Veterans Affairs, Veterans Health Administration Associate Director for Patient Care Services (Nurse Exec) in San Francisco, California

Job Overview

Job Overview

Vacancy Identification Number (VIN): 1993082

Our Mission: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information on the Department of Veterans Affairs, go to:

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.


The San Francisco VA Medical Center (SFVAMC) is a Joint Commission accredited, Level IA major interdisciplinary teaching facility with care lines serving medical, surgical, geriatric and behavioral health inpatients and outpatients, with an Emergency Department, and multiple community-based outpatient clinics (CBOC). Home-Based Primary nursing care is also provided.

The Associate Director for Patient Care Services is the top executive within nursing and is a key member of the executive leadership team of the organization, involved in strategic planning, organizational assessment, and program development. The Associate Director for Patient Care Services has the authority and responsibility for establishing standards of nursing practice and ensuring the continuous and timely availability of quality nursing services. He/she is the chief spokesperson for organized nursing services and is the catalyst for the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of patient-centered and organizational goals. Scope of this position: Practice of an executive nature, comprised of complex, leadership and administrative components, associated with critical heath care issues and activities that influence the organizational mission, health care, and policy (VA Handbook 5005/27, Part II, Appendix G6, March 17, 2009). The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses, 2015).

The Associate Director for Patient Care Services is a member of the SFVAMC Executive Leadership Team, along with the Medical Center Director, the Associate Medical Center Director, and Chief of Staff. The Associate Director for Patient Care Services participates fully in upper-level management decisions to speak on behalf of nursing and other hospital administration issues, and is a member of all medical center-level Councils and Committees that govern and influence the operations of the medical center, such as the Leadership Council, Executive Committee of the Medical Staff, Resource Management Board, and the Affiliation Partnership Council/Dean's Committee.

The Associate Director for Patient Care Services is the Nurse Executive for this facility and its associated community-based outpatient clinics (CBOC). He/she is responsible for the practice of nursing 24/7 by registered nurses, advanced practice nurses, and allied health staff (LPNs, NAs, etc.) regardless of line authority. He/she has direct line authority over Nursing Practice, Sterile Processing Services, Medical Center Education Department, and Nursing Informatics and Technology. The Associate Director for Patient Care Services will exercise final authority and approval over nursing job descriptions, nursing care policies and procedures; nursing standards of patient care, treatment, and services; standards of nursing practice; nurse staffing plans; and standards to measure, assess, and improve patient outcomes. He/she will ensure that all registered nurses, advance practice nurses, and licensed practical nurses are licensed, certified, and/or registered upon employment, and thereafter. He/she will ensure a competency process is in place to evaluate individual practice, as well as a review process for annual performance ratings. The Associate Director for Patient Care Services and other nursing leaders participate with leaders from the Executive Leadership Team, management, medical staff, clinical areas, and administrative areas in strategic planning and decision-making processes. Nursing leaders in all services are permitted input into nursing policy development and may participate in the Associate Director for Patient Care Services' Administrative Staff Meetings, encompassing nursing management and staff development. Appropriate delegation of nursing activities is accomplished to nurse leaders in all services.

  • Work schedule: Monday through Friday, 8:00AM to 4:30PM.
  • Fair Labor Standards Act (FLSA) Status: Exempt (not covered).
  • Bargaining Unit Position: No.
  • Position Title / PD#: Associate Director for Patient Care Services (Executive Nurse, Nurse V), Title 38 - covered by a functional statement.

Recruitment or Relocation Incentive: May be Authorized Appraised Value Offer (AVO): Not Authorized

Supervisory Status


Travel Required
  • Occasional Travel
  • Incumbent will occasionally travel to external meeting locations, CBOC's, and various functions related to San Francisco VA Health Care System (SFVAHCS) and Nursing Service.
Relocation Authorized
  • Yes
  • Relocation expenses authorized; offered at the discretion of Executive Leadership. This is also known as Permanent Change of Station (PCS) relocation services. This is the relocation of a household due to government convenience, in connection with a transfer between duty stations or facilities. For more information go to:
Who May Apply
This job is open to…

United States Citizens

Questions? This job is open to 1 group.

Job Requirements

Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.

GRADE DETERMINATIONS. In addition to meeting the basic requirements (see next section), the following criteria must be met to be eligible for this position:

  • Grade: Nurse V - Must possess a Master's degree in nursing or related field with BSN (or a Bachelors degree in a related field). If MSN obtained in a Bridge Program, no BSN required. In addition, must possess 5-6 years related experience (must be clearly documented in your application); OR possess a Doctoral degree (preferred) in nursing or related field; AND appropriate basic or advanced certification desired. In addition, must possess 4-5 years related experience (must be clearly documented in your application).


Citizenship. Must be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens.)

English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

Licensure and Registration. Current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The RN must maintain a current, full, active and unrestricted registration to continue employment with VA.

Education. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. The completion of course work equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript.

NOTICE: In late 2013, the NLNAC was renamed as the Accreditation Commission for Education in Nursing (ACEN), located at: 3343 Peachtree Road NE, Suite 850, Atlanta, Georgia 30326; or call (404) 975-5000, Fax: (404) 975-5020, E-mail:, website: Additional information may be obtained from the ACEN website:

NOTE: Position is subject to a pre-employment physical and medical examination.

Physical Requirements: Heavy Lifting (35 lbs and over); Heavy Carrying (35 lbs and over); Straight Pulling (up to 1 hour); Pushing (1–2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). The position also includes periods of sedentary work. The position includes work performed in an office setting, sitting long periods of time at a computer, up to 8 hours per day.

Security Clearance

Public Trust - Background Investigation

Additional Information

Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your resume and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by e-mail (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on "Application Status." For a more detailed update of your status, click on "more information." Information regarding applicant notification points can be found in the USAJobs Resource Center:


Review our benefits

  • Annual Leave (Paid Vacation). Shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full bi-weekly pay period.
Other Information
  • It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
  • This job opportunity announcement may be used to fill additional vacancies.
  • 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.

This job originated on For the full announcement and to apply, visit Only resumes submitted according to the instructions on the job announcement listed at will be considered.

Open & closing dates: 2017-08-11 to 2017-09-04

Salary: $140,365 to $161,900 / per year

Pay scale & grade: VN 05

Series: 0610 Nurse

Appointment type: Excepted Service Permanent

Work schedule: Full Time

Job announcement number: NQ-17-KEB-1993082

Control number: 475552800