Certified Nurse Anesthetist - Chief
Company
Department of Veterans Affairs - Veterans Health Administration
Location
Seattle, Washington
Type
Full Time
Job Description
Summary
VA Puget Sound Healthcare System is a Level 1 major interdisciplinary teaching healthcare system with 2 divisions & multiple community-based outpatient clinics (CBOC). It is considered the most complex VA healthcare system nationwide. VAPSHCS has Emergency services & a full complement of specialty medical, surgical, psychiatric, critical care, & rehabilitation service-lines.
Learn more about this agency
Duties
Duties include but are not limited to:
Collaborate with a variety of health care professionals to achieve common goals for care, safety, and welfare of patients.
Foster high levels of confidence and satisfaction among patients and staff, as well as meet and exceed compliance standards.
Provide anesthetic services within five general categories to include: pre-anesthesia evaluation and preparation; anesthesia induction, maintenance, and emergence; post anesthesia care; peri-anesthetic and clinical support functions; and emergency response techniques.
Develops and implements a comprehensive anesthesia plan of care for patients requiring local, regional, general, and monitored anesthesia both inside and outside the Operating Room (OR) suite.
Ensures anesthetic services delivered throughout the facility are of the highest quality to promote patient safety, satisfaction, and improve outcomes and efficiencies.
Functions as resource for staff education and is willing to be a preceptor and adjunct clinical faculty for health care trainees rotating through the VAMC.
Develops and implements evidence-based practices that are essential to the delivery of the highest quality anesthesia care.
Prescribe appropriate preoperative, intra-operative and postoperative orders and medications.
Makes recommendations that may significantly affect the content, interpretation or development of VA policies or programs concerning critical matters or major issues within the anesthesia arena.
First line supervisor and administrative responsibility for nurse anesthesia staff (i.e., performance reviews, Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluations (OPPE), peer review). Administrative responsibility may extend to other healthcare professionals within the department.
Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.
Preferred Specialized Experience:
Ability to assume progressive responsibility for planning organizing, directing, and evaluating section and departmental processes and programs.
Ability to supervise staff, students, or ancillary personnel and to ensure proper scheduling and staffing.
Ability to provide guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care.
Knowledge to engage in departmental resource stewardship, evaluation of staffing, equipment, and time value management.
Ability to interpret efficiency data as well as implement and evaluate cost-effective operational strategies.
Ability to prioritize and delegate tasks to enhance employee investment offering opportunities for staff leadership 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
Work Schedule: Monday - Friday 8:00a.m. - 4:30p.m.
Compressed/Flexible: Not Authorized
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Uniform Allowance: Not Authorized
Requirements
Conditions of employment
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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
Must pass pre-employment physical examination.
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.
Qualifications
Advanced Practice Nurse (Certified Nurse Anesthetist) Basic Requirements
Education. A masters or doctoral degree in nurse anesthesia. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Nursing education must be from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA) at the time the program was completed by the applicant.
Licensure and Certification. The following licensure and certification requirements are considered conditions of employment.
License. All APN (CNAs) must maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia.
Basic Certification. All APN (CNAs) must maintain full and current certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA.
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) 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 Education, Experience and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) IV, Chief Educator/Leadership-Management:
Education and Experience Requirement: Meets basic education requirement for an APN (CNA) AND Four years of APN (CNA) progressively responsible assignments in clinical, administrative, education and/or research related to CNA practice, one of which is specialized experience equivalent to the APN (CNA) III grade level. At this level, emphasis is placed on strategic planning and administrative responsibilities.
OR
Master's degree in a related field and a bachelor level degree in nursing and four 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
Doctorate in Nursing and three 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
Doctorate degree in a related field and a master or bachelor level degree in nursing and three years of professional nursing experience, one of
which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
Demonstrated Knowledge, Skills, and Abilities: Must have the ability to perform long and short-term planning goals for their anesthesia department. Chief APN (CNA) functions may include, but are not limited to, the following knowledge, skills, and abilities:
Ability to assume progressive responsibility for planning organizing, directing, and evaluating section and departmental processes and programs.
Ability to supervise staff, students, or ancillary personnel and to ensure proper scheduling and staffing.
Skill to perform as a provider and mentor for unusually extensive and complex anesthetic cases.
Knowledge to participate in a continual audit of anesthesia care and to ensure periodic performance and professional practice (focused and ongoing) evaluation requirements are met.
Knowledge to represent departmental interests at interdisciplinary committee meetings, participate in departmental reviews, collaborate in problem solving and develop quality improvement initiatives.
Knowledge to engage in departmental resource stewardship, evaluation of staffing, equipment, and time value management.
Ability to interpret efficiency data as well as implement and evaluate cost-effective operational strategies.
Ability to prioritize and delegate tasks to enhance employee investment offering opportunities for staff leadership development.
Skill to collaborate and support the development of clinical and educational programs and anesthesia protocols to improve patient outcomes and improve service level performance.
Ability to provide guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care.
Skill to provide leadership level commitment to foster a safety lifestyle and continuous process improvement.
Nurses at Nurse IV must meet ALL the following dimension requirements to qualify for Nurse IV.
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 holistic care, health advocacy and health equity. Applies ethical principles in decision-making at the program or service level. Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans and the community.
Physical Requirements: Heavy Lifting (45 pounds and over), Moderate lifting (15-44 pounds), Light lifting (under 15 pounds), Pushing, Reaching above shoulders, Use of fingers, Both hands required, Walking (1-4 hours), Standing (1-4 hours), Repeated bending (1-2 hours), Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirements (see a computer screen), Depth perception, Ability to distinguish basic colors, Ability to distinguish shades of colors, Hearing (aid may be permitted), Mental and emotional stability.
Environmental Factors: Constant noise, Dust, Fumes, smoke, or gases, Working closely with others
Education
Note:Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
IF YOU ARE USING FOREIGN EDUCATION TO MEET QUALIFICATION REQUIREMENTS, YOU MUST SEND A CERTIFICATE OF FOREIGN EQUIVALENCY WITH YOUR TRANSCRIPT IN ORDER TO RECEIVE CREDIT FOR THAT EDUCATION.
For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html
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.)
Additional information
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
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.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
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Date Posted
04/09/2026
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