Advanced Practice Nurse-Clinical Operations

Clarification from the agency

This announcement is open only to VHA employees only. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.

The APN is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.

Major duties and responsibilities of the position:
1. Executive Leadership & Strategic Oversight

• Provides leadership and accountability within Chief of Staff service line, providing oversight to the following areas: Group Practice Management, Data Analytics, Clinical Health Informatics Office, Whole Health, and Clinic Profile Managers (CPM), ensuring alignment with facility strategic goals and VISN/VA directives

• Integrates administrative and clinical functions across assigned areas to enhance efficiency, reduce redundancies, and support a seamless continuum of care
• Collaborates with service chiefs to implement data-driven strategic planning initiatives, leveraging advanced analytics to guide operational decisions, productivity management, organizational design, and patient access improvements
• Serves as a key contributor to the medical center's strategic and business planning processes, ensuring that assigned programs support organizational readiness, workload forecasting, and resource optimization

2. Group Practice Management (GPM)

• Oversees physician practice operations, panel management, and clinic flow optimization
• Ensures compliance with national GPM standards, productivity expectations, scheduling practices, and patient access requirements
• Partners with clinical leaders to develop provider practice models, staffing projections, and performance measures

3. Data Analytics & Informatics Integration

• Directs the Data Analytics team to support facility wide reporting, dashboards, forecasting, and decision support tools
• Works collaboratively with CHIO to advance informatics maturity, EHR optimization, safe use of ordering systems, and clinical decision support functions
• Guides the development of standardized metrics across all assigned programs to evaluate quality, access, timeliness, patient experience, and performance improvement

• This position assumes executive responsibility for Clinic Profile Manager (CPM) oversight, a key function documented as essential to clinic setup, profile design, template governance, care-delivery modalities, consult workflows, documentation trends, clinic utilization monitoring, and timely capture of performance measures. CPM­led processes-such as grid design, schedule accuracy, utilization reporting, and workload capture-require aligned physician leadership to ensure that templates and operational workflows appropriately reflect clinical intent and Veteran care needs
• Oversees coordination across scheduling infrastructure, provider templates, modality design (face-to-face, virtual, telephone), performance measure monitoring, and compliance with VA Central Office clinic-profile directives. This ensures that scheduling, clinical staffing, workflow design, and access governance function cohesively and consistently across all departments

5. Clinical Practice (50% FTE)

• Maintains clinical privileges and provides direct patient care in the incumbent's specialty
• Models professional excellence, patient-centered communication, and clinical integrity consistent with VA standards of practice
• Serves as a clinical subject matter expert, mentor, and consultant for providers and trainees across the facility

• Ensures proper hiring, onboarding, competency maintenance, performance evaluation, rewards/recognition, and professional development across assigned programs
• Partners with HR, labor relations, and union representatives to maintain positive labor­-management relationships
• Encourages continuous learning, innovation, and high-performance work systems.

7. Communication & Collaboration

• Represents assigned programs at medical center, VISN, national workgroups, and committees
• Maintains open, diplomatic communication with facility leadership, affiliate institutions, Veterans Service Organizations, staff, and other stakeholders
• Promotes transparency, trust, and shared ownership of performance and organizational success

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: M-F, 8:00am-4:30pm
Telework: Ad-hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Pay Schedule: NF46

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.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• 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.
• 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

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

• Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a 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).
  • NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.
• License and Certification:
  • License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
  • Basic Certification. All APN (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.

NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also 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.

1. APN (Nurse Practitioner) IV.

1. 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.
2. Education and Experience Requirement.
   1. 1. Meets basic education requirement for an APN (NP)

AND

1. 1. 2. Four years of APN (NP) experience, one of which is specialized experience equivalent to Nurse Ill

AND

2. 1. 3. Meets all Nurse IV dimension requirements.
3. Dimension Requirement. APNs (NPs) at Level IV must meet ALL the following dimension requirements:
4. 1. 1. Practice. Practices at an associate executive level, utilizing clinical, leadership and administrative skills, demonstrating continuing responsibility that influences the organizational mission, health care delivery and policy at the local and/or regional level.
      2. Outcome Focus. Leads the application of clinical/business models, incorporating research/evidence-based practices, designed to achieve and sustain excellence in the delivery of health care at the service and organization levels.
      3. Leadership. Creates and implements a shared vision and successfully leads change to improve organizational performance and attain measurable performance outcomes.
      4. Professional Development. Establishes innovative, current and future healthcare delivery models, policy/regulation and governance to cultivate a healthy culture, improving health outcomes.
      5. Professionalism/Collegiality. Facilitates effective relationship management, communication, customer service experiences and negotiation across diverse cultures using a broad range of technology platforms to influence, inspire and motivate others within their program/service or beyond.

Preferred Experience: Leadership experience, demonstrated skill in informatics, results driven operations, strong communication, negotiation, and stakeholder engagement abilities

Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all fulltime, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. This position requires that you are able to lift at least 50 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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 organizational needs. Must complete annual Employee Health requirements, such as annual Influenza vaccination, TB screening or testing, as a condition of employment.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

To apply for this position, you must provide a complete Application Package which includes:

• Long-form resume/Curriculum vitae (CV)

You must submit a CV or Resume (To verify that you meet the qualifications for the position). Your resume must contain identifiable information (such as name, address, email and phone number). It must also contain the month and year for the beginning and ending for each employer as well as the name, city and state of all the schools that you attended, the month/year you graduated and the type of degree you were awarded. You must also list the information regarding your license to include: state, license number and expiration. For additional information see: What to include in your resume (https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/).

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

• Cover Letter
• DD-214/ Statement of Service
• Disability Letter (VA)
• License
• Long-form resume/Curriculum vitae (CV)
• Other (1)
• Performance Appraisal
• Professional Certification
• Separation Notice (RIF)
• SF-15
• SF-50/ Notification of Personnel Action
• Transcript

Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Next steps