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Posted: February 10, 2026 (1 day ago)

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Chief Nurse IV of Integrated Veteran Care (IVC)

Veterans Health Administration

Department of Veterans Affairs

Fresh

Location

Salary

$163,030 - $216,820

per year

Closes

February 25, 2026More VA jobs →

Job Description

Summary

This role involves leading nursing teams to deliver integrated care for veterans in a community setting, overseeing programs that span multiple services to improve health outcomes.

It requires strong leadership to manage cross-disciplinary teams and ensure high-quality patient care.

Ideal candidates are experienced nurses with advanced degrees who thrive in accountable, mission-driven environments.

Key Requirements

  • Master's degree in Nursing (MSN) or related field with BSN, or Doctoral degree in Nursing or related field with BSN
  • At least 4 years of professional nursing experience (or 3 years with doctoral degree), including one year equivalent to Nurse III level
  • Current, full, active, and unrestricted registration as a professional nurse in a U.S. state, territory, or commonwealth
  • Proficiency in basic written and spoken English
  • Demonstrated leadership with substantial responsibility for population groups or integrated programs crossing service lines
  • Graduation from an approved school of professional nursing accredited by ACEN or CCNE (or equivalent for foreign education)

Full Job Description

This Chief IV Registered Nurse - Integrated Veteran Care (IVC) position is located in Community Care Service located at the Togus, ME location. This position is full-time at 40 hours per week.

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 Lifestyle. Employs an industry leading, shared decision-making lifestyle.

Cultivates a workforce that serves Veterans, families and caregivers of all backgrounds and builds trust, lifestyle 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 lifestyle 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: All applicants must be physically able to satisfactorily perform the duties of the position. A pre-placement physical examination shall be completed prior to appointment.

Major Duties:

The Chief of Integrated Veteran Care (IVC), is a senior nursing leadership position directly aligned under the Associate Director for Ambulatory Care Operations.

This individual assumes direct responsibility and oversight for all aspects of VA Community Care, internal and external, including administrative and clinical operations, personnel, policies and practice, budgetary, compliance, and quality outcomes.

This individual executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs within IVC; coordinates areas that cross service and/or discipline lines; influences the organizational mission; facilitates care coordination with both internal and external providers; and demonstrates nursing leadership, clinical expertise, and responsibility for outcomes.

Included but, are not limited to: Functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability.

Provides expert leadership and oversight for daily clinical and administrative IVC operations at the local system level.

Collaborates with leaders and key stakeholders at all levels of Veterans Health Administration (VHA) -Facility, Veterans Integrated Services Network (VISN), and Veterans Affairs Central Office (VACO) for mutual achievement of organizational goals.

Support the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of Veteran-driven and organizational goals.

Demonstrates leadership that is characterized by substantial and continuous responsibility and accountability for quality and high reliability organizational principles that transcends services and influences organizational mission and health care within VHA.

Relates effectively with healthcare executives, and the community as well as program and service leaders at all levels of the organization.

Contributes ideas and recommendations to spread best practices across the organization and conducts ongoing consultative and educational activities at all organizational levels.

Serves in management of all Community Care consults and requests for additional services as directed.

Demonstrate sound decision-making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of healthcare providers.

Ability to review patients both clinically and administratively to determine eligibility for Community Care services. Provides guidance to all staff assigned to Office of Community Care.

Assists in the training of staff and other stakeholders in the use of Community Care.

Assists in the coordination of care with outside providers using knowledge of the resources and specialty care available in the VA.

Facilitates ongoing communication between Community Care staff and leadership to evaluate data and review workload demands.

Fosters team-oriented environment among staff to work collaboratively with administrative staff and other clinical staff within the Office of Community Care; building trust relationships.

Revises work schedule and assignments on short notice to meet frequent, abrupt, and unpredictable changes in prescribed workload and deadlines.

Participates in and attends medical center committees as assigned. Additional duties as assigned.

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 Notifications: This position is not a Bargaining Unit position This position is in the Excepted Service Veterans' preference does not apply for internal or other current permanent Federal agency employees.

Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action).

The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted).

In some cases, more than one SF-50 may be required to show a higher grade previously held. Work Schedule: Full-Time, Monday - Friday, 7:30am to 4:00pm Virtual: This is not a virtual position.

PCS Appraised Value Offer (AVO): Authorized Financial Disclosure Report: Required, selectee must file a financial disclosure report, OGE Form 450 within 30 days of onboarding and then annually.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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Posted on USAJOBS: 2/10/2026 | Added to FreshGovJobs: 2/11/2026

Source: USAJOBS | ID: CBTD-12879353-26-CC