Registered Nurse - Primary Care/Specialty Care Outpatient Staff

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, no invented summary. Remove boilerplate, navigation, legal, EEO, etc. Also remove duplicated lines. We need to parse the posting. Key content: Summary: "Join the VA Black Hills Health Care System in Rapid City - South Dakota - as an Outpatient Registered Nurse and build a rewarding career serving Veterans in primary and specialty care. You will deliver patient-centered nursing care - coordinate services - promote wellness and disease prevention - support chronic condition management - educate Veterans and families - and collaborate with an interdisciplinary team to help Veterans achieve their health goals." That's about the role. Qualifications: Basic Requirements: English Language Proficiency, graduation from approved school, foreign education equivalency, current unrestricted RN license, GNT exception, grandfathering provision. Grade Determinations: Scope - Education and Dimension criteria for Nurse I levels, Nurse II, Nurse III. Also Preferred Experience: Specialty Clinic experience preferred - not required; BSN preferred - not required. Physical Requirements: mention pre-employment exam. Duties: list bullet points. 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 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Also mention Whole Health System. We need sections: About the role (summary), Responsibilities (duties), Requirements (basic requirements?), Qualifications (grade determinations, preferred experience), Skills (maybe not explicit), Benefits (total rewards), Pay (maybe part of benefits), Schedule (work schedule). The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Include a section ONLY when posting has real, specific content for it — never emit heading followed by filler/placeholder text. So we need to decide which sections have content. - About the role: yes, summary paragraph. - Responsibilities: duties list. - Requirements: could be basic requirements (English proficiency, education, licensure). That's specific. - Qualifications: grade determinations and preferred experience. - Skills: not explicitly listed; maybe we could infer but we should not invent. So omit Skills section. - Benefits: total rewards package details (PTO, retirement, insurance, licensure). That's specific. - Pay: The posting mentions "Competitive salary - regular salary increases - potential for performance awards". That's pay info. Could be separate Pay section. However we could also include under Benefits. But instruction says prefer a few substantive sections over many thin ones. Could combine Pay into Benefits? But they listed Pay as possible heading. Since we have pay details, we could make a Pay section. However we also have Benefits details. Might be better to have separate Pay and Benefits sections to avoid thin? But they said prefer a few substantive sections over many thin ones. If we split, we might have two thin sections. However each has substantive content: Pay: competitive salary, regular increases, performance awards. Benefits: PTO, retirement, insurance, licensure. Both are substantive enough. Could keep both. - Schedule: Work schedule Monday-Friday 7:30am-4:00pm, telework not available, virtual not a position. That's specific. Thus we will include About the role, Responsibilities, Requirements, Qualifications, Benefits, Pay, Schedule. Omit Skills. Now need to format content. Use

for each heading. Under each heading, use

for prose,

• for lists. We must preserve all substantive information; do not invent or summarize away detail. Must not omit details like specifics of grade determinations, etc. We need to include all details from Basic Requirements, Grade Determinations, Preferred Experience, Physical Requirements? Physical Requirements is a subsection maybe under Requirements? It mentions pre-employment exam. That's substantive. Should we include under Requirements? Probably yes. We also need to include the Whole Health System description? That's more about the organization; could be part of About the role? Might be extra but we can include in About the role as additional prose. We must not include boilerplate like EEO, etc. The posting didn't have explicit EEO but there is mention of "VA Midwest Health Care Network advocates for a Whole Health System..." that's not boilerplate; it's substantive about the system. Keep. We must not repeat job title. We must not put Job ID/requisition numbers as headings; none present. Now craft HTML. We need to be careful to not include markdown fences. Let's draft:

  About the role

  Join the VA Black Hills Health Care System in Rapid City, South Dakota as an Outpatient Registered Nurse and build a rewarding career serving Veterans in primary and specialty care. You will deliver patient-centered nursing care, coordinate services, promote wellness and disease prevention, support chronic condition management, educate Veterans and families, and collaborate with an interdisciplinary team to help Veterans achieve their health goals. The VA Midwest Health Care Network advocates for a Whole Health System of care that empowers Veterans to take charge of their health and well‑being, creating personalized health plans within healing relationships, healing environments, and community connections.

