VISN 20 Clinical Resource Hub (CRH) Chief Nurse (Nurse IV)

Full Job Description

The VISN 20 Clinical Resource Hub (CRH ) Chief Nurse serves as a senior leader, advisor, administrator, educator, consultant, and mentor, bringing extensive experience and proven leadership to advance clinical excellence and operational efficiency.

This role provides executive oversight and direction for daily CRH nursing and administrative functions, ensuring high-quality service delivery and alignment with the mission and goals of the CRH Director and organization.

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 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/.

Preferred experience: Demonstrated leadership experience in nursing administration, including progressive responsibility for clinical operations, staff development, quality improvement, and fiscal/resource management in a complex healthcare environment.

Prior executive or senior nursing leadership roles with a proven record of leading multidisciplinary teams, driving organizational change, and achieving measurable improvements in patient outcomes and staff engagement.

Hands-on experience with Oracle Health/Federal EHR implementations, optimization, or system governance, including workflows, clinical documentation, and reporting.

Experience with Clinical Resource Hubs, Virtual Health Care Delivery, or telehealth program development and operations, including clinical staffing models, care coordination, remote monitoring, and quality oversight.

Working knowledge of technology and artificial intelligence applications relevant to nursing and clinical care (e.g., clinical decision support, predictive analytics, natural language processing, workflow automation), with an ability to translate tech capabilities into safer, more efficient nursing practice.

Familiarity with applicable Veterans Affairs (VA) systems, policies, and clinical workflows (or similar large integrated healthcare systems), including electronic health record use, regulatory/compliance requirements, and veterans' care delivery models.

Strong data literacy and experience using health informatics, dashboards, and performance metrics to inform clinical decisions, resource allocation, and strategic planning.

Excellent communication and stakeholder engagement skills, with experience collaborating across IT, clinical, administrative, and executive partners to implement technology-enabled care initiatives.

Commitment to staff development, diversity, equity, and inclusion, and mentorship programs that build nursing capacity and resilience.

Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Use of fingers; Walking (2 hours); Standing (2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid may be permitted); Sitting up to 8 hours/day.

Environmental Factors: Unusual fatigue factors (Multiple computer screens); Working closely with others; Working alone; Written communication; Verbal communication; Occasional travel. Major Duties:

General Description of Assigned Duties: The Nurse IV Clinical Resource Hub (CRH) Chief Nurse provides executive-level leadership within the Veterans Integrated Systems Network (VISN).

Responsible for substantial and continuous oversight of population groups and integrated programs that cross service and discipline lines.

Directly influences the organizational healthcare mission through strategic, clinical, and operational leadership.

Functions or Scope of Assigned Duties: Supports the integration and collaboration of nursing with other professional disciplines and functional areas to achieve patient-centered and organizational goals.

Adheres to ethical principles in decision-making, fostering accountability at personal, organizational, and staff levels.

Equips staff with tools for competent, high-quality, and cost-effective care; promotes a culture of accountability.

Cultivates alliances across the care continuum through trust-building, active listening, engagement, and emotional intelligence.

Champions High Reliability Organization (HRO) principles grounded in systems thinking, collective mindfulness, prevention-focused problem-solving, and a culture of safety.

Promotes an inclusive workplace aligned with the organization's mission and vision.

Collaboration & Care Coordination Collaborates effectively with interdisciplinary team members, including program and service leaders at both the facility and network levels.

Works with other CRH team members to facilitate coordinated and seamless transitions of care between services.

Minimizes fragmentation of healthcare delivery and optimizes patient and family outcomes in a cost-effective manner.

Engages collaboratively with all levels of VA staff nationwide to support consistent, high-quality care.

Operational Leadership Assists the CRH Director with healthcare operations and assigned program functions.

Participates in the development of CRH care delivery models and environmental design to ensure evidence-based, accessible, affordable, and equitable care.

Provides recommendations for establishing standards of care, policies, and objectives that enhance nursing practice.

Communication & Stakeholder Engagement Relates effectively with Veterans, families, community partners, and leaders at the local and network levels.

Maintains highly effective working relationships with internal and external stakeholders.

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: Monday - Friday 8:00am - 4:30pm MST Telework: Pending exemption for remote status: Under the 180-day Mid-Term Extensions (MTE).

This position could be approved for Mid-Term Extensions (MTE).

MTE allows for the facility leader to grant employees in the identified positions an extension up to 180-days to RTO; in which case approved positions would be approved locally to grant telework/remote for those 180-days.

Virtual: This is not a virtual position.