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Registered Nurse - Inpatient D2

US Veterans Health Administration

Johnson City, Tennessee

$67k–$126k/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 3, 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 $67k–$126k a year. It's a night shift — quieter halls, a tighter crew, and your daylight hours back.

What the listing says

Base pay
$67k–$126k/yr
Shift
Nights
Weekends, holidays, call
Full Time 7:30 pm - 8:00 am (Night shift) with alternating weekends
EHR & union
Union position

About this role

Show full description
Summary The Inpatient Staff Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. 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 NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties Functions or Scope of Assigned Duties • The Inpatient Staff Registered Nurse (RN) assigned to D2 is responsible for providing competent, evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting. • The Inpatient Staff Registered Nurse (RN) will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. • The Inpatient Staff Registered Nurse (RN) demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. • The Inpatient Staff Registered Nurse (RN) provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. • The Inpatient Staff Registered Nurse (RN) contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. • The Inpatient Staff Registered Nurse (RN) supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. • The Inpatient Staff Registered Nurse (RN) questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain evidence-based-practice Supervisory Controls: The incumbent is responsible to the assigned rating and approving supervisors and is accountable to the Associate Director of Patient Care Services (ADPCS) Dimensions of Nursing Practice: Leads professional practice using the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to improve evidence-based and/or data-driven outcomes for an identified patient population and/or specialized areas within immediate practice setting. Leadership: Communicates and collaborates as an effective leader of the interprofessional team, at the expert level, with improved evidence-based and/or data-driven outcomes for the immediate practice setting Customer Services Requirements: Meets the needs of all customers while supporting the Medical Center and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customers with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately 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 7:30 pm - 8:00 am (Night shift) with alternating weekends Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS) : Not authorized Pay Scale: NG42 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/13049347. 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: 1 year of Med-Surg experience. Hospital experience in the last 3 years Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. James H. Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility, serving medical,…

Skills for this role

Medication pass administrationPatient educationHealth status assessmentEvidence-based practiceCase assessment

Requirements

  • RN
  • Background check
  • Customer communication
  • Nursing
  • Staff supervision
  • Team member evaluation
  • Inpatient experience
  • Doctoral degree
  • Case assessment

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 Johnson City, TN

Nestled in Tennessee's Appalachian foothills, Johnson City blends outdoor adventure with a growing healthcare hub anchored by East Tennessee State University. Nurses drawn to mid-size mountain towns will find a relaxed pace, nearby hiking trails, and a strong sense of Southern community.

Map showing the location of Johnson City, TN
Johnson City, TN on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Johnson City area
12% below the national average
BEA index 87.9 (100 = national)
Median gross rent
$1,023/mo
rent and tenant-paid utilities
Median household income
$57,254/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 Johnson City

On your path

Med surg is open from year one. A broad first base while you learn which path pulls harder.

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 weekly hours, 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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