PACT Registered Nurse Care Manager Outpatient

Veterans Health Administration • Wichita Falls, TX

1d • Onsite

About The Position

The Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM) in Outpatient Primary Care is responsible and accountable for all elements of the nursing process while providing nursing care and care coordination within the Primary Care PACT. The RNCM coordinates primary care for a designated panel of patients, including transitions of care, Veteran-centered nursing care, preventive services, chronic disease management, education, self-management support, and wellness. Care is delivered through face-to-face visits, virtual encounters, secure messaging, and telephone-based services.

The position provides comprehensive, coordinated nursing care and promotes patient satisfaction, continuity, and quality of care. The RNCM applies nursing knowledge, evidence-based guidelines, and standardized nursing protocols; collaborates with PACT members, extended care support teams, and external services; and advocates for patients and provides education to patients and families. The role may require flexibility in schedule and assignments. Other duties may be assigned.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or an eligible alternative education pathway described in the announcement.
• Current, full, active, and unrestricted registered nurse licensure in a U.S. State, Territory, Commonwealth, or the District of Columbia, subject to the stated Graduate Nurse Technician exception.
• Meet the education and experience criteria for the assigned Nurse grade and level.
• Must be able to safely operate a government vehicle to conduct home visits with Veterans.
• Must pass a pre-employment physical evaluation or examination.
• U.S. citizenship; non-citizens may be appointed only when qualified citizens cannot be recruited under VA policy.
• Selected applicants are subject to urinalysis drug screening, background/security investigation, and applicable onboarding and identification requirements.
• Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
• May be required to serve a probationary period and complete all application requirements.

Nice To Haves

• Two years of general nursing experience.

Responsibilities

• Coordinate primary care for the Patient Aligned Care Team and oversee transitions of care.
• Develop and implement Veteran-centered nursing care and provide preventive and chronic disease management interventions.
• Deliver care through face-to-face visits, virtual encounters, secure messaging, and telephone-based services.
• Coordinate care focused on patient education, self-management, customer satisfaction, and comprehensive nursing support for patient panels.
• Use nursing knowledge, evidence-based guidelines, and standardized nursing protocols to provide proactive, patient-centered care.
• Serve as the primary coordinator for a designated panel of patients, emphasizing health promotion, chronic care management, self-management support, and wellness.
• Collaborate with PACT team members, extended care support teams, and external services to develop holistic, patient-driven care and facilitate care transitions and timely access to resources.
• Educate patients and families and advocate for patients' needs to enhance outcomes and wellness.
• Promote a collaborative team approach to panel management and continuity and quality of care tailored to individual patient goals and needs.
• Perform other duties as assigned.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, including 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401K 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree