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Registered Nurse Chief Nurse (Acute Care)


Job Location:

Gainesville, FL - USA

Yearly Salary: USD 138696 - 138696
Posted: 6 October 2026 (22 days ago)
Application Deadline: 3 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

The Nurse IV Chief Nurse Acute Care provides executive oversight for daily clinical and administrative operations with supervision of the Nurse Managers over the following areas: Medical/Surgical units Acute Care Telemetry Inpatient Wound Team and IV Team. Collaborates across care disciplines to assess design plan implement and evaluate interdisciplinary programs within the service and medical center.


Duties

The Chief Nurse Acute Care provides senior leadership within nursing as directed by the Associate Director for Patient Care Services (ADPCS). They are responsible for the practice of nursing 24/7 and ensuring compliance with policies and procedures standards of patient care treatment and services nursing practice standards staffing plans functional statements and standards to measure assess and improve patient outcomes.

Functions or scope of assigned duties include but are not limited to:

  • Provides executive input in the strategic planning budget mission operational planning and policy development for the specified service.
  • Collaborateswith Chief Nurses across the health care system Deputy Nurse Executive and Associate Director for Patient Care Service to develop goals and objectives that support the strategic plan meet the needs of veteran patients satisfy staff and result in positive clinical and administrative outcomes.
  • Demonstrates substantial and continuous responsibility for directing supervision and managing the specified Service.
  • Aggregates data and demonstrates leadership in the budget process to plan for current emerging and future resource requirements (financial human material and/or informational) for the specified Service.
  • Identifies outcomes and stop gates that can be improved and leads the performance improvement process to improve and/or sustain clinical and administrative outcomes.
  • Identifies and develops and/or initiates programs to ensure a safe and therapeutic environment for patients and staff.
  • Manages time and leave as well as knowledge and oversight of FMLA Advanced leave and other special leave.
  • Models the Veterans Customer Experience Ease Effectiveness and Emotions of the VA Way. (The VA Way combines our ICARE Values WECARE behaviors the SALUTE service recovery model and the Own the Moment Guiding Principles).
  • Supports VHAs High Reliability Journey as a leader.
  • Provides leadership in maintaining standards of nursing and initiatives for system improvements
  • Assists with initiatives for transforming and sustaining the culture of the health system to a culture of safety.
  • Responds to internal and external communications to ensure a high level of patient satisfaction.
  • Promotes and contributes to an environment that is free from discrimination.
  • Knows understands ensures and consistently complies with VA information security and privacy policies procedures rules and regulations individually and within the specified service.
  • Leads the development and administration of service-related administrative and clinical programs utilizing the nursing process as appropriate.
  • Executes collaborative leadership 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 healthcare.
  • Ensures all staff under their supervision understand and follow accreditation and regulatory compliance.

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: Flexible daytime hours Monday - Friday with rotation to off tours and weekends as needed. Coverage areas to include Gainesville and Lake City in Florida.
Telework: Not available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: May be 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 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.
      • As a condition of employment for accepting this position you will be required to serve a 2-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.
    • 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 Requirements: This position includes 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; utilization of safe patient handling and mobility protocols.
    Education

    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: 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