Registered Nurse (Chief Nurse-Primary Care)

Veterans Health Administration, Department of Veterans Affairs; San Francisco (CA); On-site; USD 150,000 - 200,000; Full time

Job summary

The Nurse IV - Chief Nurse - Primary Care Nursing at San Francisco VA Health Care System leads substantial clinical and administrative responsibilities that cross services to advance the organization's health-care mission.

Requires an MSN and a strong nursing license with VA qualifications; strategic leadership, budgeting, and interprofessional collaboration are essential to drive high-quality veteran care.

Qualifications

• Master's degree in Nursing (MSN) and 4 years of professional nursing experience.
• Current, full, active, and unrestricted RN license in the United States.
• Ability to obtain state licensure and comply with VA qualification standards.

Responsibilities

• Provide senior leadership and oversight for daily clinical and administrative nursing operations.
• Collaborate with interdisciplinary teams to achieve patient-centered and organizational goals.
• Develop standards of care, policies, and objectives for nursing; manage staffing and budget.
• Direct processes and metrics to support quality care and access; drive performance improvement.
• Serve as Acting ADPCS/NE or Deputy ADPCS/NE as needed.

Skills

Leadership

Communication

Relationship management

Ethical decision making

Education

Master's degree in Nursing (MSN)

BSN or higher

Doctoral degree in nursing or related field

Job description

Summary

The Nurse IV - Chief Nurse - Primary Care Nursing - at San Francisco VA Health Care System executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines - and influence the organizational healthcare mission.

Qualifications

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 of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• The following Scope - Education and Dimension criteria must be met to qualify for Nurse IV: Scope: Executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines and influence organizational mission and health care
• Education: Master's degree in Nursing (MSN) and 4 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR Master's degree in a *related field with a BSN and 4 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR a Doctoral degree in nursing and 3 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR a Doctoral degree in a *related field with a BSN and 3 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Dimensions: Leadership
• Leads health care delivery by leveraging evidence-based practices - industry-leading research - and innovative care models
• Drives a shared vision and successfully leads change to improve performance and attain measurable outcomes at the program or service level
• Business Acumen
• Transforms health care by implementing new processes - technology - informatics - and data analytics using business models and fundamental concepts of resource management at the program or service level
• Inspiring an Industry-Leading Lifestyle
• Employs an industry leading - shared decision-making lifestyle
• Cultivates a workforce that serves Veterans - families and caregivers of all backgrounds and builds trust - lifestyle competencies and catalyzes dynamic teams at the program or service level
• Communication and Relationship Management
• Directs the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional organizational values - beliefs and practices at the program or services level
• Professional and Social Responsibility
• Operationalizes a lifestyle of holistic care - health advocacy and health equity
• Applies ethical principles in decision-making at the program or service level
• Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans and the community
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling.

Duties

• The Nurse IV - Chief Nurse - Primary Care Nursing - functions as an advisor - administrator - educator - consultant - and mentor who possesses a wide range of experience and leadership ability
• Duties for the position may include but are not limited to: Provides senior leadership and oversight for daily clinical and administrative operations within nursing as directed by the Associate Director for Patient Care Services/Nurse Executive (ADPCS/NE)
• Supports the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of patient-centered and organizational goals
• Collaborates with interdisciplinary team members - including other program and service leaders at the facility and network
• Contributes ideas and recommendations for the establishment of standards of care - policies - and objectives for the enhancement of nursing
• Assumes accountability for administrative functions for these areas and is responsible for planning - developing - implementing - directing - and evaluating the overall program and functions therein including staffing and budget accountability
• Responsible for all processes - performance measures and other metrics that support Quality Care and Access
• Supports and facilitates outreach that provides access to exemplary care that is fully integrated across the continuum
• Develops and maintains effective relationships with all levels of internal and external customers by interacting and relating effectively
• Collaborates with Chief of SPS to address issues related to instrumentation and other RMD-related matters in their areas
• Serves as Acting ADPCS/NE or Deputy ADPCS/NE as needed
• 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 Eligible Virtual: This is not a virtual position Relocation/Recruitment Incentives: May be authorized for highly qualified candidates Permanent Change of Station (PCS): Not Authorized