Summary

Associate Chief Nurse Ambulatory Care directly supervises a team of clinical staff & Medical Professionals/Nurse Managers w/ approx. 180 FTE who oversee Clinical Programs NY Harbor wide. To include but not limited to: PACT Clinics and Medical Specialty Clinics - Community Based Outpatient Clinics - Respiratory Therapy Departments - Emergency Departments - Dialysis & Community Health Registered Nurses - Diabetes Nurse Educators - Infusion & chemotherapy Center - Acupuncture Clinic & Diagnostic Center

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
• Preferred qualifications: 5 years progressive clinical nursing leadership experience in a Level One Medical Center Nursing clinical expertise in an acute care setting Department of Veteran Affairs RN nursing and leadership experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: 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.

Duties

• Assigned Duties: Associate Chief Nurse (ACN) of Ambulatory Care- Provides leadership coverage harbor wide at all 3 campuses at VA New York Harbor Healthcare System including 2 Community Bases Outpatient Clinics (Harlem and Staten Island)
• Functions as an advisor - administrator - educator - consultant - and mentor who possesses a wide range of experience and leadership ability
• Provides senior leadership and oversight for daily clinical and administrative operations within nursing as directed by the Associate Director for Patient Care Services (ADPCS) or Deputy Associate Director for Patient Care Services (DADPS)
• Supports the integration and collaboration of nursing 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
• 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
• Relates effectively with customers - families - and the community as well as program and service leaders at the local and network levels
• They assist the ADPCS with healthcare operations and the functions and activities expected of them
• The Nurse IV contributes ideas and recommendations for the establishment of standards of care - policies - and objectives for the enhancement of nursing care Harbor wide
• Will perform additional duties as assigned
• This position is not approved for telework and staff is required to be onsite in the clinical area of assignment DIMENSIONS OF NURSING PRACTICE LEADERSHIP: Develops - organizes - and directs clinical and non-clinical operational aspects with an added emphasis on delivering services where it is needed
• Routinely analyzes plans and actions related to practice - quality and safety issues to identify and improve performance and attain outcomes for Veteran healthcare
• Able to inspire individuals to build consensus and cooperation that creates a shared vision and advance goals
• BUSINESS ACUMEN: Provides guidance and oversight of program management to ensure proper resource utilization
• Participates in continuous learning to successfully promote and apply economic concepts and business models to set priorities
• Assesses and evaluates facility-wide patient care delivery policies and programs to support senior leadership goals
• INSPIRING AN INDUSTRY LEADING CULTURE: Assists with the creation of a diverse and inclusive workforce to serve Veterans - families - and caregivers of all backgrounds at the organizational level
• Seeks and utilizes healthcare policy and practices to enable the delivery of reliable and accessible healthcare
• Recognizes - cultivates - and integrates cultural health care practices that address social and health inequities
• Contributes to visionary thinking that advances the delivery of patient care
• COMMUNICATION AND RELATIONSHIP MANAGEMENT: Establishes and maintains highly effective relationships at all levels of the organization
• Relates effectively with front-line staff - customers - and leaders at the program and service level
• Communicates with transparency - clarity - and integrity
• Sustains relationships at all levels to advance strategic action plans
• PROFESSIONAL AND SOCIAL RESPONSIBILITY: Advocates for holistic care and health equity in patient care
• Advances one's knowledge through the continual application of evidence-based research
• Translates evidence into practice throughout the organization
• Develops and supports an environment for ethical decision-making throughout the organization
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Preferred Experience: 5 years progressive clinical nursing leadership experience in a Level One Medical Center Nursing clinical expertise in an acute care setting Department of Veteran Affairs RN nursing and leadership experience 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 - 4pm Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized