Assistant Chief Nurse (Specialty Care)

Veterans Affairs$75K — $95K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of leadership experience in nursing or healthcare administration.
  • Master's degree in nursing or a related field preferred.
  • Current, unrestricted nursing license in the U.S.
  • Experience with budget management and strategic planning in a healthcare setting.
  • Demonstrated track record in performance improvement and patient satisfaction initiatives.

Responsibilities

  • Provide executive input on strategic planning and operational policies.
  • Directly supervise and manage nursing services across multiple healthcare facilities.
  • Lead budget processes and resource allocation for nursing services.
  • Identify and enhance performance outcomes through performance improvement initiatives.
  • Ensure a safe therapeutic environment for patients and staff.

Benefits

  • 50 days of paid time off annually (including vacation and sick leave).
  • Traditional federal pension with 401K options, including employer contributions.
  • Comprehensive health, dental, and life insurance options.
  • Flexible daytime work hours from Monday to Friday, with potential for weekend coverage.
Full Job Description
Summary

The Assistant Chief Nurse 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, influence organizational mission and health care, and is responsible for outcomes. The selectee is expected to travel to Jacksonville, Ocala, Tallahassee, Gainesville, or Lake City. The duty location will be assigned based on the selectee's place of residence.

Duties

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The Assistant Chief Nurse demonstrates performance and leadership that is broad enough to improve the care for a group of patients. Functions as a self-directed clinical leader, educator, and consultant utilizing management theory in collaboration with Patient Care Service (PCS) and other services.

Functions or scope of assigned duties include, but are not limited to:

  • Provides executive input in the strategic planning, budget, mission, operational planning, and policy development for the specified service.
  • Demonstrates substantial and continuous responsibility for directing, supervising, and managing the specified Service.
  • Aggregates data and demonstrates leadership in the budget process to plan for current, emerging, and future resource requirements (financial, human, material and/or informational) for the specified Service.
  • Identifies outcomes and stop gates that can be improved and leads the performance improvement process to improve and/or sustain clinical and administrative outcomes.
  • Identifies and develops and/or initiates programs to ensure a safe and therapeutic environment for patients and staff.
  • Manages time and leave as well as knowledge and oversight of FMLA, Advanced leave, and other special leave.
  • Supports VHA's High Reliability Journey as a leader.
  • Works closely with service line to ensure AES engagement plans are developed, communicated, and implemented in a timely.
  • Assists with initiatives for transforming and sustaining the culture of the health system to a "culture of safety".
  • Responds to internal and external communications to ensure a high level of patient satisfaction.
  • Promotes and contributes to an environment that is free from discrimination.
  • Knows, understands, ensures, and consistently complies with VA information security and privacy policies, procedures, rules, and regulations individually and within the specified service.
  • Identifies, assesses, develops, organizes, delegates, and implements policy design and review for all SPS SOPS concerning specified service.
  • Demonstrates leadership at the service and/or hospital level, including functioning as a nursing leader with the ability to delegate appropriately.
  • Performs administrative functions to assist the Chief Nurse, which include but are not limited to educational programs, medicine specialty, procedural areas, etc.


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: Flexible daytime hours Monday through Friday, 0730 - 1600 with rotation to off tours and weekends as needed. Coverage areas to include Gainesville, Lake City, Jacksonville, Tallahassee, and The Villages.

Telework: Not available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized

Requirements

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Conditions of employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • You may be required to serve a probationary period.
    • As a condition of employment for accepting this position, you will be required to serve a 2-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.


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/[redacted].

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:

  • Master's in nursing or bachelor's in nursing with a Master's in a related Health Care field.
  • Certification by ANA in Nursing Administration.
  • Experience as a Nurse Manager, Supervisor, or Management equivalent; minimum of two years.
  • Experience in Outpatient Specialty Care.
  • Documented evidence of working with colleagues and peers to bring about positive outcomes in clinical practice.
  • Experience working with an interdisciplinary healthcare team to achieve short- and long-term goals and objectives.
  • Experience with computers such as hospital systems and Microsoft Office applications.
  • Experience in coordinating the daily flow of patient care and visionary in interdisciplinary program planning.
  • Experience in leadership and expected outcomes related to The Joint Commission Standards.
  • History of successfully implementing evidence-based standards of care.


Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position includes 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. Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/off

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