Registered Nurse - Outpatient Mental Health

  • Veterans Affairs, Veterans Health Administration
  • Tacoma, Washington
  • Full Time
Summary

The Outpatient Mental Health Registered Nurse promotes personal growth and development of psychiatric-mental health nursing practice. The RN gains awareness of the principles and goals of outpatient mental health treatment by understanding practices related to patient-centered care - recovery-oriented principles - tele-mental health - community based care - and self-awareness related to caring for patients living with mental health conditions.

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:
  • 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 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
  • Reference: For more information on this qualification standard - please visit
  • Preferred Experience: Bachelor of Science in Nursing Two to three years Psychiatric/Mental Health nursing experience
Duties
  • Duties include but are not limited to: Providing care coordination Providing evidenced based assessments Providing triage mental health status and medication concerns Administering medication and/or treatments Using de-escalation techniques - suicide prevention measures - safety planning - health and wellness promotion - and intervention services for patients enrolled in the Mental Health programs
  • Adhering to standards of practice and safe technique in preparation and administration of medication and treatments
  • Observing patients for adverse effects from medication and/or treatment and reporting appropriately
  • Providing holistic care in collaboration with the interdisciplinary team - patient populations include Veterans who present with the full range of DSM-V mental disorders - including mood disorders - anxiety disorders - psychotic disorders and substance use disorders
  • Patients may present with co-morbid medical conditions - functional decline and unstable living conditions
  • Attending and participating in Mental Health interdisciplinary team huddles and meetings Practicing de-escalation techniques - utilizing recovery-oriented language - and providing Veterans - their family members - and/or significant others with education regarding their illness - medications - and treatment plan
  • Liaising with Inpatient Mental Health Units to facilitate continuity of care - and responding to psychiatric and medical emergencies as directed
  • Documenting nursing triage assessments - risk screens - clinical reminders - and patient plan of care in accordance with facility policy
  • Maintaining professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
  • 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
  • Work Schedule: Monday through Friday - 7:30AM to 4:00PM
  • Telework: Not authorized
  • Virtual: This is not a virtual position
  • Relocation/Recruitment Incentives: Not authorized
  • EDRP Authorized: Former EDRP participants ineligible to apply for incentive
  • Contact ... - the EDRP Coordinator for questions/assistance
  • Learn more Permanent Change of Station (PCS): 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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Job ID: 522910546
Originally Posted on: 5/29/2026

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