Community Living Center Long-Term Care and Hospice Nurse Manager

Community Living Center Long-Term Care and Hospice Nurse Manager

Department: Department of Veterans Affairs

Location(s): San Francisco, California

Salary Range: $152314 - $228000 Per Year

Job Summary: The Community Living Center (CLC) Long-Term Care and Hospice Nurse Manager in Nursing/Geriatrics and Extended Care (GEC) at the San Francisco VA Medical Center provides leadership, oversight, and clinical management for hospice and palliative care services within a Veterans Health Administration medical facility. This role is responsible for ensuring high-quality, Veteran-centered end-of-life care that aligns with VA standards, national guidelines, and regulatory requirements.

Major Duties:

• The CLC Long-Term Care and Hospice Nurse Manager provides leadership and supervision for the nursing staff of the long-term care and hospice units within the SFVA CLC. The incumbent ensures delivery of compassionate, evidence-based care that supports comfort, dignity, symptom management, and psychosocial-spiritual needs for Veterans and their families. The incumbent assumes 24/7 accountability of the unit and works collaboratively with the CLC Nursing Leadership Team. The position includes administrative, clinical, and operational responsibilities such as staffing, budgeting, performance improvement, regulatory compliance, and program development. The Nurse Manager collaborates with physicians, advanced practice providers, and leadership across Geriatrics and Extended Care programs to promote seamless transitions of care and continuity across inpatient, outpatient, and community settings. Duties include but not limited to: Direct and oversee delivery of long-term care, hospice and palliative nursing care to Veterans within Community Living Center (CLC). Ensure implementation of evidence-based end-of-life care practices focused on comfort, symptom management, and quality of life. Monitor pain and symptom management protocols, medication administration practices, and care planning. Promote Veteran-centered, culturally sensitive care that respects individual goals and preferences. Supervise registered nurses, licensed vocational/practical nurses, nursing assistants, and support staff. Conduct performance evaluations, competency assessments, and ongoing staff coaching. Develop staffing schedules and ensure appropriate skill mix and coverage. Address performance issues and implement corrective actions as needed. Support staff professional development, certification, and continuing education in hospice and palliative care. Lead and participate in interdisciplinary team (IDT) meetings with physicians, nurse practitioners, social workers, chaplains, dietitians, and therapists. Coordinate care transitions between acute care, extended care, outpatient clinics, and community hospice providers. Collaborate with internal and external stakeholders to ensure continuity of care. Manage day-to-day operations of the long-term care and hospice program within Geriatrics and Extended Care. Develop, implement, and evaluate program goals and strategic initiatives. Monitor workload, productivity, and quality metrics. Participate in budget planning, resource allocation, and equipment oversight. Ensure compliance with VA policies, hospice Conditions of Participation, and accreditation standards (e.g., The Joint Commission). Lead quality improvement initiatives focused on patient safety, infection prevention, and clinical outcomes. Monitor incident reports, conduct root cause analyses, and implement corrective actions. Maintain readiness for surveys and audits. Promote holistic care addressing physical, emotional, psychosocial, and spiritual needs. Support advance care planning discussions, goals-of-care conversations, and ethical decision-making. Provide education and emotional support to Veterans and their families regarding disease progression and end-of-life care. Prepare reports, analyze data, and present findings to executive leadership. Develop and update policies and procedures related to hospice services. Participate in committees related to Geriatrics and Extended Care, patient safety, and nursing practice. 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: 7:30-16:00; shifts may vary based on operational needs; Rotating weekends. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: 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. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12891603. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred Experience: Two or more years of Community Living Center experience. Two or more years of management experience. Progressive leadership experience i.e. Assistant Nurse Manager experience. Salary for this position ranges dependent upon applicant qualifications Grade 1, Levels 1-3: $152,314-$202,573 annually Grade 2: $179,721-$228,000 annually Grade 3: $195,897-$228,000 annually Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires potentially, long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization. The incumbent may be required to travel occasionally. This position potentially requires flexibility in schedule and assignments. Telework is position dependent and appropriate approvals are required; telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements, policies, and processes. If a position requires driving, incumbent is required to maintain compliance with all relevant policies and processes.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 02/24/2026 to receive consideration. To preview the questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/12891603. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Application Deadline: 2026-02-24