Nurse - Deputy Director, Clinical Quality Program Specialist

Full Job Description

The Deputy Director, Clinical Quality Program Specialist position is located at the VHA VA Boston Healthcare System, Brockton, MA location. This position is full-time at 40 hour 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.

Preferred Qualifications: Masters' level degree or higher in healthcare or equivalent field Management experience of 1 or more quality programs (patient safety, risk management, accreditation, HRO, System redesign, etc.) 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 incumbent's duties and responsibilities encompass the management of Quality Management Programs such as Performance Improvement (PI), High Reliability Organization (HRO), Accreditation and Regulatory Compliance, Risk Management (RM), Peer Review, System Redesign, Customer Service and Data Analysis and Interpretation.

The incumbent reports directly to the Associate Director, Quality Management, in line to Medical Center Director.

The incumbent provides direction, coordination, and support to the VA Boston Healthcare System (VABHS) in relationship to the Quality Management Programs, Veterans Health Administration (VHA), and Veterans Integrated Service Network (VISN) in the development, implementation and evaluation of policies and objectives.

As an active member of the Health Care System Senior Leadership Team, the incumbent demonstrates professional practice in leadership assignments and is part of strategic planning, organizing, directing and controlling program resources to include financial, human, material and/or informational to aid in the forecasting for long range strategic planning.

The incumbent supervises a staff consisting of clinical and administrative employees, encourages the continued development and training of assigned staff, evaluates performance and initiates appropriate action in order to reward, guide, counsel, instruct, etc.

The incumbent is responsible for planning, organizing, initiating and directing activities related to survey readiness for the Office of the Inspector General (OIG), The Joint Commission (TJC), Commission on Accreditation of Rehabilitation Facilities (CARF), Long Term Care Institute and other accrediting bodies.

Reviews Performance Measures, EPRP, VASQIP data, IPEC, and other quality data for trends and early intervention.

Applies clinical performance improvement methods, collects outcome data related to policy, procedure, and regulatory compliance and in collaboration with management, initiates performance improvement monitoring projects.

Utilizes data and comparative analytical processes in recommending design and implementation of innovative programs to improve service excellence, customer satisfaction, and compliance to patient care and regulatory standards.

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: Full-Time, Days Compressed/Flexible: A compressed schedule may be available.

Telework: Ad-hoc Telework may be available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized