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Advanced Registered Nurse

US Veterans Health Administration

Cincinnati, Ohio

$115k–$181k/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
RNNew grads welcomed

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 $115k–$181k a year. It's a day shift — the busiest hours, the fullest crew, and your evenings back.

What the listing says

Base pay
$115k–$181k/yr
Shift
Days
EHR & union
Non-union position

About this role

Show full description
Summary The Advanced Practice Nurse (APN), Certified Nurse Practitioner (NP) practices in Medicine Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. 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 This is open to current federal employees of the Veterans Health Administration (VHA) of this agency and The Public. The first order of referral is VHA and second is The Public NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties The Nurse Practitioner (NP) is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients. The major duties and responsibilities of the position include: • Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice. • Develops and implements an individualized plan to achieve optimal population health and disease management. • Demonstrates leadership and works collaboratively with the interdisciplinary team. • Orders and interprets labs, tests, and diagnostic studies. • Prescribes pharmacologic and non-pharmacologic interventions. • Initiates referrals and consults to specialty services. • Provides education to patients and their families. • Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. 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: Monday - Friday, 7:30am-4:00pm or 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position. 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. • English Language Proficiency. In accordance with 38 U. S. C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. • 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. • Must pass pre-employment physical evaluation/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 Advanced Practice Nurse (Nurse Practitioner) Basic Requirements Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a 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). • NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. • License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. • Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. • English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U. S. C. 7403(f). NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also 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. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U. S. C. § 405(c)(2)(B). • Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others • Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required. • Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements: • Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. • Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. • Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. • Professional Development. Acquires knowledge and skills to develop expertise in area of practice. • Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III: • Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. • Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level. • Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: • Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program. • Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. • Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program. • Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. • Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork Preferred Experience: Sleep Medicine Experience or Training Preferred Physical Requirements: Physical requirements are those physical, mental and emotional capabilities and characteristics that are essential for successful job performance. Physical requirements must be clearly supported by the actual duties of the position and documented in the position description or functional statement, and supported by a studies or evaluations establishing physical requirements is job-related to the occupations. An applicant or employee may not be disqualified arbitrarily on the basis of physical requirements or other criteria that do not relate specifically to performance of the duties of a specific position. Additional information Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to…

Skills for this role

Evidence Based PracticePopulation Health ManagementDisease PreventionOrdering and Interpreting LabsDiagnostic EvaluationPrescribing Pharmacologic InterventionsPatient AssessmentPatient EducationCare Plan DevelopmentReferral Coordination

Certifications

AGACNP-BCAGPCNP-BCANP-BCFNP-BCFNP-CGNP-BCNP-C

Requirements

  • RN
  • APRN
  • Certified Nurse Practitioner
  • Background check
  • Direct patient care
  • Acute Care Nurse Practitioner Certification - Adult Gerontology
  • Care plan evaluation
  • Post-Master's Certificate (Nursing)
  • Nursing
  • Performance improvement leadership
  • 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 Cincinnati, OH

Cincinnati blends Midwestern warmth with riverfront charm along the Ohio River. The revitalized Over-the-Rhine district offers dining and culture, while Mount Adams delivers hilltop city views. It's a city where historic architecture and brewery heritage create an inviting home base for nurses seeking community and character.

Map showing the location of Cincinnati, OH
Cincinnati, OH on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Cincinnati area
5% below the national average
BEA index 95.4 (100 = national)
Median gross rent
$1,001/mo
rent and tenant-paid utilities
Median household income
$52,909/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 Cincinnati

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?
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