Clarification from the agency

Current and permanent employees of the Department of Veteran Affairs at the Spark M. Matsunaga VA Medical Center, Honolulu Hawaii (Station 459). NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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General Description of Assigned Duties:

• Responsible and accountable for success and outcomes of the program that includes referrals to federal facilities and the purchase of non-federal inpatient and outpatient care; patient referrals and movements from local hospitals to federal facilities via the VISN Integrated Referral System (VIRS); and compliance and business integrity knowledge and comprehension while managing the VAPIHCS Integrated Veteran Care program.
• Ensures timely access to care occurs for our veterans and as such, impacts the agency's outcomes and how the agency is perceived by the population as it services and the community care providers who provide care for our veterans.
• Evaluates effectiveness of programmatic implementation to achieve optimum patient outcomes in the most efficient and cost-effective manner. Integrated Veteran Care program elements include Utilization Management, Clinical Care Management, and Administrative Support Staff.
• Demonstrates leadership in delivering and improving services to patient cohorts across the healthcare continuum through the development and management of collaborative strategies dealing with both healthcare and business office professionals across the VA service lines and with community providers outside the organization.
• Coordinates and authorizes Veteran Care Agreements and national contract services for care.
• Responsible for purchasing care for eligible veterans living in geographically inaccessible areas or care that is not available directly through the healthcare system.
• Maintains in-depth knowledge of this multifaceted legislative language to complete determinations of eligibility and special
• regulatory authority to pre-authorize various periods of care to "obviate the need for hospitalization.
• Develops and monitors service performance improvement initiatives reporting and providing plans of action to ensure quality of care and performance improvement in consult management.

• Operates as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability and serves as a matrixed consultant to the facility Chief of Staff and Associate Director.
• Responsible for ensuring standards of care criteria are used to determine if community care should be authorized. Authorization of care falls solely to the IVC ACN with minimal coordination required with the Chief of Staff except for the appeal process.
• Demonstrates leadership characterized by substantial and continuous responsibility for decision making and accountability for the operation and clinical oversight of the purchase of community care across the state and for patient referrals to DoD partners and other VAMCs.
• Accountable for methodology, approach, interpretation, and evaluation of the program; is a key member of the facility's senior leadership and participates in the formulation, implantation and evaluation of the medical center's goals, program services, as well as development of station directives.
• Provides senior leadership and oversight for daily clinical and administrative operations; directs strategic planning, program development, budget management, and quality improvement activities in consultation with VAPIHCS Executive Leadership team.
• Supports the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of patient-centered and organizational goals.
• Collaborates with interdisciplinary team members, including other program and service leaders at the facility and network.
• Contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of nursing.

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 examination.
• 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 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.)

• 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.

• Significant amounts of time standing assisting assigned patients
• Utilization of safe patient handling and mobility protocols

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 as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

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.