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Registered Nurse - Accreditation Program Manager

Summary

Oversees regulatory compliance and accreditation for a VA hospital, translating standards into daily operations and leading process improvements to ensure survey readiness.

The Nurse Accreditation Program Manager (APM) Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes. The Accreditation Program Manager (APM) provides enterprise-level oversight of regulatory and accreditation compliance across the hospital and affiliated care sites. The Bronx VA Medical Center is recruiting for a Registered Nurse Accreditation Program Manager reporting to the Quality and Patient Safety service.

Major duties include but are not limited to: Assesses, plans, implements, and evaluates delivery of care based on age specific components. Demonstrates performance and leadership that is broad enough to improve the care for a group of patients. Demonstrates sound decision-making and judgment and possess excellent interpersonal skills. Self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives. The role operationalizes an "always survey-ready" model by translating external standards (e.g., Joint Commission, CMS Conditions of Participation, state regulations, specialty program requirements) into internal controls, workflows, and monitoring structures. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Maintaining the regulatory inventory. Coordinating the triennial survey cycle. Managing policy governance. Ensuring standards interpretation is consistently applied across clinical and non-clinical departments. The APM serves as the authoritative resource for standards clarification, aligning leadership expectations with frontline practice and integrating requirements into daily operations rather than episodic preparation. The APM designs and administers the continuous readiness infrastructure: tracer methodology, environmental rounding, document control processes, and compliance auditing programs. The APM also prepares leaders and staff for survey or interactions through education, mock surveys, just-in-time coaching, and leadership briefings, ensuring staff competency in articulating care processes and demonstrating compliance in real time. 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, 08:30am - 5:00pm Compressed/Flexible: Not Available. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Available. Permanent Change of Station (PCS): Not Available. PCS Appraised Value Offer (AVO): Not Available.

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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's 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 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.

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