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Nurse (All Specialties)

Department of Health and Human Services
Indian Health Service
Various locations within the Agency

Summary

At the Indian Health Service (IHS), Nurses do more than practice medicine-they change lives. Guided by our mission to raise the health of American Indian and Alaska Native people, you'll deliver compassionate care where it's needed most.

Your expertise brings healing and hope across generations. Begin your journey with purpose - AND receive a recruitment/relocation sign-on bonus, if you are eligible.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Overview

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Accepting applications
Posted today · Apply by 09/30/26
Due by 11:59 p.m. ET on September 30, 2026
Location
Many vacancies in the following locations:
Work site options
Telework eligible
No
Remote job
No
Relocation expenses reimbursed
Yes—You may qualify for reimbursement of relocation expenses in accordance with agency policy.
Salary
$73,426 - $103,672 per year
Pay scale & grade
GS 5 - 7
Promotion potential
9
Pay scale and grade determines the salary of the job.
Work schedule
Multiple Schedules - The majority of positions to be filled under this announcement are full-time. This announcement may also be used to fill various work schedules, including full-time, part-time (less than 40 hours per week), and intermittent (as needed).
Travel Required
Occasional travel - You may be expected to travel for this position.
Appointment type
Multiple - The majority of positions to be filled under this announcement are permanent. This announcement may also be used to fill time-limited appointments such as TERM and Temporary.
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Competitive Service
Represented by a union
Yes
Drug test
No
Security clearance
Other
Position sensitivity and risk
Moderate Risk (MR)
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
IHS-26-HQ-12951232-DHA
Control number
871397400

This job is open to

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Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

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Duties

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Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov)

Not all locations may have immediate vacancies. The purpose of this position is to provide comprehensive care to pediatric, adolescent, adult and geriatric patients within the Indian Health Service within the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg-Inpatient.

ER Duties:

  • Assessing, planning, coordinating, implementing, and evaluating the delivery of skilled patient care in accordance with nursing standards and evidence-based practice.
  • Performing triage using the Emergency Severity Index (ESI) system to determine patient acuity and prioritize treatment needs.
  • Providing comprehensive emergency care to stable, unstable, and critically ill patients, including stabilization, resuscitation, and life-support interventions.
  • Utilizing critical thinking skills to make complex clinical decisions and respond effectively to rapidly changing patient conditions.
OB Duties:
  • Provides professional nursing care in the obstetrical unit for patients in labor and delivery, postpartum through discharge, and for newborns from birth to discharge.
  • Develops, implements, and evaluates individualized patient care plans across the continuum of care including antepartum, intrapartum, postpartum, obstetrical triage, and newborn nursery services.
  • Obtain and maintain certifications as required by hospital policy, such as Basic Life Support (BLS), Advanced Life Support (ACLS), and Neo-Natal Resuscitation Program (NRP), Fetal Monitoring.

OR Duties:

  • Assessing patient condition based on observation, physical examination, interview, physician diagnosis, laboratory data, and age-specific needs.
  • Providing pre- and post-operative education, emotional support, and guidance to patients and families regarding procedures, recovery expectations, and self-care.
  • Performing pre-, intra-, and post-operative assessments in PACU, Same-Day Surgery, and Pre-Admission units, ensuring safe patient transitions and timely documentation.
  • Maintaining required certifications (e.g., ACLS, BLS, PALS) and demonstrating competency in advanced perioperative and procedural nursing skills.
  • If needed will function as the primary scrub technician and be responsible for handling instrument, supplies, and equipment during all surgical procedures.

Med-Surg-Inpatient Duties:

  • Promoting evidence-based nursing practice through coordinating care focused on patient education, self-management, and overall satisfaction throughout the continuum of inpatient care.
  • Administering medications and performing procedures in accordance with established policies and clinical standards.
  • Participating in performance improvement, patient safety, and quality initiatives to enhance clinical effectiveness and efficiency.

Requirements

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Conditions of employment

Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959

This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.

IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, and seasonal influenza immunizations. Vaccine exemption requests may be available according to the National and/or Service Unit guidance.

The selected individual is required to obtain and maintain any licensure requirements.

On-call hours or standby duty may be required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

Position subject to rotating shifts; days, evenings, nights, weekends, and holidays. Shift rotations may vary from 8-, 10-and 12-hour shifts.

You will need to set up direct deposit so we can pay you.

Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

Degree and License Waiting Period for Impending Graduates: The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration with 9 month(s) of applying, may be deemed tentatively qualified. Applicants who have not completed their education requirements (but who are within the established timeframe for qualifying) must submit:

  • Documentation from the educational institution's registrar, dean or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
  • A copy of the most recent unofficial transcript.

BASIC REQUIREMENT(S):
Education A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education(external link), Council on Accreditation of Nurse Anesthesia Educational Programs(external link), Accreditation Commission for Midwifery Education(external link), or an accrediting body recognized by the U.S. Department of Education(external link) at the time the degree was obtained.

Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.

