Registered Nurse (Progressive Care)
Veterans Health Administration · San Antonio, Texas
$85,610 – $173,974Posted Nov 5, 2026 · verified Nov 5, 2026
Description
The Progressive Care Registered Nurse provides comprehensive, evidence-based nursing care to acutely ill Veterans who are moderately stable but at increased risk for deterioration. Responsibilities include patient assessment, care planning, medication administration, clinical monitoring, patient education, and care coordination. The nurse collaborates with interdisciplinary teams, promotes patient safety, supports professional development, and participates in quality improvement initiatives.
Major duties:
Nurse I, Level 1 Direct Patient Care: Provides fundamental nursing care, including assessments, care planning, medications, and evaluations under close supervision. Care Coordination: Collaborates with interdisciplinary teams to coordinate treatment and ensure continuity of care. Patient Education: Educates Veterans and caregivers on treatment plans, self-management, and health maintenance. Clinical Responsibilities: Performs nursing procedures, delegates appropriate tasks, and seeks guidance when needed. Professional Development: Participates in orientation, continuing education, evidence-based practice, and quality improvement. Nurse I, Level 2 Direct Patient Care: Provides evidence-based care to acutely ill Veterans requiring intensive monitoring. Clinical Management: Organizes patient care, performs assessments, administers treatments, and evaluates responses under general supervision. Care Coordination: Collaborates with interdisciplinary teams, delegates tasks, and oversees nursing support personnel. Patient Safety: Promotes safe care transitions, incorporates patient preferences, and addresses clinical concerns. Quality Improvement: Participates in performance improvement, shares evidence-based practices, and pursues professional development. Nurse I, Level 3 Complex Patient Care: Independently plans, delivers, and evaluates nursing care for Veterans with complex needs. Clinical Decision-Making: Applies clinical judgment and prioritization to manage competing demands with occasional supervision. Team Leadership: Serves as charge nurse or team leader, directing staff and coordinating interdisciplinary care. Education and Mentorship: Provides clinical guidance, feedback, and education to colleagues and students. Evidence-Based Practice: Promotes evidence-based interventions, quality improvement, and effective resource utilization. Nurse II Complex Patient Care: Leads evidence-based nursing care for Veterans requiring intensive monitoring and intervention. Clinical Leadership: Coordinates nursing activities and improves outcomes within the immediate practice setting. Quality Improvement: Leads unit-level initiatives to improve safety, outcomes, processes, and resource utilization. Professional Development: Mentors, precepts, and educates nursing personnel to improve clinical competency. Patient Advocacy: Resolves care concerns, promotes effective transitions, and improves Veteran satisfaction and safety. Nurse III Expert Clinical Practice: Leads complex, evidence-based nursing care with outcomes beyond the immediate practice setting. Program Leadership: Leads interdisciplinary initiatives, influences policies, and improves care across programs or services. Quality Improvement: Leads evidence-based initiatives with measurable outcomes beyond the immediate practice setting. Professional Development: Leads educational programs, mentors nurses, and advances clinical leadership. Patient Safety and Innovation: Leads initiatives improving Veteran experiences, safety, clinical outcomes, and resource utilization. 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: Compressed Tours, including Days/Nights/Weekends/Holidays Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Requirements:
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.
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