Nurse (High Reliability Organization Specialist)

The High Reliability Organization (HRO) Specialist Nurse executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. The HRO Specialist Nurse demonstrates performance and leadership that is broad enough to improve the care for a group of patients. The HRO Specialist Nurse is responsible for the documented outcomes at the program or service level.

VA Portland Health Care System (VAPORHCS) is a Level 1A major interdisciplinary teaching and quaternary facility with service-lines serving primary care, emergency medicine, medicine, surgery, specialty, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics and extended care inpatients and outpatients throughout Oregon and Southwestern Washington. In addition to the two main divisions located in Portland, Oregon and Vancouver, Washington, VAPORHCS operates nine community-based outpatient/outreach clinics (CBOC) and is a consulting and referral center for many patient care specialties not offered at other VHA medical centers within VISN 20. Duties include but not limited to: Serves as the proposer, promoter, and implementer of strong, safe clinical processes across the Health Care System. Supporting executive leadership in planning, coordinating, implementing, and monitoring activities to assure high reliability. Uses quality improvement, patient safety, and systems redesign (Lean) skills to foster the development of a High Reliability Organization (HRO) at the unit/service/health care system level. Engages clinical care areas and works with individual staff, teams, and services to improve safety, quality, and efficiency of care. Strengthens patient care but also promotes the development of a just culture at the unit/service/health care system levels. Major areas of focus include a robust patient safety program, a culture of safety and culture of continuous process improvement. Serves as the high reliability consultant to the facility senior leadership team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Oversees the facility's high reliability program and is responsible for collaborating with executive facility leadership, nonclinical and clinical services, the HSA, VISN, and the National High Reliability Workgroup and National Center for Patient Safety to develop, implement, and sustain high reliability processes and outcomes. Serves as a role model and demonstrates leadership in the core competencies of the High-Performance Development Model such as personal mastery, interpersonal relationships. 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: Monday-Friday; 7:30am-4:00pm PST Compressed/Flexible: Available at supervisor discretion Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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 evaluation. 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.