Summary

The Nurse IV Deputy Associate Director for Patient Care Service (DADPCS)/Deputy Nurse Executive (DNE) is a highly experienced healthcare executive who demonstrates exemplary leadership - extensive expertise - and innovative strategies to ensure the consistent and prompt provision of quality nursing practice across a broad spectrum of complex patient care services and programs.

Qualifications

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 master's level bridge program in nursing who have completed coursework equivalent to a bachelor's 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.) 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: Master's 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 Master's 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
• Preferred Experience: A minimum of five years of demonstrated success in executive or senior nursing leadership is preferred - including oversight of complex healthcare operations - multiple service lines - or diverse clinical programs
• Candidates should possess advanced clinical and operational expertise - strong business acumen - and exceptional leadership skills with a proven ability to drive quality outcomes - workforce engagement - regulatory compliance - and organizational performance in a dynamic healthcare environment
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: There are no physical requirements for this occupation per OCHCO Communications email to VA Handbook 5019 - updated on 4/17/2026.

Duties

• The scope of the DADPCS/DNE is of an executive nature - comprised of complex leadership and administrative components associated with critical health care issues and activities that influence the organizational mission - health care - and policy
• Accountable to the ADPCS/NE and are an integral part of the senior leadership team
• The DADPCS/DNE is a member of the Executive Leadership Team (ELT) and a healthcare executive within nursing services
• The incumbent is a spokesperson for organized nursing services and works to ensure the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of optimal Veteran centered organizational goals in the facility
• The DADPCS/DNE works closely with the ADPCS/NE as a collaborator and partner in strategic planning - organization assessment - and program development
• They have the responsibility to assist with the establishment of standards for the practice of nursing at the health care system level to ensure the continuous and timely availability of quality nursing services
• The DADPCS/DNE is responsible for the practice of nursing 24/7
• This includes all registered nurses - advanced practice nurses - and allied health staff (LPNs - NAs - etc.) regardless of line authority
• Have line authority over the Associate Chief Nurses (ACNs) and may have additional duties assigned to them by the ADPCS/NE
• Exercises preliminary approval for the following: job descriptions - 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
• The incumbent appropriately delegates activities to services assigned to them under the purview of the ADPCS/NE
• Ensures a competency process is in place to evaluate individual practice - as well as a review process for annual performance ratings
• The DADPCS/DNE promotes shared decision-making to ensure a healthy work environment for nursing
• a spirit of inquiry and the use of evidence-based practice
• and an academic environment supportive of education and research to promote the profession of nursing
• The incumbent champions a High Reliability Organization (HRO) founded on a collective mindfulness approach to develop evidence-based health care solutions that promote prevention and safety
• Other duties may be assigned
• 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 - 8:00am-4:30pm Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized