Nurse IV (RN Senior Leadership)

Created at: May 16, 2025 00:01

Company: Veterans Health Administration

Location: Tuscaloosa, AL, 35401

Job Description:

This Registered Nurse IV position serves as the Associate Chief of Staff (ACOS), Mental Health Service Line (MHSL) at the Tuscaloosa, Alabama VA Medical Center. The ACOS, MHSL executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and, influences the organizational healthcare mission.
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/. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The Nurse IV, must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
Major Duties: The ACOS, MHSL executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and, influences the organizational healthcare mission. The ACOS, MHSL is responsible for the overall leadership of the service line and ensures the quality of medical and mental health services provided, the education and training of professional staff, and the safety and ethical conduct of medical research conducted on patients assigned to the service line. In order to accomplish this, the ACOS, MHSL is involved in providing the framework for planning, directing, coordinating, providing and improving the health care services that are responsive to community patient needs and that improve patient health outcomes within the respective service line. The Chief of Staff is the supervisor of this position. The MHSL Service Line is comprised of the following functional services: Psychiatry Service which is inclusive of Mental Health Outpatient Clinic, Mental Health Intensive Case Management Program, Partial Hospitalization Program (Genesis), Community Resource Care Program, Residential Programs and Inpatient Psychiatry. Psychology Service which is inclusive of Psychological Testing and Assessment Center, Vocational Rehabilitation Program and MAPS Clinic. The Nurse IV ACOS, MHSL will provide administrative oversight 100% of the time but will maintain licensing and credentials requirements which may include direct patient care, when and as needed. The ACOS, MHSL has 24/7 responsibility, accountability and oversight for programs and personnel under his/her supervision, including the provision of quality care which complies with accepted standards of clinical practice. The Nurse IV ACOS, MHSL functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability. The ACOS, MHSL supports the integration and collaboration with other professional disciplines and functional areas in the mutual achievement of patient-centered and organizational goals. They champion 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. Fosters a climate for practice that enhances job satisfaction through mutual responsibility for productivity and quality improvement. The ACOS, MHSL collaborates with interdisciplinary team members, including other program and service leaders at the facility and network. They work closely to establish and maintain effective relationships with all levels of Veteran Affairs (VA) staff nationwide. Collaborates to develop goals and objectives that support the strategic plan, meet the needs of the Veteran, and result in positive clinical and administrative outcomes. The ACOS, MHSL relates effectively with customers, families, and the community as well as program and service leaders at the local and network levels. They assist the Chief of Staff (COS) with healthcare operations and the functions and activities expected of them. The ACOS, MHSL provides senior leadership and oversight for daily clinical and administrative operations as directed by the COS. Responsible for ensuring the delivery of quality healthcare to Veteran patients and managing personnel within MHSL programs. Collaborates with and provides leadership in the assessment, development, implementation, and evaluation of comprehensive rehabilitation and mental health programs. 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, 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized


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