Advanced Practice Nurse (Comprehensive Genetic Services (CGS))

The Supervisory Advanced Practice Nurse (APN) IV for Comprehensive Genetic Services (CGS) provides executive-level nursing leadership for national genomic medicine initiatives across the Veterans Health Administration (VHA). This role includes programmatic oversight, strategic planning, and operational leadership for CGS programs that span multiple VA Medical Centers, VISNs, and clinical service lines.

The Supervisory APN IV leads the integration of genomic laboratory data and population health analytics into CGS operations, supporting the systematic identification of Veterans with pathogenic and likely pathogenic genetic variants across multiple VA Medical Centers Reports directly to the Medical Director of Comprehensive Genetic Services and collaborates with national program leadership, including the National Oncology Program and other VHA partners Ensures that identified Veterans are appropriately risk stratified, entered into longitudinal management pathways, and receive care aligned with established genomic and disease-specific guidelines Maintains an active clinical practice within scope of licensure and privileging, providing genetic risk consultation and participating in telehealth-based genomic care delivery Provides leadership characterized by substantial and continuous responsibility and accountability for CGS programs that cross services and discipline lines and influence VHA genomic health care delivery Serves as a first-line supervisor for assigned CGS staff, with responsibility for performance management, evaluation, and administrative oversight in accordance with VA policy Provides programmatic leadership and operational direction for the CGS Nurse Champion network, a nationally distributed group of facility-based staff who support local implementation of CGS initiatives Leads the identification and tracking of Veterans with pathogenic and likely pathogenic genetic variants through integration of genomic laboratory data, registries, and population health tools, ensuring accurate capture and longitudinal management across CGS programs Leads strategic planning and program development to integrate genomic medicine into clinical practice across oncology, primary care, cardiology, neurology, and population health programs Establishes and maintains effective working relationships with CGS leadership, National TeleOncology, the National Oncology Program, VISN leadership, and facility-based clinicians Participates in policy development activities and supports the implementation of national clinical and operational guidance across CGS programs Oversees program performance through use of registries, dashboards, and analytics to monitor outcomes and guide improvement efforts Leads development of educational initiatives, competencies, and training programs to enhance genomic literacy and clinical readiness across participating sites Manages administrative supervisory responsibilities including performance evaluations, time and leave, onboarding, and workforce planning for assigned staff Participates in recruitment, selection, and onboarding of CGS personnel Performs clinical duties as outlined in APN privileges and scope of practice Performs other duties as assigned by program leadership 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: M-F, 8:00am - 4:30pm Compressed/Flexible: Compressed tours available Remote: This is a remote position Relocation/Recruitment Incentives: Not Authorized

Basic Requirements

Education

A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a 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). NOTE: Foreign Education.

Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. License and

Certification

License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Certification.

All APN (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) 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 Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) 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 and Experience

Requirements

Meets basic education requirement for an APN (NP) AND Four years of APN (NP) experience, one of which is specialized experience equivalent to Nurse III. Dimension Requirement. APN (NPs) at Level IV must meet ALL the following dimension

requirements

Practice. Practices at an associate executive level, utilizing clinical, leadership and administrative skills, demonstrating continuing responsibility that influences the organizational mission, health care delivery and policy at the local and/or regional level. Outcome Focus.

Leads the application of clinical/business models, incorporating research/evidence-based practices, designed to achieve and sustain excellence in the delivery of health care at the service and organization levels. Leadership. Creates and implements a shared vision and successfully leads change to improve organizational performance and attain measurable performance outcomes.

Professional Development. Establishes innovative, current, and future healthcare delivery models, policy/regulation, and governance to cultivate a healthy lifestyle, improving health outcomes. Professionalism/Collegiality.

Facilitates effective relationship management, communication, customer service experiences and negotiation across lifestyles using a broad range of technology platforms to influence, inspire and motivate others within their program/service or beyond. Preferred

Experience

5+ years in cancer genetics. Advanced oncology certifications preferred. Physical

Requirements

See VA Handbook and Directive 5019

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/examination. 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer.

For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

To apply for this position, you must provide a complete Application Package which includes: Long-form resume/Curriculum vitae (CV) APN license Current Board Certification SF-50/ Notification of Personnel Action Transcript The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Long-form resume/Curriculum vitae (CV) APN license Current Board Certification SF-50/ Notification of Personnel Action Transcript

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/02/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13100040. To begin,…