Registered Nurse - Accreditation Specialist

Created at: August 15, 2025 00:18

Company: Veterans Health Administration

Location: Miami, FL, 33101

Job Description:

The Miami VAMC is recruiting for a Registered Nurse Accreditation Specialist specializes and Delivers fundamental knowledge-based care to the program while developing technical skills. Assesses, plans, implements, and evaluates delivery of care based on age specific components and demonstrates performance and leadership that is broad enough to improve the care for a group of patients.
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/12780845. 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: Masters of Science in Nursing (MSN) degree or higher preferred. Three (3) years of experience in professional nursing practice preferred. Two (2) years of experience in accreditation or quality management preferred. Experience in leading and managing accreditation compliance programs related but not limited to The Joint Commission (TJC), Commission on Accreditation of Rehabilitation Facilities (CARF), Ascellon, and Office of Inspector General Comprehensive Assessments. Experience in performing external accreditation reviews, responses, and continuous survey readiness preferred. Experience in translating standards, policies, directives, theories, and strategies into action as it relates to external accreditation review preferred. Experience in standards and methods of documentation of patient care; standards and methods of evaluation of patient care; medical record analysis for appropriateness of safe care; and data extraction, evaluation, and reporting techniques preferred. 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. This position may require potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. 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 and able to shift priorities based on patient needs. The environment's pace can vary. The incumbent must have the ability to prioritize patient care needs. Weight limitations vary depending on area of service and functional duties. This position may require travel to various locations (e.g. Broward outpatient center, CBOCs, conferences). This position potentially requires flexibility in schedule and assignments.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse Accreditation Specialist is located at the Quality and Patient Safety Service at the Miami VA Healthcare System and is responsible to the assigned rating and approving supervisor and is accountable to the Chief of Quality Management (QM). The Registered Nurse Accreditation Specialist is responsible for the documented outcomes of the program. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, Veterans Integrated Systems Network (VISN), or Veterans Affairs Central Office (VACO). They demonstrate sound decision-making and judgment and possess excellent interpersonal skills. They collaborate with members of the interdisciplinary team and leading of process improvement initiatives. Assumes responsibility for the coordination of accreditation program activities. Follows procedures per established policies and guidelines. You may be expected to travel for this position to Community Based Outpatient Clinics (CBOC's), or other sites or training facilities as appropriate to patient care or training needs. The RN Accreditation Specialist delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. Is self-directed in goal setting for managing complex client situations. Primary responsibilities include leadership and management for planning, organizing, coordinating, and controlling overall operations of the continuous survey readiness program which includes federal regulatory requirements, internal survey processes, and external accreditation standards compliance performance. The Accreditation Specialist RN is responsible for developing and implementing a proactive and systematic approach to accreditation readiness. Ensure that there is a process for managing Joint Commission unannounced surveys, CARF surveys and Office of Inspector General Comprehensive Assessments to include a communication plan, management of required documents, and logistical issues. The Continuous Survey Readiness and Accreditation Program ensures that the entire organization meets standards across all sites in an ongoing fashion. New standards or changes must be communicated and implemented timely to meet accreditation. The Registered Nurse Accreditation Specialist responsibilities include, but are not limited to: Ensures that the organization will on an ongoing basis demonstrate that accreditation standards and requirements are reviewed. Processes and programs implemented, updates and changes made in a timely manner, and staff are communicated with and educated in a timely manner. Is the liaison with accreditation organizations and coordinates the completion and submission of required documents to those organizations, the VISN, VHA, and organizational leadership. Serves as the consultant to leadership, functional teams, QM staff, and all other staff regarding accreditation issues. Educates staff on preparation and involvement are critical to a successful program with demonstrated outcomes in ongoing accreditation, completion of PPR, completion of action plans, and organizational data to support standards. Coordinates and evaluates integrated programs or demonstrates clinical excellence in management of population groups. Evaluate previously closed actions for sustained compliance. Participates in VISN Accreditation Meetings. Other duties as assigned by supervisor. Work Schedule: Full time, Monday o Friday 8:00am-4:30pm, and potentially requires flexibility in schedule and assignments. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Recruitment/relocation incentive has been authorized for Eligible, highly qualified applicants. Permanent Change of Station (PCS): Not authorized 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


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