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Posted: February 3, 2026 (2 days ago)

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Registered Nurse - Deputy Associate Director of Patient Care Services

Veterans Health Administration

Department of Veterans Affairs

Fresh

Location

Salary

$181,366 - $228,000

per year

Closes

February 13, 2026

Job Description

Summary

This job is for a high-level nurse leader who oversees nursing care and programs at a VA hospital in Missouri, ensuring quality patient services run smoothly.

It involves managing complex healthcare operations and leading teams to meet the needs of veterans.

A good fit would be an experienced nurse executive with strong leadership skills and a passion for improving patient care in a government setting.

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 5 years of professional nursing experience (or 4 years with doctoral degree), including one year at a senior level equivalent to Nurse IV
  • 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 executive-level leadership in complex healthcare administration and policy
  • Graduation from an accredited school of professional nursing (ACEN or CCNE approved)

Full Job Description

The Deputy Associate Director of Patient Care Service (DADPCS) is a Registered Nurse (RN) position located at Jefferson Barracks Division of VA Saint Louis Health Care System.

The DADPCS is an advanced healthcare executive who demonstrates leadership, experience, and creative approaches to ensure the continuous and timely availability of quality nursing practice in a variety of complex patient care services and programs.

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 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 Lifestyle.

Establishes an industry leading, shared decision-making lifestyle; a workforce that serves Veterans, families, and caregivers of all backgrounds; builds trust and lifestyle 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 lifestyle 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred Experience: Experience as a service chief for a nursing service Doctoral degree is preferred.

One of the following degrees / degree combinations is required: Master's degree in Nursing (MSN) A Master's degree in a related field with a BSN Doctoral degree in Nursing, or a Doctoral degree in a related field with a BSN 5+ years of management experience Advance Nurse Leader Certification Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.

Examples may include but are not limited to: significant amounts of time standing assisting assigned patients and utilization of safe patient handling and mobility protocols.

This includes but is not limited to carrying/lifting 45 pounds and over; walking and/or standing for eight hours at time; and kneeling and repeated bending throughout shift.

This position requires potentially long periods of continued walking, standing, and sitting.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing.

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 comply with any Employee Health requirements as a condition of employment. In the performance of duties, the incumbent may be required to drive or ride in GSA-vehicles. Major Duties:

The Deputy Associate Director of Patient Care Service (DADPCS) is a Registered Nurse (RN) position located at Jefferson Barracks Division of VA Saint Louis Health Care System.

The DADPCS is an advanced healthcare executive who demonstrates leadership, experience, and creative approaches to ensure the continuous and timely availability of quality nursing practice in a variety of complex patient care services and programs.

They function as an executive administrator and consultant to the Associate Director for Patient Care Service (ADPCS)/Nurse Executive (NE) to improve care for large groups of Veterans through their influence and collaboration for decisions made at the local, regional, and network level.

The Nurse V DADPCS position is of an executive nature, comprised of complex leadership and administrative components associated with critical health care issues and activities that influence the organizational mission, health care, and policy.

They are accountable to the ADPCS/NE and are an integral part of the senior leadership team. The DADPCS is a healthcare executive within nursing services.

The incumbent is a spokesperson for organized nursing services and works to ensure the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of optimal Veteran centered organizational goals in the facility.

The DADPCS works closely with the ADPCS/NE as a collaborator and partner in strategic planning, organization assessment, and program development.

They have the responsibility to assist with the establishment of standards for the practice of nursing at the health care system level to ensure the continuous and timely availability of quality nursing services.

The DADPCS is responsible for the practice of nursing 24/7.

This includes all registered nurses, advanced practice nurses, and allied health staff (LPNs, NAs, Chaplains, Social Workers, Dietitians, etc.) regardless of line authority.

They have line authority over the Associate Chief Nurses (ACN), assigned service chiefs, and may have additional duties assigned to them by the ADPCS/NE.

The incumbent exercises preliminary approval for the following: job descriptions, policies, and procedures; standards of patient care, treatment, and services; nursing practice standards; staffing plans; functional statements; and standards to measure, assess, and improve patient outcomes.

The incumbent appropriately delegates activities to services assigned to them under the purview of the ADPCS/NE.

Ensures a competency process is in place to evaluate individual practice, as well as a review process for annual performance ratings.

The DADPCS promotes shared decision-making to ensure a healthy work environment for nursing; a spirit of inquiry and the use of evidence-based practice; and an academic environment supportive of education and research to promote the profession of nursing.

The incumbent champions a High Reliability Organization (HRO) founded on a collective mindfulness approach to develop evidence-based health care solutions that promote prevention and safety.

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, Permanent, Mon - Fri 7:30 a.m.

- 4:00 p.m. Schedule is subject to change based on the needs of the healthcare system. Telework: Not eligible. Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized.

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Posted on USAJOBS: 2/3/2026 | Added to FreshGovJobs: 2/4/2026

Source: USAJOBS | ID: CBSS-12877854-26-LD