Registered Nurse (High Reliabilty Supervisory Program Manager)

Acting as a crucial liaison between Tennessee Valley Healthcare System (TVHS) Executive Leadership and VISN 9 this role involves overseeing activities related to HRO and providing regular progress reports to senior leadership and Veterans Integrated Services Network (VISN) 9. Utilizing data and comparative analytical processes the HRO SPM recommends the design and implementation of innovative programs aimed at enhancing service excellence customer satisfaction and compliance with patient care and regulatory standards.

This position actively engages with clinical care areas and collaborates with individual staff teams and services to improve safety quality and efficiency of care. The incumbent ensures effective communication throughout the facility regarding HRO events share impactful stories and the overall implementation plan. Additionally the HRO SPM serves as the lead for implementing a Just Culture promoting an environment of transparency and accountability.

Partnering with members of the Quality & Patient Safety team the HRO Supervisory Program Manager identifies vulnerabilities and develops processes and programs that advance patient care across the continuum. Responsibilities also include reviewing Joint Patient Safety Reporting (JPSRs) Root Cause Analysis SAIL and EPRP data and other performance measures to assist in creating process improvement changes and enhancing the delivery of this role supports the medical center in implementing priority sections of the HRO Toolkit ensuring a systematic approach to fostering a high-reliability healthcare environment. The HRO SPM oversees the provision of staff education orientation competencies and providing quality improvement and outcomes utilization consultation related to the program.

The incumbent demonstrates leadership in delivering and improving holistic care through collaborative strategies with others and evaluates practice in an ongoing process based on best evidence. The HRO SPM provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Shares educational findings experiences and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture.

The HRO SPM continuously evaluates the program collecting and submitting facility performance measures. Participates in quality improvement activities and develops performance measures to ensure programmatic outcomes are successful. Ensures the organizations strategic plan mission vision and values are understood by the team and integrated into the programs strategies goals objectives work plans and products and services. Communicates and evaluates assignments projects problems to be solved actionable events milestones and/or program issues under review and timeframes for completion.

The HRO SPM demonstrates proficiency in leadership based on sound judgment critical thinking and deliberate planning. Leads discussions with facility leaders regarding program goals and requirements to meet the operational needs of the facility and program. Provides strategic advice and recommendations while collectively collaborating with the program staff to develop solutions to complex issues and reporting actions to leadership. The HRO SPM is responsible for the documented outcomes at the program level and for supporting the program in all services within the organization. Program level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility Veterans Integrated Services
Network (VISN) or Veterans Affairs Central Office (VACO).

(N041 pay scale)
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 7:00am to 3:30pm
Telework: Ad-hoc telework available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

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 ( Effective May 7 2025 drivers 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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)