Registered Nurse – Primary Care Outpatient Staff

Department of Veterans Affairs

Hot Springs, South Dakota Full-time $66,367 – $127,336 Closes Jun 15, 2026

Summary

Join the VA Black Hills Health Care System as a Primary Care Outpatient Staff Registered Nurse in the specialty care clinic you will help improve the health and well-being of Veterans through coordinated, patient-centered care. This role combines clinical nursing practice, chronic disease management, health education and care coordination while working closely with an interdisciplinary team.

Build meaningful relationships with Veterans and play a vital role in promoting positive health outcomes.

Duties

  • The VA Black Hills Health Care System is seeking a compassionate and motivated Registered Nurse to support Veterans across the continuum of outpatient care in Hot Springs, South Dakota.
  • As a key member of the Primary Care team, you will help Veterans navigate complex healthcare needs while promoting health, independence, and improved quality of life.
  • Specialty nursing falls under Primary Care, and within the Hot Springs Primary Care setting, the nurse will primarily be assigned to Specialty Care.
  • This role carries the expectation that the nurse understands all Primary Care and Specialty Care responsibilities and can provide cross-coverage when needed.
  • Through care coordination, patient education, and chronic disease management, you will play an essential role in advancing Veteran-centered care and achieving positive health outcomes.
  • Duties include, but are not limited to: Coordinate comprehensive outpatient nursing care for assigned Veteran panels, ensuring timely access, ongoing evaluation, and continuity of care.
  • Assess patient needs, develop individualized plans of care, and provide health education, wellness coaching, disease prevention, and chronic disease management services.
  • Collaborate with Veterans, families, caregivers, providers, and interdisciplinary team members to support patient-driven care planning and achievement of health goals.
  • Guide Veterans through the healthcare system by facilitating referrals, coordinating services, and connecting patients with appropriate community and VA resources.
  • Monitor patient progress through follow-up calls, appointments, and care transitions to support safe discharge planning and improved outcomes.
  • Assist providers with clinical procedures, including injections, specimen management, dressings, postoperative care, and minor surgical interventions while maintaining sterile technique.
  • Support consult management, patient scheduling, secure communications, and coordination of diagnostic testing, laboratory services, and specialty referrals.
  • Advocate for Veterans by promoting informed decision-making, resolving care barriers, and contributing to effective, team-based care delivery across Primary Care and Specialty Care settings 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: Schedule: Monday-Thursday, 7:00 AM-4:30 PM Alternating Fridays: 7:30 AM-4:00 PM Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position.
  • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers.
  • This is 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.
  • As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran.
  • This is done in the context of healing relationships and healing environments and a connection back to the Veteran’s community.
  • 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.

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.
  • Must pass pre-employment physical 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.

How You Will Be Evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate’s education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate’s abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document.
  • This one-page document does not need to be modified and must be uploaded into the two-page restricted ‘Resume’ document upload field.
  • Your full resume/CV may be uploaded without page limitation into the ‘Other’ document upload field.
  • The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position.
  • Cover Letter DD-214/ Statement of Service Disability Letter (VA) License Other (1)
  • Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans’ Preference
  • Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA.
  • When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire.
  • You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.).
  • 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 (honorable, general, etc.), and dates of impending separation.
  • Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 “Application for 10 Point Veteran Preference” with required proof as stated on the form.
  • Documentation is required to award preference.
  • For more information on Veterans’ Preference, please visit Feds Hire Vets – Veterans – Job Seekers – Veterans’ Preference.
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