REGISTERED NURSE 4
Salary
$80,408.88 - $120,394.08 Annually
Location
Boulder City
Job Type
Full-Time
Job Number
2026-04586
Department
DEPARTMENT OF VETERANS SERVICES
Opening Date
11/11/2026
Closing Date
Continuous
FLSA
Non-Exempt
Bargaining Unit
E
Max Number of Applicants
25
Salary Grade
39
Full Physical Address of Position (City, State, Zip)
100 Veterans Memorial Dr Boulder City, NV 89005
Job Summary
The Nevada Department of Veterans Services, Southern Nevada State Veterans Home (SNSVH) is recruiting for a Registered Nurse 4 to provide support to the Quality Assurance Performance Improvement program (QAPI). The position is geographically located in Boulder City, Nevada. This position requires successful completion of Instructor Certified Nursing Assistant (iCNA) certification and renewals. The position is responsible for the training, professional development, and growth of staff both clinical and non-clinical, ensuring compliance with required training and in-service education. Duties include but are not limited to: assessing and validating competencies, providing remediation, maintaining accurate records; supporting regulatory compliance by preparing staff for surveys and assisting with plans of correction; educating staff on facility policies, procedures, and evidence-based nursing practices; scheduling and instructing various trainings, including but not limited to, new hire orientation and Crombie Academy training.
The position will work collaboratively with department managers and supervisors to identify department-specific training needs and ensure employees receive appropriate education, ongoing support, and required competencies relevant to their respective job titles, and support quality improvement initiatives. The position will also participate in the mock survey process (CCMS & VA) and assist in Performance Improvement Plan development; perform clinical and quality rounds; and assist with special projects to maintain regulatory compliance, such as chart reviews, audits, and new admissions order. The position may be required to serve as House Support Nurse to assist with nursing operations and for resident care when operationally necessary. The SNSVH is a 24-hour skilled nursing facility. Work schedule may be fixed or variable and may include evenings, occasional weekends, holidays, and overtime based on operational needs. The successful candidate must demonstrate strong clinical judgement, leadership, organizational, communication, and interpersonal skills with the ability to work independently and collaboratively with nursing staff and facility leadership.
Registered Nurses provide general or specialized professional nursing care in accordance with the authorized scope of practice specified in the Nurse Practice Act, under supervision of a higher-level nurse, physician, or Mid-Level Practitioner.
Essential Qualifications
Current license to practice as a Registered Nurse and two years of professional nursing experience, one year of which included providing patient care in a skilled nursing facility(e.g., convalescent or nursing home), hospital or home healthcare services; OR one year of experience as a Registered Nurse 2 in Nevada State service performing duties as described above; OR an equivalent combination of education and experience.
Job Duties
Coordinate health services and treatment; collaborate with professional and paraprofessional staff to ensure optimum patient care; carry out therapeutic procedures which provide for the emotional and physical comfort of patients; identify patient health care needs utilizing professional nursing assessment skills; make comprehensive clinical observations and evaluations of health needs including subtle abnormalities and changes in condition; record and report indicative signs and symptoms of physical and mental condition.
Prepare nursing care plans by assessing patients psychological and physical condition and conferring with other health care professionals; evaluate needs and develop nursing diagnoses, plans for treatment, services and health education based on the present and predicted needs of the patient; identify immediate and long-term care goals; review and revise care plans as needed.
Administer medications intravenously, subcutaneously, intramuscularly, topically and orally as prescribed by a physician or designee as allowed in the practice setting; ensure correct time, dosage and route of administration; count controlled medications to ensure security; monitor patient for medication side effects and/or allergic reaction; observe patient to determine if medication is effective for prescribed treatment and document; if necessary, notify appropriate personnel of action taken.
Obtain approval from referral source for diagnostic tests, professional consultations and therapies; provide information for billing purposes and coordination of care.
Assist in physical examinations and diagnostic testing; obtain samples for laboratory tests as ordered by a physician or designee; perform assigned laboratory tests; take timely, effective and proper measures to provide and maintain hygienic environments.
Provide emergency medical treatments required to stabilize the patient's condition and prevent more serious complications pursuant to established policy, such as cardiopulmonary resuscitation (CPR) and first aid.
Document nurse progress notes in medical charts including patient's health status, changes in condition, and medications administered; review charts for changes in orders and transcribe; prepare written reports, records and summaries; perform quality improvement activities such as auditing charts and compiling statistics; ensure applicable regulatory standards are met including documentation of the care delivery process.
Provide education to patients and their families related to good health habits, prescribed treatment, and medication; and provide health related education and training to staff.
Prepare and maintain medical treatment rooms, ensuring supplies are available and ready for use; order and stock medical and related supplies and equipment as needed.
