Assistant Chief Nurse Interventional and Specialty Care

Job Description

Veterans Affairs, Veterans Health Administration

Internal Number: 801809300



The Assistant Chief Nurse (ACN) reports directly to the Chief Nurse of Interventional and Specialty Care and executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex Veteran care. The ACN utilizes their professional experience and intuition to understand the various nursing scenarios situations and focuses on solutions that are both accurate and demonstrate efficient use of time and resources. 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/12480519. 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. 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. [“The Assistant Chief Nurse Interventional and Specialty Service provides leadership and direct supervision to the Nurse Managers over the following units: Outpatient Surgery Clinics (Bay Pines), Medical Specialty Clinics, Bronchoscopy Lab, Pulmonary Clinic, Interventional Pain, Interventional Radiology, Radiation Oncology Center (ROC), Cancer Navigation, Chemotherapy Clinic, Dialysis, Nephrology Clinic, Cardiac Cath Lab, Cardiac Rehabilitation, Device Clinic, EKG Clinic, Heart Success, Infusion Clinic, PICC team and C4 Clinic. The ACN assess, plan, and evaluate the processes and daily operation of the procedural areas and clinics. In collaboration with the Chiefs of Anesthesiology, Surgery, and Medicine, they design and implement interdisciplinary programs within the service and healthcare system. This role works with all levels of staff and varied disciplines within the facility, including members of top-level leadership, promoting the philosophy and attitude of a high reliable organization with safety and quality of care of the Veteran being the focus. Together with with Chief Nurse, the ACN has 24/7 oversight and accountability for services under scope of responsibility. The ACN is responsible for the service areas as assigned by the Chief Nurse. They are accountable for planning, organizing, directing, and evaluating programs and outcomes. They provide daily attention to the personnel management and participation in executive level decision making. They provide guidance and direction for the development and implementation of established standards of Nursing Practice. They use lean and system redesign principles to design delivery models and the assistant chief nurse provides leadership and assumes continual and substantial responsibility for the service. They are responsible for population groups with advanced age, multiple chronic conditions, life limiting illnesses, frailty or disability associated with disease, aging or injury, as well as the integrated programs that cross service and or discipline lines. The ACN demonstrates advanced planning and decision-making skills, as well as expert knowledge of nursing practice. Also, they are resource to management and staff on administrative and clinical issues. Further, they demonstrate expert administrative and managerial techniques, maintenance of professional competency, optimal physical and emotional wellbeing. They are self-directed and shows initiative. They have specific knowledge in the programmatic responsibilities for the designated areas. Leads and organizes delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. Uses advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes. Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities. Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within the Outpatient arena. Guides, develops, and supports staff from a management perspective. Uses professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. Other duties as assigned Preferred Experience: Minimum education/experience qualifications include Master of Science in Nursing (MSN) or Master’s in a field related to nursing with BSN or Bachelor’s in a field related to nursing with 2 or 3 years experience or a MSN in Nursing from Bridge Program (a BSN is not issued/required) with 2-3 ear experience; or a Doctoral degree in a Nursing related field. Appropriate basic/advanced Board Certification is desired. 2 or more years Oncology Nursing experience within past 5 years 5 years progressive Leadership Management experience (Example: Assistant Nurse Manager, Nurse Manager) Preferred Certification in Nursing Oncology 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 7:30am-4:00pm Compressed/Flexible: Telework: Ad-Hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be Authorized for a highly qualified candidate. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required”]



The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.


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