Advanced Practice Nurse (Certified Nurse Anesthetist)-Intermittent

Summary

The Advanced Practice Nurse (Certified Nurse Anesthetist (CRNA)) provides comprehensive, specialized anesthesia care to Veterans. The CRNA performs pre-anesthesia assessments, develops and implements individualized anesthesia care plans, administers and manages anesthesia, continuously monitors patients, and provides post-anesthesia and acute pain management. The CRNA provides anesthesia services for surgical and diagnostic procedures, including procedures at the San Francisco VA Medical Center.

Duties

**This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until November 10, 2026. The initial cut-off date for referral of eligible applications will be September 25, 2026 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** The CRNA collaborates with anesthesiologists, surgeons, proceduralists, nurses, and other members of the interdisciplinary healthcare team to ensure safe, effective, evidence-based, and Veteran-centered care. The position requires sound clinical judgment in managing patients with varying levels of medical complexity and responding appropriately to changes in patient condition and perioperative emergencies. Duties include: Performs comprehensive pre-anesthesia assessments, including review of the Veteran's medical history, medications, allergies, laboratory and diagnostic results, physical status, and surgical/procedural needs. Develops individualized anesthesia plans of care based on the patient's condition, procedure, risk factors, and clinical needs. Provides anesthesia services for inpatient and outpatient surgical and procedural patients. Administers and manages general, regional, local, intravenous, and monitored anesthesia care/sedation, within the provider's approved scope of practice and clinical privileges. Performs anesthesia induction, maintenance, emergence, and recovery while continuously assessing the patient's physiologic response. Selects and administers appropriate anesthetic agents, analgesics, adjunct medications, intravenous fluids, and other medications necessary for safe anesthesia care. Establishes and maintains appropriate non-invasive and invasive monitoring to continuously evaluate cardiovascular, respiratory, neurologic, and other physiologic parameters. Performs and manages airway assessment and management, including intubation, ventilation, extubation, and emergency airway interventions as clinically indicated. Recognizes and promptly manages changes in the patient's condition, anesthesia-related complications, and other perioperative emergencies. Provides emergency response, including airway management, resuscitation, and BLS/ACLS interventions when required. Provides post-anesthesia care, including assessment of recovery from anesthesia, pain management, nausea and vomiting management, hemodynamic stability, and appropriate disposition. Performs post-anesthesia follow-up and evaluates patients for complications or additional anesthesia-related needs. Provides anesthesia services both inside and outside the operating room, as appropriate to the facility's services and the CRNA's clinical privileges. Collaborates with anesthesiologists, surgeons, proceduralists, nurses, and other interdisciplinary healthcare professionals to promote safe, coordinated, Veteran-centered care. Functions as a member of the anesthesia care team and contributes to perioperative decision-making based on education, experience, competency, and scope of practice. Prescribes or orders appropriate preoperative, intraoperative, and postoperative medications and treatments when authorized by applicable VA policy, state licensure, and clinical privileges. Maintains accurate and timely documentation of anesthesia assessments, care plans, medications, procedures, monitoring, interventions, and patient outcomes. Pay: Competitive salary, regular salary increases, potential for performance awards Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Not to Exceed one-year; intermittent schedule. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. EDRP: Not Authorized. Permanent Change of Station (PCS): Not Authorized.

Requirements

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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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 and evaluation

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

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 11/10/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13058797. 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 is submitted prior to the closing date.

Required documents

To apply for this position, you must provide a complete Application Package which includes: License Long-form resume/Curriculum vitae (CV) Certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA. Transcript The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (must be current), etc. Cover Letter DD-214/ Statement of Service Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA. SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

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.