  Responsibilities

  • Assess Veterans' health needs and develop individualized nursing plans of care based on clinical findings and the Veteran's goals.
  • Deliver and evaluate outpatient nursing care across primary and specialty care settings to support safe, effective, and coordinated treatment.
  • Coordinate care across the continuum to help Veterans access appropriate services and maintain continuity among members of the interdisciplinary care team.
  • Educate and coach Veterans, families, and caregivers on wellness, disease prevention, treatment plans, and strategies for successful self‑management.
  • Support Veterans with chronic conditions by providing ongoing nursing care, education, and guidance designed to promote optimal health outcomes.
  • Administer medications, treatments, and nursing procedures in accordance with established clinical practices and individualized care needs.
  • Collaborate with interdisciplinary team members to develop, implement, and evaluate coordinated approaches to Veteran care.
  • Apply evidence‑based nursing practices and participate in activities that improve the quality, effectiveness, and efficiency of outpatient care.

  Requirements

  Basic requirements:

  • English language proficiency – proficiency in basic written and spoken English (38 U.S.C. 7403(f)).
  • Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at the time the program was completed.
  • Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may be eligible for state licensure prior to bridge program completion; after obtaining a state license they may be appointed temporarily and later converted to permanent upon successful graduation from the bridge program.
  • Graduates of foreign schools of professional nursing must possess a current, full, active, and unrestricted registration that meets the requirement for graduation from an approved school; foreign nursing education higher than associate/entry level requires formal degree equivalency validation from a recognized evaluator (e.g., International Consultants of Delaware).
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth (including Puerto Rico), or the District of Columbia.
  • Graduate Nurse Technician (GNT) exception: candidates who meet basic education requirements but lack licensure may be appointed at the entry step of the applicable grade and level as a GNT on a 120‑day temporary appointment (extendable up to two years case‑by‑case) while actively pursuing licensure.
  • Grandfathering provision: all persons currently employed in VHA in the 0610 series performing the described duties on the effective date (1/29/2024) are considered to have met all qualification requirements for their grade.
  • Physical requirements: participation in a pre‑employment examination or evaluation; questions about physical demands or environmental factors can be addressed at that time.

  Qualifications

  Grade determinations (Scope – Education and Dimension criteria):

  • Nurse I – Level I: Delivers fundamental knowledge‑based care while developing technical competencies. Requires 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 for basic or complex clients. Requires either an ADN/Diploma plus 1 year of specialized nursing experience equivalent to Nurse I‑Level I, or a BSN with no additional professional nursing experience.
  • Nurse I – Level III: Demonstrates proficiency based on conscious and deliberate planning, self‑directed goal setting for managing complex client situations. Requires either an ADN/Diploma plus 2 years of professional nursing experience (one year equivalent to Nurse I‑Level II), or a BSN plus 1 year of experience equivalent to Nurse I‑Level II, or an MSN with no additional experience, or a Master’s in a related field plus a BSN with no additional experience.
  • Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies. Requires either a BSN with 2 years of professional nursing equivalent to Nurse I‑Level III, or an MSN with 1 year of specialized nursing equivalent to Nurse I‑Level III, or a Master’s in a related field plus BSN with 1 year of such experience, or a Doctoral degree in Nursing with no professional nursing experience, or a Doctoral in a related field plus BSN with no additional experience.
  • Nurse III: Executes position responsibilities showing leadership, experience, and creative approaches to management of complex client care beyond the immediate practice setting. Requires either an MSN with 2 years of specialized nursing experience (one year equivalent to Nurse II and meeting all Nurse III dimension requirements), or a Master’s in a related field plus BSN with 2 years of specialized nursing (one year equivalent to Nurse II and meeting Nurse III dimensions), or a Doctoral in Nursing with 1 year of specialized nursing equivalent to Nurse II and meeting Nurse III dimensions, or a Doctoral in a related field plus BSN with 1 year of such experience and meeting Nurse III dimensions.

  Preferred experience (not required): Specialty clinic experience; BSN preferred.

  Benefits

  • Paid Time Off: 50 days per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays).
  • Retirement: Traditional federal pension (5‑year vesting) and federal 401(k) with up to 5% matching contributions by VA.
  • Insurance: Federal health, vision, dental, term life, and