Registered Nurse Accreditation Program Manager
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Job Summary
The Nurse Accreditation Program Manager (APM) Registered Nurse (RN) demonstrates leadership experience and creative approaches to improvement in quality-of-care outcomes. The Accreditation Program Manager (APM) provides enterprise-level oversight of regulatory and accreditation compliance across the hospital and affiliated care sites. The Bronx VA Medical Center is recruiting for a Registered Nurse Accreditation Program Managerreporting to the Quality and Patient Safety service.
Major duties include but are not limited to:
- Assesses plans implements and evaluates delivery of care based on age specific components.
- Demonstrates performance and leadership that is broad enough to improve the care for a group of patients.
- Demonstrates sound decision-making and judgment and possess excellent interpersonal skills.
- Self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives.
- The role operationalizes an always survey-ready model by translating external standards (e.g. Joint Commission CMS Conditions of Participation state regulations specialty program requirements) into internal controls workflows and monitoring structures.
- Executes position responsibilities that demonstrate leadership experience and creative approaches to management of complex client care.
- Maintaining the regulatory inventory.
- Coordinating the triennial survey cycle.
- Managing policy governance.
- Ensuring standards interpretation is consistently applied across clinical and non-clinical departments.
- The APM serves as the authoritative resource for standards clarification aligning leadership expectations with frontline practice and integrating requirements into daily operations rather than episodic preparation.
- The APM designs and administers the continuous readiness infrastructure: tracer methodology environmental rounding document control processes and compliance auditing programs.
- The APM also prepares leaders and staff for survey or interactions through education mock surveys just-in-time coaching and leadership briefings ensuring staff competency in articulating care processes and demonstrating compliance in real time.
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 08:30am - 5:00pm
Compressed/Flexible: Not Available.
Telework: Not Available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Available.
Permanent Change of Station (PCS): Not Available.
PCS Appraised Value Offer (AVO): Not Available.
- 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 evaluation.
- 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.
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.)
Grade Determinations: The following Scope Education and Dimension criteria must be met in determining the grade assignment of candidates and if appropriate the level within a grade. The Dimension requirements (Practice Veteran/Patient Driven Care Leadership Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: I Level I
Reference: For more information on this qualification standard please visit Experience: 3 years as an hospital accreditation manager and quality management specialist.
Physical Requirements: See VA Directive and Handbook 5019 Employee Occupational Health Service.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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:
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.
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:
IC
