Advanced Practice Registered Nurse - DOM SUD Primary Care Nurse Practitioner
Veterans Health Administration
Posted: March 2, 2026 (0 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Saint Louis, Missouri
Salary
$75,487 - $153,842
per year
Type
Full-Time
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This role involves a registered nurse leading efforts to improve nursing practices and staffing methods in a veterans' hospital, drawing on national programs for nursing excellence to ensure high-quality care.
The job focuses on advanced clinical work, leadership, and innovative approaches to maintain top standards in patient care.
It's a good fit for experienced nurses passionate about quality improvement, team leadership, and working in a government healthcare setting serving veterans.
The Registered Nurse - Practice Excellence & Staffing Methodology Coordinator functions as an advanced clinician and executes position responsibilities that demonstrate leadership, experience, and creative approaches based on the American Nurses Credentialing Center's (ANCC) Pathway to Excellence (PTE) and Magnet Recognition programs to maintain nursing excellence throughout the facility.
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/12897632.
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/.
Preferred experience: Master's or Doctoral Degree Nursing Certification related to clinical practice, nursing education, informatics, or nursing leadership Experience in Evidence Based Practice evaluation, application and implementation with successful outcomes 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. Major Duties:
The Registered Nurse - Practice Excellence & Staffing Methodology Coordinator influences organizational outcomes by collaborating with members of the interdisciplinary team to carry out functions and activities that support nursing excellence.
Responsible and accountable for integrated programs that cross service and/or discipline lines and influence the organizational mission.
Follows procedures per established policies and guidelines and executes position responsibilities that demonstrate leadership, specialized experience, and creative approaches to program management and analysis.
Demonstrates sound decision-making and judgment and possesses excellent interpersonal skills.
The RN demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes.
Fosters positive professional practice environments by building, supporting, and creating alignments for nursing excellence and steering innovation through collaboration and stakeholder engagement across the facility, Veterans Integrated Service Network (VISN), and enterprise.
Requires or authorizes employees to formulate, determine, or influence the polices of Veterans Affairs (VA).
Demonstrates leadership and creative approaches to the design and implementation of programs and initiatives that improve patient outcomes and engagement of nursing staff related to professional (shared) governance, evidenced-based practice (EBP), a high reliability organization (HRO), and other performance improvement (PI) tenants.
The RN - Practice Excellence demonstrates participation in strategic planning and alignment of goals at the service, facility, and national level.
Applies knowledge of data, information, processes, organizational interactions, skills, and analytical expertise, as well as systems, networks, and information exchange capabilities to document outcome.
Assumes leadership in promoting professional development and provides coaching and mentoring to nursing staff.
The RN is responsible for program development related to professional governance, EBP, PI, and professional development; project implementation; oversight of data collection and analysis; designing useful decision support systems; delivering educational experiences; enhancing lifelong learning; and supporting healthcare innovation.
Areas of responsibility include all patient care areas in which nursing services are delivered regardless of organizational alignment.
The RN performs duties directly contributing to the administrative management of a health care delivery system.
Duties require the ability to apply the specialized principles and practices of health care management in directing or supporting a health care delivery system.
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.
Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes.
Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers.
Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain evidence-based-practice.
As Staffing Methodology Coordinator, the incumbent is responsible for: ensuring VA St Louis leadership, Facility Expert Panel and Unit-Based Expert Panels are educated on requirements to meet full compliance with VHA Directive 1351.
Facilitates Facility Expert Panel, reporting VA St Louis facility data requests to ONS through VISN CNO. Training stakeholders in staffing methodology processes, tools and resources.
Maintains appropriate documentation of FEP and UBEP staffing methodology.
Supporting ADPCS/NE with staffing methodology alignment and nationally mandated staffing and scheduling management solutions including national reporting and technology modernization efforts.
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: Permanent, Mon-Fri, 0730 a.m.
- 4:00 p.m. Schedule subject to change based on the needs of the healthcare system. Compressed/Flexible: Not authorized. Telework: Not available. Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. PCS Appraised Value Offer (AVO): Not authorized.
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