Licensure For all grade levels and positions, applicants must have passed the National Council Licensure Examination(external link). In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Basic Requirements for the GS-5
  • Possession of a bachelor's degree in Nursing with no experience; or
  • Possession of a diploma or associate degree in professional nursing and one full year of professional nursing experience.
Basic Requirements for the GS-7
  • Possession of a bachelor's degree in Nursing and eligibility under the Superior Academic Achievement provision;
  • Possession of a bachelor's degree in Nursing and at least one full year of professional nursing experience (equivalent to the GS-5 grade level);
  • Possession of a diploma or associate degree in professional nursing and two full years of professional nursing experience; or
  • Completion of at least one full year of graduate education in a professional nursing educational program.
In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below-

MINIMUM QUALIFICATIONS:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:

ER Specialized experience GS-07
  • Performs under general supervision of a RN who will review work periodically. Duties include: assessing and caring for the nursing needs of patients and other types of patients as assigned; developing plans of care to meet the needs of assigned patients; recognizing adverse signs and symptoms and reacting swiftly in emergency situations; and basic knowledge of triaging patients.
OB Specialized experience GS-07
  • Provides professional obstetrical nursing care to patients under close supervision. Reviews medical records, administers medications as prescribed, and assists physicians and midwives with procedures. Develops or participates in the development of nursing care plans to meet the needs of assigned patients in accordance with established obstetrical nursing standards, policies, and procedures. Monitoring maternal and fetal status and reporting deviations from expected findings.
OR Specialized experience GS-07
  • Perform in an advanced trainee capacity to higher level OR nurses; Certified in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS); Observes patient's conditions, Assesses nursing needs, and provides required nursing care; Administer as prescribed oral medications, hypodermic injections and intravenous feeding; Observe and record temperature, pulse, blood pressure, respiration data and effects of medication; Prepare patients for tests, examinations and treatment; Prepare and review records.
Med/Surg-Inpatient Specialized experience GS-07
  • Conduct comprehensive nursing assessments and independently identify changes in patient condition; Administer medications and treatments independently while evaluating patient responses and initiate nursing interventions; Develop and update individualized nursing care plans and nursing diagnoses based on assessment data and evidence-based practice; Provide individualized patient and family education tailored to patient needs, cultural considerations, and health literacy; Collaborate with interdisciplinary healthcare team members to coordinate patient care and modify patient care plans.

Click on the following link to view occupational requirements for this position: Nurse Series 0610

You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Financial Suitability Requirement:
This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.

Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).

Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

This position is covered by a Bargaining Unit.

Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.

The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit:
For IHS - http://www.ihs.gov/loanrepayment/
For NHSC - https://nhsc.hrsa.gov/loanrepayment/
For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps

This position has promotion potential to the GS-GS-9 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.
  1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
  2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
  3. How would you help advance the President's Executive Orders and policy priorities in this role?
  4. How has a strong work ethic contributed to your professional, academic or personal achievements?
  • Your responses are optional and will not be scored.
  • However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
  • You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position. For more information, visit the USA Hire Applicant Resource Center.

This is an Open Continuous Announcement and applications will be referred when vacancies occur. There MAY NOT be immediate vacancies at all locations. You will only be considered for the locations you select. This Announcement is intended as a mechanism of providing consideration for the greatest number of potential candidates. Candidates with a complete application will be considered for all vacancies that occur for a 3-month period or the closing date of this announcement, whichever comes first. You will be considered for those vacancies that match your desired geographic locations, skills and or job preferences. Positions may be filled at ANY of the grade levels indicated in this announcement, with or without promotion potential as vacancies occur. Applicants should specify the lowest grade (GS-level) that they will accept.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

  • Attention to Detail
  • Integrity/Honesty
  • Interpersonal Skills
  • Reading Comprehension

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12951232

Additional selections may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement. By applying, you agree to have your application shared with interested selecting official(s) at HHS. Clearance of CTAP/ICTAP will be applied for similar positions across HHS.

This position will be filled through the Office of Personnel Management's Direct Hire Authority. Category rating and Veterans' Preference will not be considered in evaluating applicants. For more information on Direct Hire Authority, please see OPM Direct Hire Fact Sheet. Your application (resume and supporting documentation) will be evaluated to determine if you meet the minimum qualifications required as listed on the announcement under qualification requirements. To be considered well qualified for the purposes of the Career Transition Assistance Program (CTAP) and the Interagency Career Transition Assistance Program (ICTAP), you must substantively exceed the basic qualifications and meet all eligibility, physical, medical, suitability, and any other requirements.

All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of 09/30/2026, to be considered.

Indian Health Service

Become a part of an innovative, dynamic, nationwide organization of dedicated health care providers working to meet the individual health care needs of American Indians and Alaska Natives. Indian Health Service (IHS) employees are considerate in our care, creative in our approach, enthusiastic about our work and compassionate with our patients. Our lifestyle is adventurous, community oriented and focused on service and problem solving as part of a professional interdisciplinary team. Join us in improving the health outcomes of over 2 million American Indians and Alaska Natives.

Agency contact information

Kayla Laundreaux
Phone
(605) 377-7857
Email
kayla.laundreaux@ihs.gov
Address
IHS Headquarter
5600 Fishers Lane
Rockville, MD 20857
US

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Learn more about what it's like to work at Indian Health Service, what the agency does, and about the types of careers this agency offers.

http://www.ihs.gov

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