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Summary The Desert Pacific Healthcare Network, Veterans Integrated Service Network (VISN) is recruiting one Chief of Nursing (CNO), Nurse V to work in the Office of the Director, Long Beach, CA. The incumbent reports to the Network Director and provides programmatic guidance/direction to Medical Center Chief Nurse Executives and other Services Chiefs under his/her direction. S/he actively participates at the senior management level within the VISN in overall planning/VISN management activities. Responsibilities Applicants must be within a 50 mile radius of a VISN 22 VA Medical Center Relocation Incentive & PCS Expenses May Be Authorized for a highly qualified candidate relocating to LONG BEACH, CA only The Desert Pacific Healthcare Network, Veterans Integrated Service Network (VISN) 22 includes the states of Arizona, Southern California, and New Mexico. The Network includes eight facilities and a number of community based outpatient clinics. The CNO provides program oversight, direction, coordination and leadership in all nursing performance activities and other clinical healthcare programs under his/her direction throughout the VISN, including Sterile Processing Service (SPS), VISN Call Center (Administrative, Virtual Care, Nurse Advice Line, and Pharmacy), Nursing Practice of Clinical Resource Hub (CRH), Mental Health, Geriatrics and Extended Care, Caregiver Support, and Care Coordination and Integrated Case Management. This position is dedicated to the pursuit of excellence through the application of expertise and influence in various programmatic areas in VISN 22.The CNO along with facility nursing leaders, participate with the VISN 22 Executive Leadership Team, management, medical staff, clinical areas, and administrative areas in strategic planning and decision-making processes. Specific leadership and management responsibilities include: Consults and co-signs the proficiencies of all Registered Nurses employed by the network office who do not report to a Registered Nurse. Facilitates network-wide reduction of variance in nursing practice. Facilitates management of organizational change required to achieve nursing goals, including identifying and facilitating resolution of obstacles to achieving those goals. Identifies and communicates best practices and innovative nursing activities and facilitates their network-wide deployment. Promotes a system of high reliability, accountability, psychological safety and a just culture where all nurses are engaged in improving the quality of nursing care for veterans. Provides oversight for staffing methodology across the Network to ensure adequate workforce of nursing personnel to promote safe patient care. SME for Nursing Professional Standards Board (NPSB). This position provides clinical and administrative leadership and expertise to committee, task force, and project assignments at the Network and National level. S/he makes recommendations that may have a direct and substantial effect on Network and medical center operations. S/he is expected to assist and work with all management level within the VISN in overall planning and VISN management activities. S/he makes recommendations regarding the development of goals, objectives and policies involving nursing practice and quality issues for the VISN.S/he demonstrates knowledge, skills, and abilities in areas of: Clinical systems, programs, and practices and how they relate to the mission and goals of the Network and VHA as a whole Methods to ensure ongoing, comprehensive evaluation and improvement of healthcare delivery systems analysis and resolving complex systems issues Change management with a comprehensive knowledge of clinical guideline development 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, 8:00 am - 4:30 pm. Telework: May be authorized for highly qualified candidate located in one of the eight facilities within VISN 22, at the discretion of management. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be Authorized for a highly qualified applicant relocating to the Long Beach, CA commuting area only. Permanent Change of Station (PCS): May be Authorized for a highly qualified applicant relocating to the Long Beach, CA commuting area only. Financial Disclosure Report: Not required Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. 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/12527620. The following Scope, Education and Dimension criteria must be met to qualify for Nurse V: Scope: Practice of an executive nature, comprised of complex leadership and administrative components, associated with critical health care issues and activities that drive meeting the organizational mission, health care and policy. Education: Master's degree in Nursing (MSN) and 5 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR Master's degree in a *related field with a BSN and 5 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR a Doctoral degree in Nursing and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR a Doctoral 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 IV and meets all dimension requirements for Nurse V. *Note: Foreign education programs/degrees are not creditable as related degrees. Dimension Requirements: Leadership. Establishes the strategic direction for health care delivery, evidence-based practices, industry-leading research, and innovative care models. Creates a shared vision and successfully leads change to improve performance and attain measurable outcomes at the organization or enterprise level. Business Acumen. Transforms health care through the application of new processes, technology, informatics, data analytics, business principles, systems thinking and resource management at the organization or enterprise level. Inspiring an Industry-Leading Culture. Establishes an industry leading, shared decision-making culture; a diverse and inclusive workforce that serves Veterans, families, and caregivers of all backgrounds; builds trust and cultural competencies and catalyzes dynamic teams at the organization and enterprise level. Communication and Relationship Management. Drives the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional and organizational values, beliefs, and practices at the organizational or enterprise level. Professional and Social Responsibility. Sets the standard for a culture of holistic care, health advocacy and health equity. Applies ethical principles in decision-making at the organization or enterprise level. Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans, the community, and the health care industry. Preferred Qualification(s): Minimum of four to five years successful nursing practice with increasing leadership roles and responsibilities. Minimum of two years successful management experience as a Nurse Executive/Chief Nursing Officer of a large healthcare system. Demonstrated ability to work effectively with employees, customers, vendors and members of the interdisciplinary matrix. Demonstrated ability to utilize data from multiple systems for effective decision making. Demonstrated ability to coordinate and evaluate integrated programs which provide services across large geographic areas to diverse populations. Demonstrated clinical excellence in management of interdisciplinary teams. Demonstrated ability to effectively lead interdisciplinary councils, committees, or workgroups. Demonstrated knowledge of current techniques, trends and professional issues, and organizational improvement. 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 requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. Education Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.