Registered Nurse Quality Manager

Duties include but are not limited to:

• The QM is a self-directed nursing professional who supervises staff assesses plans implements coordinates monitors and evaluates the quality and safety of the delivery of care for the organization.
• Assumes a leadership role in facilitating regulatory compliance for internal and external oversight bodies such as Joint Commission (JC) Commission on Accreditation of Rehabilitation Facilities (CARF) Veterans Health Administration (VHA) Directives and Handbooks etc.) Occupational Safety and Health Administration (OSHA) Office of the Medical Inspector (OMI) Office of the Inspector General (OIG) and VHA performance measures supporting performance improvement work and supporting and guiding the work of committees.
• The QM ensures that services have systems and processes in place to provide safe quality care that is consistent with external benchmarks.
• Supports performance improvement initiatives by identifying quality metrics trending data maintaining the quality metric dashboard and acts as a subject matter expert in data analysis and data display.
• In conjunction with the Quality Director consults and acts as a resource to leadership and staff in standards interpretation implementation patient safety infection control risk management and re-design of processes and structures to improve care outcomes.
• Develops and implements policy and procedures collaborates with service departments and works toward meeting the strategic plan of the organization.
• The QM oversees monitoring of corrective actions from survey findings and assists services who are performance outliers.
• Provides oversight for programs such as the Joint Patient Safety Reporting (JPSR) and Peer Review.
• Responsible for ensuring completion of clinical quality reviews clinical data analysis and identifying opportunities for improvement.
• Provides clinical and administrative recommendations relative to all Strategic Analytic Improvement Learning (SAIL) outcomes External Peer Review Program (EPRP) metrics and driving improvement initiatives within the medical center.
• The QM provides oversight for the coordination of accreditation readiness activities focused on standards compliance education of staff on standards VHA requirements and customer satisfaction for internal and external stakeholders.
• Influences care outcomes by collaborating with members of the interdisciplinary team.
• Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.
• Leads staff through performance evaluations provide guidance and support on changes and change management projects.
• The QM supports all Quality service line work to include but not limited to Accreditation System Redesign Infection Prevention Patient Safety Risk Management High Reliability Organization (HRO) accountability and evidence-based practices.

• 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.
• 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.)

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.