Rehab and Extended Care (REC) RN REC RN's are responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. REC RN's will assesses, plan, implement, and evaluate all care based on age-specific components. See Duties section for more. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in bas