Registered Nurse (Transcranial Magnetic Stimulation)

About the role

The Transcranial Magnetic Stimulation Registered Nurse executes their position duties by providing patient-centered and recovery-oriented care and maintaining self-awareness while caring for patients living with Mental Health conditions.

What you will do

• Ensure completion of the initial screening, which consists of verifying the Veteran's identity and assess for changes in medications, side effects, medical conditions, psychiatric conditions, and suicidal or homicidal thoughts.
• Provide daily screenings of neuromodulation patients.
• This screening includes: inquiries regarding changes in medication, sleep status, mood or anxiety related to neuromodulation therapy; assess for use of substances and knowledge of medication/substance use relevant to neuromodulation therapy; and evaluate the veteran for any worn metal that needs removal.
• Provide pre-treatment education for all interested Veterans and potential new patients.
• After the rTMS Psychiatrist/Psychiatric Nurse Practitioner determines a patient is clinically appropriate, has no contraindications, would benefit from rTMS therapy, and has written the order for rTMS therapy in the Computerized Patient Record System, the rTMS Clinical Nurse Treatment Operator will provide procedure instructions to the patient.
• Identify patients, verify that proper informed consent has been obtained, obtain patient consent for treatment, and document consent in the patient record.
• Provide support to the rTMS Psychiatrist/Psychiatric Nurse Practitioner or their designee during motor threshold (MT) determination.
• This requires familiarity with MT procedures, including careful clinical observation and assistance with identification of rTMS-induced movement.
• It also requires ability to consider changes in clinical status that might impact MT and alerting the rTMS Psychiatrist/Psychiatric Nurse Practitioner.
• Gather medical history and other required pertinent information prior to and during rTMS therapy; administer mental health rating scales and other assessments as needed for clinic patients.
• Conduct, coordinate, or order various medical tests and labs according to protocol.
• Administer rTMS treatments under the supervision of the rTMS Psychiatrist/Psychiatric Nurse Practitioner; provide supervised daily operations of rTMS Clinic devices.
• Identify any significant changes prior to and during treatments.
• Ensure the mental health safety of patients throughout the course of their rTMS therapy until such time the patient's care returns solely to the care of their Mental Health Attending Psychiatrist.
• File electronic medical record treatment notes daily in CPRS, document the procedures performed under the appropriate note title following established forms filled with relevant data from the day's treatment.
• Demonstrate abilities to deliver basic emergency care in the rTMS Clinic, including use of the emergency button on the rTMS therapy device and implementation of facility emergency procedures.
• Serve as a primary contact for patients and family members throughout their evaluations and courses of treatment.
• Provide operational support for the rTMS Clinic, including monitoring clinic supplies, ensure quarterly reviews of available supplies, and coordinate with inventory management, and respond to voicemails and e-mails in a timely manner.
• Contribute to approved neuropsychology and neuromodulation research protocols and program evaluation projects.
• Maintain annual competencies required by the Mental Health Service in the rTMS RN education and training folder and the vendor's rTMS System training records.
• May include driving mobile unit to various locations to support and provide rTMS treatment throughout VAMT.
• 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: Monday-Friday; 7:30 AM-4:00 PM Telework: Available (NOTE: The Veterans Health Administration, including Montana VA Health Care System, will fully comply with the intention and instructions contained in the "Return to Office" Executive Order.
• This position will likely be eligible to telework on a limited Ad-Hoc basis only) 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 (***).
• 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/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.

Documents you must provide

• 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.
• Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Other (1) PCS Orders Performance Appraisal Professional Certification 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.

What to expect next

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. Information regarding your application status can be found in the USAJobs Help Center. NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service.

HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities.

HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities.

HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

Additional information

This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply.

The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.