Veterans Health Administration
Registered Nurse - Chief Nurse of Mental Health and Emergency Department
Lexington, Kentucky, United States
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hirly's read of this role
- Role family
- Healthcare
- Seniority
- Executive
- Stated salary
- $167,446 – $222,699 per year
- Country
- US
- Work mode
- On-site / unstated
- First seen by hirly
- 5 Oct 2026
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the posting
Summary
The Chief Nurse of Mental Health and Emergency Department (Nurse IV) holds a vital executive leadership role, providing substantial and continuous responsibility and accountability for integrated programs impacting the health care mission across service lines. As a key member of the nursing executive leadership team, the Chief Nurse offers visionary administrative and clinical guidance, ensuring the highest standards of patient-centered care.
Duties
This position reports directly to the Associate Director for Patient Care Services (ADPCS) and provides direct supervision for Nurse Managers and staff in designated areas. Serve as an advisor, administrator, educator, consultant, and mentor within the Mental Health and Emergency Department (MH/ED) Care Line, leveraging wide-ranging experience and leadership ability. Provide senior leadership and oversight for daily clinical and administrative nursing operations, as directed by the Associate Director for Patient Care Services (ADPCS). Deliver administrative oversight and direction for all programs within the service line, ensuring compliance with VHA guidelines and nursing regulations. Support and promote integration and collaboration among nursing and interdisciplinary teams in pursuit of organizational and patient care goals. Champion High Reliability Organization (HRO) principles by fostering a culture of safety, systems-based problem solving, and collective mindfulness. Collaborate effectively with interdisciplinary team members and leaders across the facility and VA network, establishing and maintaining strong professional relationships. Engage with customers, families, the community, and local and network leaders to ensure alignment and quality in all aspects of care. Assist the ADPCS in healthcare operations, supporting the development and implementation of standards of care, policies, and objectives to enhance nursing services. Provide supervision for Nurse Managers and staff within assigned areas, ensuring high performance and professional development. 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 Pay Scale: NU45 Work Schedule: Administrative Day Tour of Duty Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized
Qualifications
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 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: Master's degree in Nursing (MSN) and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR Master's 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 III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in nursing and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in a *related field with a BSN and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV. *Note: Foreign education programs/degrees are not creditable as related degrees. Dimensions: Leadership. Leads health care delivery by leveraging evidence-based practices, industry-leading research, and innovative care models. Drives a shared vision and successfully leads change to improve performance and attain measurable outcomes at the program or service level. Business Acumen. Transforms health care by implementing new processes, technology, informatics, and data analytics using business models and fundamental concepts of resource management at the program or service level. Inspiring an Industry-Leading Lifestyle. Employs an industry leading, shared decision-making lifestyle. Cultivates a workforce that serves Veterans, families and caregivers of all backgrounds and builds trust, lifestyle competencies and catalyzes dynamic teams at the program or service level. Communication and Relationship Management. Directs the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional organizational values, beliefs and practices at the program or services level. Professional and Social Responsibility. Operationalizes a lifestyle of holistic care, health advocacy and health equity. Applies ethical principles in decision-making at the program or se
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