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Associate Director Patient Care Services/Chief Nurse Executive

Veterans Health Administration

Amarillo, Texas

$207k–$228k/yr

Posted pay

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Veterans Health Administration workplace
RNNurse ExecutiveNursing Leadership/Administration

Last seen active Aug 1, 2026

What this might mean 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 $207k–$228k a year.

What the posting states

Base pay
$207k–$228k/yr

About this role

Show full description
Basic Requirements: English Language Proficiency. In accordance with 38 U. S. C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and 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 Dimension criteria must be met to qualify for Nurse V: Scope: Practice of an executive nature, comprised of complex leadership and administrative components, associated with critical health care issues and activities that drive meeting the organizational mission, health care and policy. Education: Master's degree in Nursing (MSN) and 5 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR Master's degree in a *related field with a BSN and 5 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR a Doctoral degree in Nursing and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V; OR a Doctoral degree in a *related field with a BSN and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse IV and meets all dimension requirements for Nurse V. *Note: Foreign education programs/degrees are not creditable as related degrees. Dimension Requirements: Leadership. Establishes the strategic direction for health care delivery, evidence-based practices, industry-leading research, and innovative care models. Creates a shared vision and successfully leads change to improve performance and attain measurable outcomes at the organization or enterprise level. Business Acumen. Transforms health care through the application of new processes, technology, informatics, data analytics, business principles, systems thinking and resource management at the organization or enterprise level. Inspiring an Industry-Leading Lifestyle. Establishes an industry leading, shared decision-making lifestyle; a workforce that serves Veterans, families, and caregivers of all backgrounds; builds trust and lifestyle competencies and catalyzes dynamic teams at the organization and enterprise level. Communication and Relationship Management. Drives the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional and organizational values, beliefs, and practices at the organizational or enterprise level. Professional and Social Responsibility. Sets the standard for a lifestyle of holistic care, health advocacy and health equity. Applies ethical principles in decision-making at the organization or enterprise level. Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans, the community, and the health care industry. Preferred Experience: Diverse clinical background that represents a well rounded exposure to multiple aspects of nursing care (combination of Acute Care, Outpatient Care, Long Term Care, Mental Health, and other specialties) 3-5 concurrent years of Service Chief (or equivalent in Private Sector) experience VA Nursing Leadership experience, including completion or current participation in formal leadership development Progression of management experience that demonstrates increasing responsibilities for supervision Program/Project development and implementation Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The population of male and female veterans served ranges from the young adult, ages 18-44, middle adult ages 45 - 64 and older adult ages 65 and older. AVAHCS is an interdisciplinary teaching facility with inpatient and outpatient services for Veterans with surgical, medical, and psychiatric needs. Primary Care is provided at the main campus with four (4) community- based outpatient clinics (CBOCs). This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on facility needs.

Requirements

  • 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 physical 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.

Benefits

  • Competitive salary with regular salary increases
  • Performance awards potential
  • 50 days paid time off per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays)
  • Traditional federal pension (5 years vesting)
  • Federal 401K with up to 5% employer contributions
  • Federal health insurance
  • Vision insurance
  • Dental insurance

About the employer

Veterans Health Administration
Hospital

You are looking at Veterans Health Administration nursing in Cleveland, Ohio. Day to day you chart in CPRS/VISTA, and union coverage across VA postings shows up as mixed, so the contract details on your offer letter matter. Cleveland’s cost of…

Veterans Health Administration workplace

What reviewers appreciate

  • Cleveland cost of living about 6% below the national level
  • Ohio compact-license state
  • CPRS/VISTA already in use as the EHR

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 Amarillo, TX

Amarillo sits high on the Texas Panhandle, where big skies and Route 66 nostalgia meet working-class grit. RNs who prefer open roads over crowded metros will appreciate the laid-back pace and easy highway access. Nearby Palo Duro Canyon and the iconic Cadillac Ranch add regional character to this plains city.

Map showing the location of Amarillo, TX
Amarillo, TX on the map · © Mapbox © OpenStreetMap
Metro price level · Amarillo area
91.8
8% below the national average
Median gross rent
$1,092/mo
rent and tenant-paid utilities

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

Browse open roles in Amarillo

Worth asking

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

  • Can you walk me through the differentials?
  • Can you confirm which shifts are open, how many hours and shifts are expected each week, and what the weekend, holiday, call, and rotation requirements are?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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