Having been a Sunset Beach Bar viewer, a VOR/DME approach is no problem. The approach is over the sea, so terrain clearance is no problem, as long as one is either visual, or following the approach chart readouts, like 1500' at 5 miles, 1000' at 2 miles etc.,
I am only an ex-ppl, but this is how it would work in the big ones, also, PAPI's and /or VASI's on the threshold. As long as the bearing selector on the VOR is at the runway heading, it is just like an ILS, but without the glide slope. You still get the deviation left or right from the VOR, allowing for wind drift with the heading that keeps the bearing needle in the right place.
Commercial pilots, am I correct?, it's been a long time since I did the flying bit.