Summary This position is located at the Milwaukee VA Medical Center, in the Quality, Safety, and Value Division (QSV). The Performance Improvement (Pl) Coordinator Registered Nurse (RN) functions as an advanced clinician and executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. The primary roles and duties for this position are responsible for auditing and investigating that affect the internal security of the agency. Duties This position is directly responsible for protecting the internal security of the agency through investigations/audits of patient care records for several purposes such as fact finding, sentinel events, surveillance, performance improvement, root cause analyses, Healthcare Failure Mode and Effect Analysis (HFMEA), and regulatory agency requests (i.e. Office of Inspector General, The Joint Commission, Office of Medical Inspector, Commission on Accreditation of Rehabilitation Facilities, etc.) which affect the security of Clement J. Zablocki Veterans Administration Health Care System by ensuring that the duties are discharged with honesty and integrity and the activities are imperative to the functional operation of the agency in carrying out its mission. Assigned responsibility for their assigned quality management program area activities for the Medical Center and all off-site locations. Collect data, monitor staff compliance with relevant policies, directives, and standards, provide reports detailing trends, and provide direct staff support to all services in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area. Have the ability the apply specialized principles and practices to ensure a systems approach to healthcare delivery. Responsible for the documented outcomes at the program or service level. 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: 0800-1630 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. 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/13095149. 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: 3.5 years of clinical nursing experience, preferably in acute care, critical care, or a QA setting. Experience supporting or leading activities in Quality, Safety, Value, Performance Improvement, Utilization Review, or Patient Safety. Prior involvement with Joint Commission (TJC), OIG, or CMS surveys is highly preferred. Familiarity with PDSA cycles, root cause analysis, process mapping, and other structured improvement methodologies. Master's degree is advantageous and preferred CPHQ, Lean Six Sigma Yellow/Green Belt, or comparable improvement-focused credentials. Strong understanding of infection control practices, healthcare quality standards, and regulatory/accreditation requirements (e.g., CDC, OSHA, Joint Commission). Knowledge of VA or healthcare quality systems such as EBP councils, Patient Safety programs, and performance measurement tools. Proficiency with Microsoft Word, Excel, and familiarity with data dashboards or quality analytics platforms. Excellent verbal and written communication skills to effectively collaborate and provide regulatory and process education. Experience developing and delivering training for clinical and non-clinical staff. Ability to support interdisciplinary discussions and guide teams through improvement processes. Strong ability to interpret data, identify trends, and recommend evidence-based solutions. Demonstrated success in developing and implementing corrective action plans, including post-survey remediation. Ability to assess gaps, evaluate risks, and support sustainable improvement. Proven ability to work effectively with multidisciplinary teams, including providers, leadership, and frontline staff. Ability to remain flexible and responsive to evolving standards, organizational priorities, and healthcare changes. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting.