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Associate Chief Nurse Specialty Outpatient


Job Location:

Saint Louis, MI - USA

Yearly Salary: USD 154241 - 154241
Posted: 6 October 2026 (21 days ago)
Application Deadline: 3 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

The Nurse IV Associate Chief Nurse (ACN) Specialty Outpatient executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and influence the organizational healthcare mission.




Duties

The Nurse IV Associate Chief Nurse (ACN) Specialty Outpatient executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and influence the organizational healthcare mission. The ACN Specialty Outpatient Nursing Service is responsible for nursing services provided in specialty outpatient clinics at John Cochran Campus and Jefferson Barrack Campus Heme/Oncology Employee Health and Wellness Home Telehealth Traveling Veteran Program Telehealth Services and Home Based Primary Care.

Duties include but are not limited to:

  1. Develops organizes and directs clinical and non-clinical operational aspects with an added emphasis on delivering services where it is needed.
  2. Routinely analyzes plans and actions related to practice quality and safety issues to identify and improve performance and attain outcomes for Veteran healthcare.
  3. Able to inspire individuals to build consensus and cooperation that creates a shared vision and advance goals.
  4. Provides guidance and oversight of program management to ensure proper resource utilization.
  5. Participates in continuous learning to successfully promote and apply economic concepts and business models to set priorities.
  6. Assesses and evaluates facility-wide patient care delivery policies and programs to support senior leadership goals.
  7. Assists with the creation of a workforce to serve Veterans families and caregivers of all backgrounds at the organizational level.
  8. Seeks and utilizes healthcare policy and practices to enable the delivery of reliable and accessible healthcare.
  9. Recognizes cultivates and integrates health care practices that address social and health inequities.
  10. Contributes to visionary thinking that advances the delivery of patient care.
  11. Establishes and maintains highly effective relationships at all levels of the organization.
  12. Relates effectively with front-line staff customers and leaders at the program and service level.
  13. Communicates with transparency clarity and integrity.
  14. Develops and supports an environment for ethical decision-making throughout the organization.

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
Telework: Ad-hoc available per agency policy
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): 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 ( 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 evaluation/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:

    NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and 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.

    The following Scope Education and Dimension criteria must be met to qualify for Nurse IV:
    • 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: Masters 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 Masters 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.
    Reference: For more information on this qualification standard please visit Experience: Masters Degree and at least 3- 5 years progressive leadership.

    Physical Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as direct patient care and potentially long periods of walking standing sitting moderate lifting repeated bending or kneeling. Examples may include but are not limited to: significant amounts of time standing assisting assigned patients and utilization of safe patient handling and mobility protocols. This position requires potentially long periods of continued walking standing and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. 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 patient needs.
    Education

    Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information visit:

    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 applicants 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 windowLearn 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.


    Required Experience:

    Chief