Registered Nurse - Regional Nursing Officer

The Nurse V Regional Nursing Officer (RNO) serves as the senior nursing executive for the Health Service Area (HSA) with responsibility for complex nursing, clinical, and administrative matters that includes multiple VA medical facilities with varying levels of service complexity. The RNO provides strategic direction, organizational assessment, resource management, and the execution of mission-driven initiatives.

Duties include but not limited to: Leads, practices in, and monitors the outcomes of governance and organizational meetings within the assigned area of responsibility and provides recommendations that may have a direct and substantial effect on HSA and medical center operations. Applies knowledge of clinical systems, programs, nursing practice, and organizational priorities to support coordinated decision-making and Veteran and employee education. Provides executive oversight for nursing practice, sterile processing, and other assigned clinical or administrative services across the HSA. Analyzes nursing data, monitors nursing practice trends, identifies emerging issues, and provides expert consultation on care delivery and practice. Provides professional nursing oversight and support for performance appraisal review, development and revision of functional statements, and evaluation of practice. Oversees the development, implementation, and evaluation of guidance documents, including standard operating procedures and protocols, that support national policies and care delivery requirements. Represents and advocates for nursing at the regional level and advances standardized, evidence-based nursing practice across the HSA and associated medical facilities. Serves as a subject matter expert and consultant to HSA and facility leaders regarding nursing care delivery, professional practice, and the application of policy to clinical operations. Identifies opportunities to improve clinical and programmatic operations across the region and takes appropriate action to promote operational coordination, stabilization, alignment, and clarity across divisions, functions, and components. Collaborates with Veteran Integrated Service Network (VISN) leadership and teams to coordinate HSA engagement in the implementation and sustainment of Electronic Health Record Modernization (EHRM) and other enterprise transformation initiatives. Facilitates integration and collaboration between nursing, other professional disciplines, and functional areas to achieve patient-centered care and organizational performance. Champions High Reliability Organization (HRO) principles and a culture of safety grounded in systems thinking, collective mindfulness, prevention, learning, and evidence-based health care solutions. Acts as a catalyst for change, promoting continuous improvement by fostering inquiry, innovation, data analyses, and translating evidence and research into practice. Supports compliance with applicable accreditation requirements, federal standards, and organizational expectations within the assigned scope of responsibility. Leads workforce and succession planning and promotes a healthy work environment through shared decision-making, professional development, psychological safety, and ongoing learning. Fosters a culture that supports optimized practice aligned with education, training, certification, and ICARE principles, with the goal of improving employee engagement, patient outcomes, and Veteran satisfaction. Collaborates with VA medical centers and associated facilities, other HSAs within the VISN, VISN leadership, the Medical Operations Center (MOC), Veterans Health Administration Central Office (VHACO), and other key stakeholders. Builds consensus and cooperation among HSA and facility leaders, communicates with transparency and integrity, and represents regional nursing priorities in varied forums. Through these relationships, the RNO advances coordinated implementation of nursing, clinical, and organizational priorities across the HSA. 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, 08:00am - 04:30pm Telework: Ad-Hoc eligible Duty Location: Duty Location negotiable after selection. Location will fall within HSA 4.1 catchment area. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. 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.