, and call?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load and floating handled day to day?
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