Registered Nurse - Accreditation/Readiness Coordination
About The Position
The Accreditation/Readiness Coordination Registered Nurse leads accreditation and regulatory readiness programs across the Iowa City VA Health Care System and aligned Community Based Outreach Clinics. The role supports continuous compliance, survey preparedness, patient safety, and high-reliability practices to support exceptional Veteran care. It coordinates regulatory surveillance and provides oversight and consultation to prepare the health care system for accrediting and monitoring organizations, including The Joint Commission, the Office of Inspector General, Annual Workplace Evaluation and Readiness, VA self-inspections, and other external reviews. The nurse promotes a culture of high reliability and safety, partnering with clinical and operational support staff to meet regulatory requirements and maintain continual readiness. The position continually evaluates and improves program processes, activities, learning, and communication. It also provides readiness education and consultation, collaborates with leadership and staff, identifies high-risk or noncompliant areas, and helps develop and monitor corrective action plans. The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. Occasional, episodic, or short-term telework may be authorized with required training and an agreement; this is not a virtual position. VA offers a total rewards package that includes competitive salary, regular salary increases and potential performance awards; 50 days of paid time off annually; a federal pension and 401(k) contributions of up to 5%; and federal health, vision, dental, term life, and long-term care insurance. A full, unrestricted nursing license from a U.S. state or territory is required.
Requirements
- Proficiency in basic written and spoken English.
- Graduation from an appropriately accredited school of professional nursing, or qualifying nursing education and licensure under the stated VA provisions.
- Current, full, active, and unrestricted registered professional nurse license in a U.S. state, territory, commonwealth, or the District of Columbia; the stated Graduate Nurse Technician exception may apply to eligible candidates pursuing licensure.
- Meet the education, experience, and dimension criteria for the assigned VA nurse grade and level. These criteria vary by grade and may include an ADN, diploma, BSN, MSN, or doctoral degree and specified professional or specialized nursing experience.
- U.S. citizenship, except that non-citizens may be appointed when recruiting qualified citizens is not possible under VA policy.
- Pass pre-employment drug screening if tentatively selected for a testing-designated position.
- Register for Selective Service if applicable to males born after December 31, 1959.
- Submit to a background/security investigation and complete the required online onboarding process.
- Provide acceptable identification for pre-employment requirements; beginning May 7, 2025, a non-REAL ID-compliant driver's license or state identification card is not acceptable for this purpose.
- Pass a pre-employment physical evaluation.
- Participate in the VA seasonal influenza vaccination program.
- Complete all application requirements in the announcement's Required Documents section.
- Serve a probationary period if required.
Nice To Haves
- Regulatory experience.
- Performance improvement experience.
Responsibilities
- Assist in coordinating accreditation-program reviews and preparing for internal and external reviews.
- Conduct systematic reviews of assigned clinical processes and assist with ongoing tracer activities.
- Maintain data and records for assigned clinical reviews, including tracking and trending data, producing reports, meeting established timeframes, and facilitating improvement action plans.
- Provide consultation and guidance on clinical performance measures, assigned performance-improvement reviews, and performance-improvement tools and techniques.
- Serve as backup for QMO.
- Facilitate development and coordination of internal review systems to ensure clinical and administrative activities comply with agency, accrediting, and regulatory requirements.
- Develop policy guidance, motivational materials, and information to facilitate staff compliance with required standards.
- Coordinate the annual Joint Commission Focused Standards Assessment process, OIG inspection issues and guidance, and OIG CHIP Guide self-assessment.
- Assist with QSV analyst functions, including chart reviews, tracers, and inspections; analyze data and help facilitate Improvement Team activity.
- Participate in the annual performance improvement plan by establishing improvement priorities and monitoring activities.
- Provide readiness education and partner with education and management to embed continual readiness and high-reliability approaches in department and unit activities and processes.
- Provide consultation to support continuous improvement and progress toward improved readiness and high reliability.
- Collaborate with organizational leadership and staff to ensure regulatory patient-safety standards are met or exceeded.
- Proactively identify high-risk or noncompliant areas, establish communications and action plans, partner with operations to establish internal controls and implement resolutions, and measure outcomes.
Benefits
- Competitive salary and regular salary increases
- Potential performance awards
- 50 days of paid time off per year, comprising 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays
- Traditional federal pension with five-year vesting
- Federal 401(k) with up to 5% in contributions by VA
- Federal health insurance
- Federal vision insurance
- Federal dental insurance
- Term life insurance
- Long-term care insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
