Registered Nurse Domiciliary Mental Health
Veterans Health Administration
Posted: March 24, 2026 (2 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Salary
$200,000 - $400,000
per year
Type
Full-Time
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This temporary role involves leading medical operations at a VA hospital in Sheridan, Wyoming, by coordinating between hospital leaders, service chiefs, regional offices, and external groups to ensure smooth patient care and services.
The position requires strong communication and management skills to handle daily challenges and adapt to changing priorities.
It's ideal for an experienced physician who has led teams in a healthcare setting, especially within the VA system, and thrives in high-pressure environments.
The Chief of Staff acts as a key liaison between the Director, Executive Leadership Team, Service Chiefs, the VISN Office, Central Office, other representatives from Governmental and Non-governmental agencies /organizations, and the general public.
The incumbent acts as a key liaison between the Director, Executive Leadership Team, Service Chiefs, the VISN Office, Central Office, other representatives from Governmental and Non-governmental agencies /organizations, and the general public To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement.
Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.
Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine.
The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification.
(NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences.
Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs).
PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis.
PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision.
Additionally, surgery residents in gap years may also be appointed as PRPs. Proficiency in spoken and written English.
Preferred Experience: Experience as a leader (Service Chief or Section Chief) within VA.
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, kneeling, sitting, bending, pulling, and pushing.
The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on needs. Major Duties:
GENERAL DESCRIPTION OF ASSIGNED DUTIES: 1. The Chief of Staff is attuned to the delivery of service throughout the medical center and assesses trends in treatment provided. 2.
Make decisions regarding resolutions of difficult problems when required, with appropriate input from other key staff members. 3.
Oversee the development of service level policies to provide staff accurate, current procedural information, instructions, guidelines and resources. 4.
Enforces, revises, and oversees the legal aspects of the Medical Staff Bylaws. 5.
Participates in Executive Resource Council to identify and determine strategic utilization of resources for the healthcare system including reviewing and advising on number of staff, equipment, contracts, budget and other resource allocations as appropriate.
6. Participate in recruiting qualified clinical staff. 7. Chairs compensation panels and professional standard boards. 8. Oversee the Credentialing and Privileging process for clinical staff. 9.
Supervision and consultation for Clinical Service Chiefs, Program Managers, and other associated services within the COS Service Lines. 10.
Oversee the professional practice functions of assigned staff. 11. Develops performance standards, pay for performance for physicians, and outlines Executive Career Field plans for reporting staff. 12.
Completes performance appraisals and proficiencies. 13. Participate in/provide input into other performance appraisals and proficiencies of other clinical staff as required. 14.
Mediates professional and service line conflicts regarding continuity of care and quality of care, including referral of Veterans across service or care lines during episodes of care. 15.
Consults with and advises program managers regarding a variety of issues. 16. Establishes and communicates productivity standards for clinical services. 17.
Monitors productivity standards for clinical services. 18. Reviews and resolves complaints about clinical practice. 19. Disseminates information pertinent to clinical practice at the facility. 20.
Oversight of budget development for clinical services. Risk Management: - Ensures compliance with Joint Commission, CARF and/or other standards. - Evaluates and assesses clinical services.
- Provides input to improve clinical practice. - Use established performance improvement tools. VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) 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 CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Per Diem: May be Authorized-TDY Work Schedule: Monday-Friday, 7:30am-4:00pm
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