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Registered Nurse - Quality and Patient and Safety

Jonathan M Wainwright Memorial VA Medical Center
Walla Walla, WA Other
POSTED ON 4/24/2026
AVAILABLE BEFORE 5/4/2026
The Director of Quality, Safety & Value Service provides program oversight, coordination and leadership in quality and performance management processes. Responsible for planning, designing, integrating, implementing, modifying and administering a Quality and Performance Management Program. Operates under broadly delegated authority, taking action to develop or modify objectives and boundaries of assignment as indicated, and plays a critical role in organizational performance improvement.

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.


Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Straight pulling; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Repeated bending; Ability to distinguish basic colors; Hearing (aid may be permitted).

Responsibilities:

Duties include, but are not limited to:
  • Provide program oversight, coordination and leadership in quality and performance management processes throughout the facility.
  • Coordinate information gathering and completion of accreditation participation requirements for survey by The Joint Commission (TJC).
  • Chair the Quality and Patient Safety Council and ensures assessment and monitoring of the overall Quality and Patient Safety Program for compliance with VHA Directive and ensures findings of patterns and/or trends impacting effectiveness are used to modify and improve the Quality and Patient Safety program and facilitate accomplishment of the facility's goals and objectives.
  • Compile, coordinate and complete facility responses to recurring and non-recurring and special reports requested by VHA and VISN leadership in response to Congressional oversight or non-VA Accreditation organizations.
  • Develop, implement, integrate and maintain a Quality and Patient Safety Program to: evaluate and improve the quality of patient care and/or the appropriateness and timeliness of services provided.
  • Assesses health system processes that impact the quality of patient care delivery and follows through with appropriate actions.
  • Provide leadership and direction in transitioning to performance improvement as an approach to assess and improve the quality of patient care.
  • Evaluate the workload and productivity of each of his or her assigned staff, sets priorities, and provides necessary guidance in accomplishing programmatic goals.
  • Serve as a key advisor to top management and provides ongoing briefings on the status of Quality and Patient Safety program activities.
  • Recommend new policies and procedures and recommends revisions to existing health system and professional policies and procedures as necessary.

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.

Salary : $163,622

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