Registered Nurse - Community Care

Job Summary

Registered Nurse — Community Care / Patient Business Office, Dayton VA Medical Center

Openings: 12 · Location: On-site, Dayton VA Medical Center, 4100 W Third Street, Dayton, OH 45428 · Schedule: Monday–Friday, 8:00 AM–4:30 PM (two 15-minute breaks and a 30-minute lunch) · Type: Full-time, hourly W2 contract · Contract period: October 19, 2026 – October 18, 2027 (base year)

Compensation: 45.00/hr plus full time benefits

About the role

Aptive Resources is hiring twelve Registered Nurses to support the Patient Business Office / Community Care program at the Dayton VA Medical Center. This is a clinic-based, Monday-through-Friday RN role focused on care coordination rather than bedside care: you will review consults and referrals, assess Veterans' clinical needs, coordinate follow-up on labs, imaging and procedures, take clinical phone calls, and keep the record complete so Veterans get timely care inside and outside the VA. You will work under the professional direction of the VA Nurse Manager as part of an interdisciplinary team that includes VA providers, Advanced Medical Support Assistants and community providers.

Primary Responsibilities

What you will do

• Provide nursing care coordination for an assigned panel of Veterans: contribute to the patient assessment, determine priorities, identify nursing measures and therapeutic objectives, and evaluate outcomes
• Own the follow-up on labs, imaging and procedures ordered at clinic appointments, and handle RN phone consultation and clinical review for the service
• Determine the appropriate course of action on consults and referrals and communicate in person or by phone with referring clinicians and community health care providers
• Obtain patient and pertinent family history, assess the patient, plan nursing care, and reassess and revise the plan as needs change
• Instruct patients and families on prescribed medications, therapies and upcoming procedures; assess understanding and document teaching
• Verify transcription of provider orders, carry out prescribed orders, and review laboratory data and the electronic record
• Administer medications and IV therapies within scope when assigned to a clinic setting; recognize emergencies and initiate appropriate measures, including life-saving measures in the absence of a physician
• Document all care and communications in the VA electronic health record (CPRS/EHR) before the end of each shift, and select appropriate E&M and procedure codes as directed
• Report patient safety events in the VA Patient Safety Reporting System within 24 hours and report any patient complaint to the COR or designee within 24 hours
• Participate in discharge planning, daily team huddles, and required meetings: weekly All Call, weekly Nurse Call, and monthly Admin meeting
• Refer patient and customer service issues to the Nurse Manager, Supervisory Physician or Admin Supervisor
• Maintain professional appearance and decorum, apply VA customer service (ICARE) standards, and protect patient privacy at all times

Direct patient care is estimated at 95% of the workday. Roughly three RNs from the team are required on site each day, so reliable attendance and on-time clinic presence are performance measures on this contract.

Minimum Qualifications

Qualifications, credentials and onboarding:

Required

• Graduate of a school of professional nursing accredited by ACEN or CCNE at the time of graduation and approved by the state accrediting agency
• Current, unrestricted RN license from the Ohio Board of Nursing
• Current BLS and CPR certification from an American Heart Association vendor; ACLS also required if assigned to a specialty clinic
• At least 1 year of direct patient care experience within the last 3 years
• Fluent in spoken and written English
• Able to pass VA credentialing (VetPro) and a federal Tier 1 background investigation, and to obtain a VA PIV badge before the first shift
• Not listed on the HHS OIG List of Excluded Individuals/Entities
• Verifiable education and work history with any gaps explained

Preferred

• Prior VA experience, or experience with CPRS/VistA and the VA electronic health record
• Background in ICU, med-surg, telemetry/cardiac monitoring or emergency nursing
• Experience in care coordination, case management, utilization review, consult management or community/referral care
• Ability to interpret cardiac rhythms and operate defibrillators, EKG machines and cardiac monitors

Health and immunization documentation (due within 5 days of award and before the first shift; tests current within the past year)

• Negative TB test (TST or IGRA), or a negative chest X-ray if the test is positive
• Proof of immunity to measles, mumps, rubella and varicella
• One dose of Tdap
• Annual influenza vaccine (or documented contraindication, with masking during flu season)
• Hepatitis B vaccination series with post-series surface antibody result, and completion of bloodborne pathogen self-study training

Training you will complete

VA-provided EHR/CPRS training on start, plus roughly 18 hours of annual mandatory VA online training (privacy and HIPAA, patient safety, suicide risk management, infection control, disruptive behavior prevention, MST, PACT Act toxic exposure screening, ethics, active threat and related courses). BLS/ACLS status is verified quarterly; certifications are resubmitted every two years.

Physical Requirements

Physical Requirements: This role requires the ability to stand, walk, and move throughout patient care areas for extended periods, often during long shifts. The employee must be able to lift, transfer, or reposition patients and equipment up to 50 pounds, with or without assistance, and frequently bend, kneel, reach, and push or pull wheeled equipment. The role also requires manual dexterity for tasks such as administering medication, operating medical equipment, and documenting patient care, as well as the ability to respond quickly in emergency situations. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.

About Aptive

Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.

Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector.​ Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.​

EEO Statement

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.

Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.