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Nurse Practitioner-Associate Chief of Staff (ACOS), Specialty Care

Health system employer

NP

Posted Sep 2 · Not open to new grads

Unit
Specialty Care

What the listing says

Role

Term
Permanent
Accepts
NP
Experience
4+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$101/hr
nursing in Oregon$50/hr

The median for nursing in Oregon is $50/hr, across 239 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

Relocation
Help offered

About this role

The Nurse Practitioner-Associate Chief of Staff (ACOS), Specialty Care will provide leadership, strategic direction, and oversight for all specialty care services.

Located in the Rogue Valley, White City allows easy access to Metro-area of Medford while remaining engrossed with nature. White City is an unincorporated community in Jackson County, Oregon, in the Rogue Valley. It is about nine miles north of Medford and 34 miles north of the California border.

Read the full posting

Enjoy the scenic drives to either Crater Lake, Oregon's only National Park, and to the mountain resort Lake of the Woods. Take a family-friendly hike to a waterfall or ride the only section of the Pacific Crest Trail that's open to mountain bikers. 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 Duties include but not limited to: Displays executive leadership characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and influence organizational mission and health care. Responsible for leadership of service and programmatic operations, both clinical and administrative. Functions as an administrator, educator, and consultant in collaboration with all clinical services/programs at the facility or network level, interdisciplinary service leaders, and executive leadership.

Establishes and maintains effective relationships with all levels of medical center personnel and relates effectively with customers, families, and the community. Assists Nurse Leaders, APNs, and interdisciplinary clinicians in carrying out the functions and activities expected of them. Contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of clinical practice.

Leads and collaborates in policy-making activities as related to customer service and the overall functioning of administrative and clinical programs. Collaborates with other health care staff to establish and maintain programs that cross services and/or disciplines that influence organizational mission and health care. Work

Schedule

Monday-Friday, 8:00 am-4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/or Recruitment Incentives: May be authorized for highly qualified candidates Permanent Change of Station (PCS): May be authorized for highly qualified candidates Additional Requirement: Demonstrated leadership experience within a specialty care service line, including strategic planning, oversight of clinical programs, and effective collaboration with interdisciplinary teams. Proven ability to supervise, mentor, and manage clinical staff across multiple specialties, with experience in recruitment, onboarding, performance management, and fostering a high reliability team.

Strong background in quality improvement, patient safety, and performance measurement, including participation in facility or VISN-level committees, accreditation preparedness, and implementation of evidence based practices. Experience developing, implementing, and maintaining clinical policies, procedures, and regulatory compliance in alignment with VA, federal, and state requirements. Demonstrated excellence in clinical practice within the relevant specialty, including comprehensive evaluation, diagnosis, treatment planning, and procedure/surgical care consistent with credentialing and privileging standards.

Proficiency in electronic health record (EHR) documentation, clinical workflows, and utilization of data to drive operational and clinical decision making. Experience leading or supporting multidisciplinary collaboration with primary care, mental health, surgical services, ancillary services, and allied health professionals to optimize access, care coordination, and patient outcomes. Commitment to professional development, continuing education, and engagement in teaching or mentoring trainees within an academic or clinical training environment.

Advanced Practice Nurse (Nurse Practitioner) 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. APN (Nurse Practitioner) IV: (a) 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. (b) Education and Experience Requirement. i Meets basic education requirement for an APN (NP) AND ii Four years of APN (NP) experience, one of which is specialized experience equivalent to Nurse III AND iii Meets all Nurse IV dimension requirements. (c) Dimension Requirement. APNs (NPs) at Level IV must meet ALL the following dimension

requirements

i 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. ii 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. iii Leadership.

Creates and implements a shared vision and successfully leads change to improve organizational performance and attain measurable performance outcomes. iv Professional Development. Establishes innovative, current and future healthcare delivery models, policy/regulation and governance to cultivate a healthy lifestyle, improving health outcomes. v 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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.

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.

Education. A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (NOTE: the post-master's certificate is formal education awarded from an acceptable school of professional nursing and is not considered board certification as described under 2.c.(2) of this appendix).

(1) Education Accreditation Requirement. Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time the program was completed by the applicant: (a) The Accreditation Commission for Education in Nursing (ACEN), 3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326. The ACEN accredits all levels of nursing programs, including clinical doctorate, masters/post-master's certificate, baccalaureate, associate and diploma nursing education programs. (NOTE: The National League for Nursing Accrediting Commission/NLNAC changed its name to ACEN in May 2013 ACEN's website may be utilized to verify accredited programs using automated inquiry processes; however, for verification of any nursing program's accreditation prior to 1998, an automated inquiry cannot be used and ACEN must be contacted directly via their email contact information on the ACEN website to verify.); or (b) The Commission on Collegiate Nursing Education (CCNE), 655 K Street, NW, Suite 7, Washington, DC 20001. The CCNE is an accrediting arm of the American Association of Colleges of Nursing (AACN) and accredits nursing education programs at the bachelor and master's level.

(2) 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…

Sourced from Veterans Health Administration’s careers page.

(b) Education and Experience Requirement. i Meets basic education requirement for an APN (NP) AND ii Four years of APN (NP) experience, one of which is specialized experience equivalent to Nurse III AND iii Meets all Nu…· from this posting

Requirements

  • APN
  • NP
  • 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. 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.

Place

City
White City, Oregon
Median rent
$1,379/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$71,175/yr

all local households, not nurse pay · Census ACS 2024

State price level
3% above the national average

Oregon index 103.4, where 100 is the national average.

Map showing the location of White City, OR
Approximate location in White City, OR. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.

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About the employer

Veterans Health Administration
Health system employer

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…

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On your path

Nurse Practitioner is advanced-practice territory. The long route; independence depends on your state.

Worth asking

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  • 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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