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Certified Registered Nurse Anesthetist (CRNA) (Chief Nurse Anesthetist)

Veterans Health Administration

Fort Harrison, Montana

$230k–$292k/yr

Posted pay

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Veterans Health Administration workplace
CNA

Last seen active Aug 31, 2026

What this means for you

Veterans Health Administration is hiring for its own floors — no agency between you and the manager. The posted pay pencils out to roughly $230k–$292k a year.

What the listing says

Base pay
$230k–$292k/yr

About this role

Show full description
Advanced Practice Nurse (Certified Nurse Anesthetist) Basic Requirements Education. A masters or doctoral degree in nurse anesthesia. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Nursing education must be from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA) at the time the program was completed by the applicant. Licensure and Certification. The following licensure and certification requirements are considered conditions of employment. License. All APN (CNAs) must maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia. Basic Certification. All APN (CNAs) must maintain full and current certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) assignment that are also 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 Education, Experience, and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) IV, Chief Educator/Leadership-Management: The Chief APN (CNA) makes recommendations that may significantly affect the content, interpretation or development of VA policies or programs concerning critical matters or major issues within the anesthesia arena. The Chief APN (CNA) is distinguished by educational range, diverse clinical experience and collaborative skills. The Chief APN (CNA) is a first line supervisor and may have administrative responsibility for anesthesia staff. Education and Experience Requirement. Meets basic education requirement for an APN (CNA) AND Four years of APN (CNA) progressively responsible assignments in clinical, administrative, education and/or research related to CNA practice, one of which is specialized experience equivalent to the APN (CNA) Ill grade level. At this level, emphasis is placed on strategic planning and administrative responsibilities. Demonstrated Knowledge, Skills, and Abilities. Must have the ability to perform long and short-term planning goals for their anesthesia department. Chief APN (CNA) functions may include, but are not limited to, the following knowledge, skills and abilities: Ability to assume progressive responsibility for planning. Ability to supervise staff, students or ancillary personnel and to ensure proper scheduling and staffing. Skill to perform as a provider and mentor for unusually extensive and complex anesthetic cases. Knowledge to participate in a continual audit of anesthesia care and to ensure periodic performance and professional practice (focused and ongoing) evaluation requirements are met. Knowledge to represent departmental interests at interdisciplinary committee meetings, participate in departmental reviews, collaborate in problem solving and develop quality improvement initiatives. Knowledge to engage in departmental resource stewardship, evaluation of staffing, equipment and time value management. Ability to interpret efficiency data as well as implement and evaluate cost-effective operational strategies. Ability to prioritize and delegate tasks to enhance employee investment offering opportunities for staff leadership development. Skill to collaborate and support the development of clinical and educational programs and anesthesia protocols to improve patient outcomes and improve service level performance. Ability to provide guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care. Skill to provide leadership level commitment to foster a safety culture and continuous process improvement. Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position requires visual and auditory acuity at a level to provide safe and effective nursing care. This position requires considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires repositioning patients, assisting with transferring patients to wheelchairs/stretchers, and transporting them to other departments or facilities.

Skills for this role

Pre Anesthesia EvaluationAnesthesia InductionAnesthesia MaintenanceAnesthesia EmergencePost Anesthesia CareEmergency ResponseRegional AnesthesiaGeneral AnesthesiaLocal AnesthesiaMonitored Anesthesia

Certifications

NBCRNA

Requirements

  • CNA license
  • 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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 physical 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.

About the employer

Veterans Health Administration
Hospital

Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…

Veterans Health Administration workplaceVeterans Health Administration workplace

What reviewers appreciate

  • CPRS/VISTA already in use as the EHR
  • VA employs more than 120,000 nursing staff nationally across settings
  • Some new grads describe VA pay as decent for no experience

What reviewers flag

  • VA on pace to cut nearly 30,000 staff by end of FY2025 via attrition, early outs, and hiring freeze
  • Nurses discuss anxiety, stress, and uncertainty about staying in VHA roles
  • Public threads note doctors and nurses turning down VA offers
Veteran carelarge systemCPRS/VISTAmixed unionfederalhiring freeze context

Living in Fort Harrison, MT

Fort Harrison is a small community just west of Helena, Montana's capital. Home to the VA Montana Health Care System, it offers a quiet, rural pace with Big Sky views and quick access to Helena's amenities. A practical choice for nurses seeking small-town Montana living without total isolation.

Map showing the location of Fort Harrison, MT
Fort Harrison, MT on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Montana
5% below the national average
State index 94.6 (100 = national)

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities

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On your path

Advanced practice has its own path. Scope and independence depend on the role and state.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • How does the productivity or RVU formula work?
  • Are there differentials or other recurring incentives?
  • Does the employer cover malpractice and tail coverage, plus CME, licensing, and DEA support?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
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