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Registered Nurse - Oncology/Hematology Infusion Nurse & Close To Me (CTM)

US Veterans Health Administration

Columbia, Missouri

$71k–$142k/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 25, 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 $71k–$142k a year. It's a day shift — the busiest hours, the fullest crew, and your evenings back.

What the listing says

Base pay
$71k–$142k/yr
Shift
Days
EHR & union
Non-union position

About this role

Show full description
Summary Thank you for your interest in the Full-Time Registered Nurse - Oncology/Hematology Infusion Nurse & Close To Me (CTM) position for Medical Specialty Clinics - Patient Care Services within the Harry S. Truman Memorial Veterans' Hospital - Columbia, Missouri. 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. 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 General Description of Assigned Duties: 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. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs. This role also requires travel to various CBOCs outside of Truman VA. Functions or Scope of Assigned Duties: The Nurse Oncology/Hematology Registered Nurse (RN) is a clinical expert who uses advanced specialized knowledge and judgement for delivery of high quality and evidence-based care to oncology patients and their families. Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes. Completes physiological assessments and completes documentation in the electronic health record (EHR) in accordance to established policies and procedures. Triages patient problems and assists in the evaluation of symptoms and initiate interventions in collaboration with the interdisciplinary team. Monitors, tracks/tends, and reports ongoing care needs and outcomes to the interdisciplinary team. They direct the provision of nursing education, orientation, competencies, and providing quality improvement and outcome utilization. They provide a safe working environment while administering, handling, and disposing of antineoplastic drugs and medical waste. They oversee the administration and management of various medical procedures and treatments in the oncology setting, including vascular access devices and infusion treatments. Conducts in-service education based on insights gained from oncology professional development activities and acquiring specialized skills in oncology-specific areas, including chemotherapy administration, oncology electronic ordering systems, and calculating drug dosages. The Oncology/Hematology RN manages monitoring requirements for specific drugs, handling immediate infusion reactions, and preventing and managing oncology-related symptoms and adverse events, such as chemo-related symptoms and immune-related adverse events. Close to Me Responsibilities: 1. Communicates with Veteran about treatment availability at CBOCs. 2. Identifies appropriate patients for Close to Me (CTM) services. 3. Travels to CBOC to administer CTM infusion services. 4. Assists with care coordination for veterans requiring CTM services. Possesses the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs, providing care as considered necessary. Provides guidance and education to patients and caregivers and collaborates with other professionals at all levels. Addresses psychosocial, as well as nursing and medical needs of patients and their families/caregivers, through participation with the interdisciplinary care team. Ensures the plan of care and educational requirements are individualized and tailored specifically to support each individual patient's needs. Reports status of service needs and contributes to problem resolution and modification of processes as necessary. Evaluates care and outcomes to ensure timely and appropriate provision of services. Advocates for holistic care through patient/family education and provider interaction and implements an educational plan to meet the patient care needs. 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 - Monday to Friday 0800-1630 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. • Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination. • 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/13048047. 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…

Skills for this role

Vascular accessChemotherapyHematologyOncologyTriageCare coordinationDrug therapy monitoringPatient advocacyElectronic health records (EHR) management

Requirements

  • RN
  • Background check
  • Vascular access
  • Biomedical waste
  • Patient follow-up care
  • Care plan evaluation
  • Nursing
  • Patient resource coordination
  • Doctoral degree

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 Columbia, MO

Columbia is a mid-Missouri college town anchored by the University of Missouri, blending student energy with a strong healthcare presence. The District downtown offers dining and shops, while nearby trails and parks provide outdoor options—a compact, welcoming city where new RNs often settle in quickly.

Map showing the location of Columbia, MO
Columbia, MO on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Columbia area
11% below the national average
BEA index 89.4 (100 = national)
Median gross rent
$1,097/mo
rent and tenant-paid utilities
Median household income
$66,498/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 Columbia

On your path

Oncology is a specialty you move into. Chemo cards are the working credential; infusion hires in too.

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, 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?
Open the full posting report
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