Registered Nurse (Nurse IV )- Chief Quality Management

Veterans Affairs$85K — $100K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in Nursing or related field with a BSN and 4 years of relevant experience
  • Current, unrestricted nurse license in the U.S.
  • Proficiency in English, both written and spoken
  • Preferably CPHQ certified and possess nursing leadership and quality management experience
  • Exceptional communication, analytical, and interpersonal skills

Responsibilities

  • Guide quality management across VAIHCS and CBOCs
  • Collaborate with interdisciplinary teams to enhance patient care quality
  • Monitor care quality and safety for vulnerable populations
  • Ensure compliance with accreditation standards and regulatory requirements
  • Lead initiatives to improve patient outcomes at program and organizational levels

Benefits

  • 50 days of paid time off per year
  • Traditional federal pension and 401K with VA contributions
  • Comprehensive federal health, dental, and life insurance options
  • Regular salary increases and potential performance awards
  • Possibility of telework based on agency policy
Full Job Description
Summary

The Chief Nurse, Quality Management (QM) guides the overall management of the quality, safety, value enterprise framework within VA Illiana Health Care System (VAIHCS) and Community Based Outpatient Clinics (CBOCs). This includes such programs as Quality Management, Patient Safety, Utilization Management, Infection Control, and Risk Management, System Redesign for high reliability, accreditation and all external reviews.

Duties

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The Nurse IV Chief Nurse Quality Management executes leadership that is characterized by substantial and continuous responsible and accountable for an integrated program that crosses services and/or discipline lines and influences the organizational mission. Follows procedures per established policies and guidelines. Influences outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the program level quality improvement process and initiatives as well as customer service programs.

  • The breadth and scope of the QM Chief Nurse role extends into all major practice areas, for example. clinical, administrative, research, and education. The QM Director demonstrates leadership in the application of the nursing process to patient care, organizational processes and/or systems, regularly improving outcomes at the program and organizational level and influencing and improving outcomes at the VISN or national VHA level.
  • The WM Chief Nurse has accountability for addressing the specialized and complex needs of a health care organization operating in a Level 3 facility in a rural setting and one providing highly complex mental health treatment across the continuum, for example. This accountability for ensuring quality outcomes includes the entire VAIHCS as well as monitoring and appropriately following and/or coordinating when Veterans access care elsewhere (either within the VA framework or at private community health care agencies).
  • The incumbent has accountability for the quality of care and safety of vulnerable populations such as those with dementia, traumatic brain injury, or other specialized needs. The large volume of these sensitive populations necessitates increased vigilance in monitoring quality outcomes and assessing risk.
  • The QM Chief Nurse is responsible for ensuring quality of care, patient safety, and thorough programmatic quality monitoring for Veterans accessing care or having their care coordinated through external programs (i.e. Care in the Community).
  • The incumbent is responsible for providing leadership and guidance to develop, implement, refine and maintain a comprehensive program for the medical center and CBOCs to evaluate the quality of patient care, improve the quality of patient care, evaluate the appropriateness and timeliness of services and meet all accreditation standards or other requirements from both internal and external regulatory and review organizations such as The Joint Commission (T JC), Commission on Accreditation of Rehabilitation Facilities (GARF), Long Term Care Institute (LTCI) and The Office of the Inspector General (OIG).
  • The QM Chief Nurse is an expert nurse, "with much more background of experience, who has an intuitive grasp of situations that guide practice, whose performance is now fluid, flexible, and highly proficient.


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: 8:00 AM- 4:30 PM

Telework: May be authorized- as determined by the agency policy.

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 evaluation/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.
  • 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.

*Note: Foreign education programs/degrees are not creditable as related degrees.

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/.

Preferred Experience:

  • Nursing leadership and quality management experience.
  • CPHQ certification.
  • Excellent communication, analytical, organizational, and interpersonal skills to work vertically and horizontally across the organization.
  • The ability to identify statistical deviations/variances or process patterns/trends that may impact the care outcomes.
  • Able to work collaboratively and use influence to accomplish work across departments.
  • Proven leadership ability and facility operational expertise.


Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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