Located in historic downtown Charleston, SC, the Ralph H. Johnson VA Medical Center is a tertiary care teaching hospital providing the highest level quality for more than 75,000 Veterans along the South Carolina and Georgia coast. The Ralph H. Johnson VA is rated is the second fastest growing VA in the U.S. for percentage patient growth. visit www.charleston.va.gov.About Us | VA Charleston Health Care | Veterans Affairs About Us | VA Charleston Health Care | Veterans Affairs Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one