This nursing position at VA Black Hills Health Care System Hot Springs focuses on providing Veteran-centered care to patients with kidney disease. The role involves delivering safe hemodialysis treatment, coordinating care, educating patients, and collaborating with an interdisciplinary team to improve outcomes.
Responsibilities
Deliver knowledge-based nursing care for Veterans receiving dialysis services, including assessment, planning, implementation, and evaluation of individualized care
Provide and support safe hemodialysis treatment, including treatment start-up, machine programming, monitoring during treatment, and treatment completion
Serve as a primary nurse for an assigned end-stage renal disease patient panel, helping Veterans navigate care needs across the healthcare system
Coordinate care focused on patient education, self-management, continuity, and patient satisfaction throughout the care continuum
Administer medications and perform procedures in accordance with established policies, guidelines, and dialysis care standards
Collaborate with interdisciplinary team members and other departments to achieve desired patient outcomes and support shared care delivery decisions
Monitor, track, trend, and report care continuity needs and patient outcomes to the interdisciplinary team
Apply specialized dialysis knowledge, including vascular access anatomy, dialysis catheter types, treatment pathophysiology, infection control, and disinfection practices
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
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
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
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
English Language Proficiency
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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)
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
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)
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.
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.
Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
Nice to have:
Dialysis experience
BSN
Benefits
50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
1 full and unrestricted license from any US State or territory
Strong starting salary, career growth, and recognition
VA Nurse Locality Pay System (LPS) - ensuring our nurses are paid competitive rates within each local labor market
VA Special Rates - providing regular performance-based increases and potential accelerated increases for outstanding performance
Premium Pay - including overtime, Saturday, Sunday, holiday, on-call and night work
Incentive Awards - including Superior Performance Awards, Special Contribution Awards, VA Honor Awards, and Non-Monetary Recognition
8 hours of annual leave (Vacation Time) accrual for full-time Nurses and Nurse Anesthetists for each full biweekly pay period
4 hours of Sick leave accrual per full biweekly pay period
12 Weeks of Paid Parental Leave
Organ Donor Leave
Military Leave
Disabled Veteran Leave
Health Insurance - pre-taxed premiums and a variety of plans to choose from, ranging from traditional HMO/PPO plans with low co-pays, to High-Deductible plans. Single, spouse and family plans available
Dental Insurance
Vision Insurance
Thrift Savings Plan (TSP) -Tax deferred retirement savings account that is similar to private sector 401(k). You may be eligible for an automatic 1% agency contribution, plus a 4% matching agency contribution
Flexible Spending Accounts - medical & dependent care
Life Insurance - with available additions for family coverage
Long Term Care Insurance
Leave Sharing Program
Holidays - 11 paid Federal holidays each year
Child Care Subsidies
Employee Assistance Program
Wellness and Physical Fitness Programs
Transit Subsidies
Continuing Education Opportunities
Important Details
Schedule: 05:30am - 4:00 pm, Alternating Work Schedule - Depending on the unit needs
Application deadline: 10/28/2026
Locations: 2 vacancies in Hot Springs, SD
Application Process
Provide a complete Application Package which includes a long-form resume/Curriculum vitae (CV)
The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position: DD-214/ Statement of Service, Disability Letter (VA), Other (1), Separation Notice (RIF), SF-15, SF-50/ Notification of Personnel Action, Transcript
Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. You must provide a legible copy of your DD214(s) which shows dates and character of service. If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service, and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form.
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
To apply for this position online, you must complete the full questionnaire and submit the documentation specified in the Required Documents section above.
To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
Click Submit My Answers to submit your application package.
It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date.
Once your online application is submitted you will receive a confirmation notification by email.
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met.
After the review is complete, a referral certificate(s) is issued, and applicants will be notified of their status by email.
Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview.
All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications.
About the Company
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers, an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.
