Registered nurse - quality management consultant/accreditation coordinator

Summary

The Registered Nurse - Quality Management Consultant/Accreditation Coordinator provides clinical expertise in quality management and accreditation. The He/She leads and evaluates complex patient-care processes, using strong judgment, collaboration, and communication skills. The incumbent independently plans, implements, and improves care delivery, driving interdisciplinary teamwork and innovative process-improvement initiatives to enhance patient outcomes.

Duties

Duties include, but are not limited to:

• Participate in several facility councils, committees, and workgroups.
• Apply specialized principles and practices to ensure a systems approach to healthcare delivery.
• Coordinates organizational readiness activities/process for survey by Joint Commission (TJC), Office of the Inspector General (OIG), and other external reviews.
• Organizes and conducts system and patient tracers across the organization, communicates opportunities to local management and aggregates tracer findings to report through the governance structure.
• Coordinates the distribution of new VHA Directives/Handbooks.
• Assists local staff on conducting gap analysis and action plans to meet new and existing requirements in Directives/Handbooks.
• Evaluates previously closed actions for sustained compliance.
• Advises staff and management of relevant standards and evaluates compliance with applicable standards and regulatory requirement.
• Educates staff across the medical center on standards and regulations relevant to care provided and changes in standards and regulations.

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, 7:30am - 4:00pm (may change based on facility needs)
• Telework: Not authorized
• Virtual: This is not a virtual position.
• Relocation/Recruitment Incentives: Not authorized

Requirements

Conditions of employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications

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 than 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.

Preferred Experience:

Experienced in coordinating accreditation and survey readiness for The Joint Commission, the Office of Inspector General, and other review bodies; conducting system and patient tracers; leading gap analyses; and converting complex regulatory standards into actionable practices. Active in councils and committees with accountable outcomes. Five years of nursing experience and two years of quality experience.

Additional information

This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.