Registered Nurse-Medical Staff Affairs Coordinator

Veterans Health Administration, Department of Veterans Affairs; Orlando (FL); On-site; USD 85,000 - 120,000; Full time

Job summary

Diversity Group is seeking a Medical Staff Affairs Coordinator to lead credentialing, by-laws processes, and regulatory compliance across nursing leadership and governance. The role emphasizes coordination with service chiefs, reporting to licensing boards, and ongoing improvements in FPPE/OPPE processes.

The incumbent will engage in surveys and administrative rounds to support hospital operations. Ideal candidates will have RN licensure, a nursing degree, and demonstrated leadership in

Qualifications

• Proficient in English (written and spoken) to meet VA standards.
• Nursing program approved by ACEN/CCNE at time of graduation.
• Current, full, active, and unrestricted RN license in the US.
• Bridge program graduates may pursue licensure before completion.
• Foreign nursing education requires degree equivalency validation.

Responsibilities

• Provides oversight and coordination with Credentialing & Privileging for FPPE/FPPE for Cause/OPPE processes.
• Collaborates on privileges standardization and monitoring with Service Chiefs.
• Coordinates By-Laws processes (suspension, revocation, reduction) with Chief of Staff.
• Ensures reporting to state licensing boards and the National Practitioner Data Bank.
• Participates in surveys, administrative rounds, and local activities.
• Plans nursing care delivery and develops skills and judgment for nursing process.

Skills

English language proficiency

Organizational skills

Communication skills

Leadership

Education

Nursing degree (RN) or diploma

ACEN/CCNE accreditation

State nursing license

Master's in Nursing or related field

Job description

Summary

The Medical Staff Affairs Coordinator executes position responsibilities that demonstrate leadership - experience - creative approaches to management of complex clinical and administrative health care issues. Their primary responsibilities include oversight and adherence of Medical Staff By-Laws to standards - ensuring compliance with regulatory and accreditation standards for Medical Staff Affairs - medical staff support - performance measures and other process management for the Chief of Staff.

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
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13071543
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Experience: Prior leadership experience - in addition to knowledge of credentialing - and regulatory standards such as TJC would be preferred
• Strong organizational skills - as well as effective communication skills to interact with medical staff - leadership - and regulatory bodies
• 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 nursing personnel such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include: Significant amounts of time standing assisting Veterans
• Utilization of safe patient handling and mobility protocols.

Duties

• Duties include but limited to: Provides oversight and coordination with Credentialing & Privileging for FPPE - FPPE for Cause - and OPPE processes and tracking
• Collaborates with Credentialing and Privileging on privileges standardization processes and monitoring compliance with Service Chiefs
• In collaboration with Chief of Staff and Service Chiefs - coordinates By-Laws processes such as summary suspension - revocation and reduction of privileges
• Collaborates with HR to ensure reporting to state licensing boards and the National Practitioner Data Bank is completed as required
• Responsible for reporting required activities to the PSB and MEC
• Participates in surveys - administrative rounds - and other local activities as required
• Demonstrates knowledge in planning for the provision of nursing care and assisting with developing skills and judgement to utilize the nursing process in real situation
• Has global understanding of how their areas of responsibility supports the system's mission and vision
• Responsible and accountable for the planning - organization - and evaluation of effectiveness related to clinical - informatics - and/or administrative process changes - analyzing issues impeding change - developing corrective actions to expedite change - and assuring optimum utilization of available resources to maintain a climate conducive to quality patient care and employee satisfaction
• Functions as a formal and informal educator
• Serves as a liaison between internal and external customers - supporting factors that impact customer satisfaction
• 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 - 0800-1630
• Telework: Ad-hoc
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.