Registered Nurse - Care Manager / Patient Aligned Care Team
About The Position
The Registered Nurse (RN) - Care Manager / Patient Aligned Care Team (PACT) provides fundamental, knowledge-based nursing care and care coordination within Primary Care PACT. The role coordinates care for a designated panel of patients, emphasizing health promotion, chronic care management, patient self-management support, and overall wellness. The RN uses nursing knowledge, evidence-based guidelines, and standardized nursing procedures and protocols to deliver proactive, patient-centered care. The PACT RN care manager collaborates with PACT members, the extended care support team, and external services to develop and implement holistic, patient-driven care; facilitate care transitions; and support timely, coordinated access to health care resources. The role also provides patient and family education and advocates for patients’ needs to enhance outcomes and wellness. The RN participates in a team-based approach to managing patient panels and ensuring continuity and quality of care tailored to individual patient goals and needs. Nursing practice must comply with the Nurse Practice Act governing licensure in the relevant U.S. state, territory, commonwealth, or the District of Columbia.
Requirements
- Proficiency in basic written and spoken English.
- Graduation from an appropriately accredited school of professional nursing, or qualifying nursing education and licensure under the specified VA provisions.
- Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician appointment may be available to qualifying candidates pursuing licensure.
- Meet the education and experience requirements for the assigned nurse grade and level.
- Comply with the Nurse Practice Act governing licensure.
- U.S. citizenship, except that non-citizens may be appointed when recruiting qualified citizens is not possible under VA policy.
- Pass required pre-employment physical evaluation or examination.
- Submit to urinalysis screening for illegal drug use if tentatively selected for a testing-designated position.
- Meet background and security investigation requirements.
- Participate in the seasonal influenza vaccination program.
Responsibilities
- Coordinate fundamental, knowledge-based nursing care for a designated panel of patients within Primary Care PACT.
- Support health promotion, chronic care management, patient self-management, and overall wellness.
- Use evidence-based guidelines and standardized nursing procedures and protocols in patient-centered care.
- Collaborate with PACT members, the extended care support team, and external services to develop and implement holistic, patient-driven care.
- Facilitate care transitions and timely, coordinated access to health care resources.
- Provide patient and family education and advocate for patients’ needs.
- Contribute to team-based patient-panel management and continuity and quality of care tailored to individual patient goals and needs.
- Perform care coordination and transition management, patient care and customer service, population identification and stratification, and team support and teamwork.
Benefits
- 50 days of paid time off per year, comprising 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
- Traditional federal pension with five-year vesting.
- Federal 401(k) with up to 5% in contributions by VA.
- Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
- Competitive salary, regular salary increases, and potential performance awards.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
