Registered Nurse (Outpatient Mental Health) - EDRP Authorized
Veterans Health Administration
San Antonio, Texas
Posted Aug 27
- Shift and hours
- Days
- Unit and setting
- Psych · Outpatient
- License
- RN license
- Term
- Permanent
Do you qualify?
- License
- 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.)
- Also asks
- 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.
- Also asks
- 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.
What it pays
- Against similar roles
- Top of San Antonio staff RN paySan Antonio staff RN postings that state pay run $55k/yr to $83k/yr, the middle half $62k/yr to $75k/yr, across 35 postings.
Benefits
- Loan repayment program
- Dental insurance
- Vision insurance
- Paid time off
- Paid holidays
The role and schedule
- Union
- Union position
The workplace
Your fit
Questions to ask
- Can you walk me through 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?
On your path
Psychiatric Behavioral health spans inpatient, emergency, and community settings.
Original listing
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Summary
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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.
Federal employees - Competitive service
Current federal employees whose agencies follow the U. S. Office of Personnel Management's hiring rules and pay scales.
Federal employees - Excepted service
Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria.
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. This vacancy announcement is open to Current/Permanent VA Employees & other federal employees; graduates, current, and upcoming participants of the VA Health Professions Training (HPT) program; and the public.
Duties
Provides outpatient mental health nursing care within the Behavioral Health Interdisciplinary Program (BHIP), duties include but are not limited to the following:
Nurse I, Level 1
- Provides fundamental outpatient mental health nursing care with close supervision.
- Assesses, plans, implements, and evaluates patient care using the nursing process.
- Provides patient-centered, recovery-oriented care, education, de-escalation, and psychoeducation.
- Coordinates care with the interdisciplinary team and supports transitions between outpatient and inpatient mental health services.
- Documents triage assessments, risk screens, clinical reminders, and plans of care while maintaining patient safety and professional boundaries.
Nurse I, Level 2
- Provides competent, evidence-based outpatient mental health nursing care with general supervision.
- Plans and delivers technically competent care and appropriately delegates nursing tasks.
- Provides recovery-oriented care, education, de-escalation, psychoeducation, and care coordination.
- Collaborates with the interdisciplinary team and demonstrates progression toward team leadership.
- Participates in professional development, evidence-based practice, and unit-level performance improvement.
Nurse I, Level 3
- Independently provides self-directed, evidence-based care for patients with complex needs.
- Plans, prioritizes, implements, and evaluates care using deliberate clinical judgment.
- Directs staff and functions as an emerging leader in coordinating interdisciplinary care.
- Educates colleagues and students and serves as a preceptor or mentor.
- Models evidence-based practice, resource stewardship, and unit-level performance improvement.
Nurse II
- Leads evidence-based nursing care for patients with complex needs within the immediate practice setting.
- Leads staff involvement in care planning, decision-making, and outcome evaluation.
- Improves Veteran care by addressing coordination, timeliness, safety, and process concerns.
- Leads teams, mentoring, precepting, education, and professional development activities.
- Leads evidence-based practice, resource utilization, and performance improvement with measurable outcomes.
Nurse III
- Leads and organizes evidence-based nursing care for complex patients beyond the immediate practice setting.
- Applies advanced clinical judgment to improve care planning, decisions, and outcomes.
- Leads initiatives addressing Veteran experience, safety, coordination, timeliness, and care concerns.
- Leads interdisciplinary teams, mentoring, education, and development of current and future leaders.
- Leads evidence-based practice, performance improvement, and resource utilization with outcomes beyond the immediate practice setting.
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; may be required to work nights/weekends/holidays Telework: Available, ad-hoc only, as determined by the agency policy. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized : Former EDRP participants ineligible to apply for incentive. Contact VISN17EDRP2@va.gov, the EDRP Coordinator for questions/assistance. Learn more 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.
- Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization
- 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/13050218.
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…
What's around it?
San Antonio, TXFrom Census ACS 2024.
Living costs about 5% below the US average
- Median rent
- $1,324/mo
- Household income
- $65,056/yr, all local households, not nurse pay