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Registered Nurse (RN) Patient Safety (PS)High Reliability Organization (HRO)


Job Location:

Tomah, WI - USA

Yearly Salary: USD 77771 - 77771
Posted: 6 October 2026 (19 days ago)
Application Deadline: 22 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

The Registered Nurse (RN) - Patient Safety (PS)/High Reliability Organization (HRO) is responsible for ensuring that the PS/HRO Programs align with the VHA Directive 1050.01 and National Center for Patient Safety (NCPS) guidance. The incumbent of this position is also responsible for initiating the HRO and Just Culture environment across clinical and administrative areas using Lean/System Redesign methods.


Duties

THIS IS NOT A REMOTE POSITION!

The Registered Nurse (RN) - Patient Safety (PS)/High Reliability Organization (HRO) is responsible for coordinating education activities with key stakeholders to support the Quality Safety Value (QSV) enterprise framework. The RN in this role is also responsible for the documented outcomes of the PS/HRO programs. This RN is expected to demonstrate sound decision-making and judgment while possessing excellent interpersonal skills as well. They are expected to collaborate with members of the interdisciplinary team and lead to process improvement initiatives.

The RN - PS/HRO is also responsible for the following duties:

  • Collecting data analyzing data and identifying trends to facilitate process improvements.
  • Monitoring the effectiveness and sustainability of action plans
  • Using Lean Principles and Quality Improvement methods across the Medical Center and Community Based Outpatient Clinics (CBOCs) to enhance Veteran care and foster a Just Culture environment.
  • Collaborating with the Veterans Integrated Service Network (VISN) and its facilities to support the PS and HRO Programs.
  • Providing assistance and coverage to the Patient Safety Manager when requested.
  • Functioning as a consultant for patient safety policies and activities guided by NCPS associated policies and VHA Directives.
  • Conducting and providing education and/or guidance on program requirements RCAs and accreditation standards.
  • Assigning and reviewing Patient Safety Reporting systems and HRO principles/standards.
  • Functioning as the program expert and using clinical knowledge/judgement to promote staff involvement in planning decision-making and evaluating outcomes.
  • Providing clear communication as facility liaison between VISN and the NCPS to provide appropriate guidance to requesting departments.
  • Developing and coordinating internal review systems to assure that both clinical and administrative PS/HRO activities remain compliant with agency accrediting and regulatory requirements.
  • Other duties as assigned.

The PS/HRO RN is aligned to the Quality Management (QM) department which is aligned under the Executive Director. The PS/HRO RN will directly report to the Director of QM.


VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary regular salary increases potential for performance awards
Paid Time Off: Up to 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: Full-time (1 FTE); 0800 - 1630 Tour of Duty (TOD) may change due to facility needs
Telework: Ad-hoc only as determined by the 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.
    • 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.

    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 IDelivers fundamental knowledge-based care to assigned clients while developing technical competencies.An Associate Degree (ADN) or Diploma in Nursing with no additional professional nursing required.Nurse I Level IIDemonstrates integration of biopsychosocial concepts cognitive skills and technically competent practice in providing care to clients with basic or complex.An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.Nurse I Level IIIDemonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I Level 2; OR a Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates leadership in delivering and improving holistic care through collaborative strategies with others.A BSN with 2 years of professional nursing equivalent to Nurse I Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I Level 3; OR a Masters degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.Nurse IIIExecutes position responsibilities that demonstrate leadership experience and creative approaches to management of complex client care beyond the immediate practice setting.MSN and 2 years of specialized nursing experience one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Masters degree in *related field with BSN and two years of specialized nursing experience one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.*Note: Foreign education programs/degrees are not creditable as related degrees.

    Preferred Experience:
    • MSN or BSN is highly preferred.
    • 3-5 years of nursing experience preferred.
    • Demonstrated experience with Patient Safety and accreditation.
    • Demonstrated abilities in being flexible with workloads prioritizing tasks paying attention to detail communicating effectively using critical thinking skills and promoting teamwork and collaboration.

    Reference: For more information on this qualification standard please visit Requirements:
    This position includes a level of physicality normally associated with duties 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 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.

    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:
    for RNs: Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time the program was completed by the applicant.

    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:

    IC