The Community-Based Outpatient Clinic Associate Nurse Executive (ANE) is a high-level nursing leader responsible and accountable for nursing care provided within primary care at the Community-Based Outpatient Clinics (CBOCs) affiliated with Columbia VA Health Care System. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education Accreditation Requirement. Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time