Nurse Manager, Ambulatory Care
Veterans Health Administration
Posted: April 2, 2026 (2 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Salary
$104,516 - $158,342
per year
Type
Full-Time
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This job involves leading and overseeing nursing teams in a hospital unit focused on medicine, hematology, and oncology to ensure high-quality care for veterans around the clock.
The manager supervises staff, directs daily operations, and makes sure everything meets safety and professional standards.
It's a great fit for an experienced registered nurse who enjoys leading others, has a background in specialized patient care, and is passionate about serving military veterans.
The role of the Nurse Manager/Head Nurse is to provide, direct and supervise the delivery of quality nursing care to a culturally diverse Veteran population.
Designated first-line supervisory authority, responsibility and accountability for the 24/7 operations of the unit, ensuring that the staff provide timely and high quality nursing care with complies with accepted standards of clinical practice.
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/12927594.
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: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. Major Duties:
Duties: The Nurse Manager/Head Nurse (NM) position available on the 4C Hematology/Oncology Medicine Unit within the Acute Care Inpatient Division, is the designated first-line supervisory authority responsibility and accountability for the 24/7 operations of the unit, ensuring that the staff provide timely and high-quality nursing care with complies with accepted standards of clinical practice.
The position is full-time, Monday-Friday, with 24-hour accountability and expectation that the manager will be both visible and available to the off-tour staff.
The NM is responsible and accountable for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance.
Other duties include, but are not limited to: Principle duties and responsibilities include: Direct and lead the interdisciplinary team, effectively communicate with clinicians and administration on all aspects regarding the Hematology/Oncology-Med/Surg-Med program.
Coordinate the day-to-day clinical direction of patient care and nursing service.
Assess, plan, implement and evaluate standards of nursing care and clinical practice within the program area in a manner that speaks to ICARE values.
Implement and evaluate initiatives that improve the delivery of patient care. Monitor documentation, competencies, and performance measures.
Participate in team conferences, daily discharge huddle, interdisciplinary conferences, in-services, staff meetings and shared governance council meetings to support staff and patient outcomes.
Monitor and ensure compliance with Medical Center, Nursing policies, accreditation bodies. Gather and analyze data to make programmatic, staffing, and patient care decisions.
Evaluate staff performance and collaborate with labor partners in a proactive manner. Contribute to professional nursing practice in the Division and VA Medical Center.
Function as role model, educator, practitioner, and supervisor providing leadership to the team.
Collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes.
Engages in professional organizations to enhance leadership and career growth. Equip staff with tools for culturally competent care and promote a culture of accountability for high-quality outcomes.
Contributes to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable and equitable patient care.
Maintains knowledge and ensures compliance with all regulatory and accreditation standards, Directives, policies, and standing operating procedures (SOP).
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: Up to 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: 1.0 FTE - Primarily days w/ 24 hr.
accountability, visibility, and availability to off-tour staff. Telework: Ad-Hoc may be authorized with management approval, after successful completion of orientation.
Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized
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