Coordinate and/or participate in clinics; receive prior approval for billing purposes; schedule appointments; provide or arrange for transportation; conduct screening tests; give immunization injections; create and maintain associated records.
May delegate to other personnel direct care duties consistent with their licensure, certification and competency and as allowed in the practice setting.
Incumbents perform the full range of duties outlined above for patients who, due to their acuity level, require care in a 24-hour inpatient skilled nursing facility (e.g., convalescent or nursing home) and may supervise lower-level Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants, and/or other professional, technical or administrative staff as required. Patients in such a facility are either convalescing from a serious injury or surgery, or they have chronic medical and/or mental conditions which require 24-hour skilled nursing care, but not acute care which is provided in a hospital. Incumbents maintain the safety, health, and well-being of patients in the practice setting using the least restrictive interventions appropriate for patients who may be hostile and combative.
Perform related duties as assigned.
Knowledge, Skills, and Abilities
This class specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level.
Working knowledge of: common physical and mental health disorders which require placement in a skilled nursing facility; nursing diagnosis and intervention of patient's response to acute and chronic illness; the effect of different life stages on the physiological response to commonly used medications in the practice setting.
Ability to: monitor, assess and intervene in the care of patients experiencing a wide variety of acute and chronic health problems; assess changes in patient's condition and intervene appropriately; assess outcomes of prescribed medications/treatments; recognize and respond appropriately to hostile and combative behavior.
Recruiter Contact Information: Sara Raighn -Raighns@veterans.nv.gov
The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages.
Please send direct Inquiries or correspondence to the recruiter listed on this announcement.
Benefits include:
Health Insurance: Medical, dental, life, and disability insurance programs for employees and their dependents/family are offered through the Public Employees' Benefits Program (PEBP).
Vacation: Accrual of three weeks of annual leave each year.
Sick Leave: Accrual of three weeks of sick leave each year.
Holidays: 12 paid holidays per year.
Retirement: Participation in the Nevada Public Employees Retirement System (PERS). Employees do not contribute to Social Security but will contribute to PERS if their position is at 50% or more full-time equivalency. For more information on how PERS service may impact Social Security benefits, visit the SSA publication.
Deferred Compensation: The State offers a voluntary Deferred Compensation Program.
No Nevada state income tax.
Public Service Loan Forgiveness: Eligible due to public sector employment.
Longevity Payments Eligibility: Employees who have received a performance rating of "standard" or better and have completed eight (8) or more years of continuous service are eligible for longevity pay.
Additional benefits may apply to employees covered under a Collective Bargaining Agreement (CBA), depending on their designated bargaining unit. For more information, visit the Labor Relations Unit (LRU).
For more details about your rights and responsibilities as a State of Nevada employee, please review the State of Nevada Employee Handbook (PDF).
The following are legal holidays:
January 1.............................................. New Years Day
Third Monday in January.................. Martin Luther King, Jr.s Birthday
Third Monday in February................ Washington's Birthday
Last Monday in May........................... Memorial Day
June 19................................................ Juneteenth Day
July 4.................................................... Independence Day
First Monday in September.............. Labor Day
Last Friday in October....................... Nevada Day
November 11........................................ Veterans Day
Fourth Thursday in November........ Thanksgiving Day
Friday following the Fourth Thursday in November...................... Family Day
December 25........................................ Christmas Day
When January 1, June 19, July 4, November 11, or December 25 falls on a Saturday, the preceding Friday is the observed legal holiday. If these days fall on Sunday, the following Monday is the observed holiday. Eligibility for holiday pay is covered by the provisions of NAC 284.255
01
For my application to be considered, it must be complete, accurate, and truthful, including: Employment Information • Employment dates are accurate, with end dates for any past positions. • My current employer is included. • Contract work lists the contracting company as the employer. • Each position held at the same employer is listed separately with correct dates. Application Requirements • All required documents are attached (resume, transcripts, veteran documentation (if applicable) and any applicable licensure or certification) • I have not listed "see resume" or "refer to application" in any section. I understand that not completing the application as directed, unanswered questions, incomplete responses, false statements, omissions, or partial information may result in disqualification from the selection process.
02
Do you have any of the following?
03
Pursuant to NRS 284.4066, positions in this series have been identified as affecting public safety. Persons offered employment in these positions must submit to a pre-employment screening for controlled substances. Can you meet this requirement?
Required Question
Employer State of Nevada (NV)
Address See Above for Agency Information
See Above for Posting Location, Nevada, 89701
Website https://nvjobs.nv.gov
| Location | Boulder City, NV |
| Salary | $80,408.88–$120,394.08 Per Year |
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