Advanced Practice Nurse (Comprehensive Genetic Services (CGS))

Summary

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.

Duties

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

Qualifications

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 o