The Nurse IV VISN Accreditation Program Manager (APM) is accountable for the effective coordination, process implementation, and interpretation of policy and procedures for quality management, accreditation, and the Controlled Substance Inspection Program (CSIP). The Nurse IV APM supports facility level program oversight ensuring compliance in clinical practice of the designated areas to maintain ongoing regulatory preparedness and compliance utilizing evidence-based practices.

Duties

The Nurse IV Veterans Integrated Systems Network (VISN) Accreditation Program Manager (APM) is accountable for the effective coordination, process implementation, and interpretation of policy and procedures for quality management, accreditation, and the Controlled Substance Inspection Program (CSIP). The VISN APM functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability, characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines, and that influence organizational mission and health care. The VISN APM is responsible for administrative functions pertaining to all VISN 4 external review programs, including but not limited to: The Joint Commission (TJC), Office of the Inspector General (OIG) and the Office of the Medical Inspector (OMI). He/she will provide program oversight and coordination of these VISN 4 programs in support of VISN 4's mission, working directly with the multiple VA Central Office program offices, the network office and all of the VISN 4 facilities. The VISN APM will: (1) Assist accreditation, quality management, and leadership at each facility to develop and maintain sound, evidence based processes (2) As needed, conducts site visits to all network facilities to assess the adequacy of accreditation and processes for being survey ready, (3) Assist in policy-making activities as related to customer service and the overall functioning of administrative and clinical programs, and (4) Collaborates with nurses and other health care staff to establish and maintain programs that cross all facilities within the network. He/she promotes a High Reliability Organization (HRO) with a culture of safety founded on a systems approach to developing evidence-based health care solutions based on prevention, not punishment, with collective mindfulness. The incumbent is assigned to the VISN 4 Quality Management Office and reports directly to the VISN 4 Deputy Quality Management Officer (DQMO). May perform other 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: 7:30am to 4:00pm; Monday - Friday Telework: Authorized; may be authorized up to 6 days per pay period. Will be discussed during the interview process. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Experience working within an accreditation role or leading surveys and/or overseeing readiness activities; CPHQ certification; program oversight experience and/or supervisory experience. Physical Requirements: See VA HANDBOOK 5019

Contacts

• Address VISN 4 1010 Delafield Road Pittsburgh, PA 15215 US
• Name: Marisa Hansen
• Phone: 713-628-7367
• Email: [email protected]