The 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. The Nurse IV is responsible for administrative functions of their assigned unit and functions as an administrator, educator, and consultant utilizing management theory.

Duties

San Francisco VA Health Care System is a Level 1a major interdisciplinary teaching facility with service- lines serving medical, surgical, and neurological inpatients and outpatients, with a Level II Emergency Department, and multiple community-based outpatient clinics (CBOC). There is a large inpatient/outpatient psychiatric population, with admissions for medical co-morbidities. Home-Based Primary Care nursing care is also provided. Duties for the position may include but are not limited to: Provides executive leadership and direct supervision to the Nurse Managers over the following critical care units: ICU, TCU, ER and the Nursing Supervisors that support the acute services 24/7. Assess, plan, and evaluates the processes and daily operations of the inpatient units Assist Nurse Managers and APNs to carry out the functions and activities of their roles. Mentors and utilizes Clinical Nurse Leaders and other staff members to support RNs in a transition to practice role. Supports RN residency programs. Assures competencies for all levels of nursing staffing working within HCS, assuring all who float have the correct documented competencies. Supports the development of Evidence Based Practice Culture throughout HCS. Develops and utilizes strong collaborative relationships with physician counterparts including, but not limited to, Chief of Medicine, Chief of Surgery, Chief Resident and Chief Hospitalist. In collaboration with the Chiefs of other services, designs, and implements interdisciplinary programs within the service and medical center. Planning, organizing, directing, and controlling service-wide infrastructure issues which include overall operation of the service. Has significant medical center and service policy responsibilities. Serves on or Co-Chairs the Nursing Pharmacy Committee, active participant in the Equipment Committee, monitors and participates in Infection control measures, safe patient handling, workplace violence, electronic inventory and managing equipment life cycle planning and replacement. Responsible for assessing and recommending the allocation of human and material resources, in determining staffing levels using NHPPD, managing overtime and playing a significant role in the recruitment and retention of nursing staff. Ensures competency assessment is completed on each nursing employee annually. Reviews EPRP, IPEC, Performance Measures and other data for trends and early intervention, formulates follow-up plans with Nurse Executive Team, Nurse Manages, the service and medical center. Sets, monitors, and attains annual strategic goals for HCS. Supports professional development of nursing staff, development and completion of quality projects and staff member involvement in professional organizations locally, regionally, and nationally. Collaborates with Chief of SPS to address issues related to instrumentation and other RME-related matters in their areas. Serves as Acting Associate Director, Patient Care Service and Nurse Executive or Deputy ADPCS as needed. Other related duties as assigned 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; 7:30 a.m. - 4:00 p.m.; May vary due to patient care needs; Subject to change to meet the needs of the Agency Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be authorized for highly qualified candidates Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required

Requirements

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 Culture. Employs an industry leading, shared decision-making culture. Cultivates a diverse and inclusive workforce that serves Veterans, families and caregivers of all backgrounds and builds trust, cultural 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 culture 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: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. 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. In the performance of duties, the incumbent may be required to drive and/or ride in GSA-vehicles.

Contacts

• Address San Francisco VA Medical Center 4150 Clement Street San Francisco, CA 94121 US
• Name: Allison Hoffman
• Phone: 304-350-2062
• Email: [email protected]