Registered Nurse - Domiciliary Mental Health

The Veterans Affairs Black Hills Healthcare System is seeking a compassionate Registered Nurse for the Domiciliary Mental Health Residential Rehabilitation and Treatment Program. This role supports Veterans living with mental health and substance use concerns through recovery-oriented nursing care, safe medication management, patient education, care coordination, and collaboration with an interdisciplinary treatment team. Join a mission-driven residential treatment team dedicated to helping Veterans build stability, confidence, and healthier futures. As a Domiciliary Mental Health Registered Nurse, you will provide meaningful, recovery-focused care in a therapeutic environment where nursing practice directly supports patient safety, wellness, self-management, and successful transitions through treatment. This position offers the opportunity to work closely with an interdisciplinary team, engage Veterans in collaborative care planning, support admissions and discharges, and contribute to a structured program that values communication, professional boundaries, and Veteran-centered decision-making. Your work will help reduce fragmentation in care and strengthen each Veteran's path toward recovery. Duties include, but are not limited to: - Assess Veterans' physical, mental health, psychosocial, and health literacy needs to support individualized, recovery-oriented care planning. - Develop, update, and document nursing plans of care using realistic, measurable health goals and discharge planning priorities. - Coordinate admissions, discharges, transfers, and warm hand-offs to promote safe transitions across units and healthcare settings. - Facilitate communication among Veterans, families or caregivers, providers, and interdisciplinary team members to support shared decision-making. - Provide oversight of safe medication management, including medication reconciliation and assistance with prescribed inpatient medications. - Lead or support nursing education activities, including assigned weekly classes that promote patient understanding, self-management, and recovery. - Identify and respond to psychiatric, medical, environmental, and safety concerns to help maintain a safe therapeutic residential setting. - Serve in Charge RN responsibilities when assigned, coordinating shift assignments, hand-off communication, admissions, discharges, breathalyzers, urine drug screens, treatment plan updates, quality checks, chart reviews, and supply needs. 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: Works 6 twelve-hour shifts and 1 eight-hour shift per pay period 12 - Hour Shift: 7:30 AM-8:00 PM 8 - Hour Shift: 7:30 AM-4:00 PM Works every other weekend Works holidays on a rotating basis 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.