RN - Care Manager

Schuylkill County CBOC•Pottsville, PA

6d•Onsite

About The Position

EGA Associates, LLC is seeking a Registered Nurse Care Manager to support a Patient Aligned Care Team at a primary care Community Based Outpatient Clinic serving Veterans in and around Pottsville and Schuylkill County, Pennsylvania. The clinic provides primary care in an outpatient clinical environment. The RN Care Manager provides professional nursing services and develops and coordinates patient care management plans in collaboration with Patient Aligned Care Team staff. The role supports patients through secure messaging, virtual care, telephone care, shared medical appointments, view-alert management, and face-to-face visits. The nurse identifies patient needs, communicates recommendations to the Primary Care Provider, delegates appropriate activities while retaining accountability, and enters orders under approved protocols or provider orders. The position also provides same-day access to nursing care, promotes patient engagement and wellness using evidence-based practices, manages transitions between levels of care, and participates in quality and performance-improvement activities. The position has no direct employment supervisory responsibility. Travel is expected to be negligible except when needed for orientation, training, meetings, or other contract-related activities. Work is primarily in a clinical environment and involves daily patient contact, computers, and clinical equipment.

Requirements

Graduate of a professional nursing program accredited by the Accreditation Commission for Education in Nursing or the Commission on Collegiate Nursing Education at the time of completion.
Current, full, active, and unrestricted registered nurse registration in the state where the clinic is located, or an acceptable multistate compact license.
Current Basic Life Support certification or ability to obtain it before beginning patient care.
Ability to complete required VA and EGA credentialing, background screening, and onboarding requirements.
Knowledge of care management, care coordination, chronic disease management, population health, and outpatient nursing operations.
Ability to work effectively within an interdisciplinary, team-based model of care.
Strong verbal, written, clinical documentation, and patient-education skills.
Ability to use electronic health records, telehealth platforms, and standard computer applications.
Ability to meet the physical demands of a clinical setting, including lifting up to 20 pounds.

Nice To Haves

Previous primary care or ambulatory care nursing experience.
Previous experience providing care to Veterans or working in a VA medical center, VA outpatient clinic, or contracted VA Community Based Outpatient Clinic.
Experience with the VA Patient Aligned Care Team model, motivational interviewing, secure messaging, virtual care, or transitions of care.

Responsibilities

Provide professional nursing services to assigned and unassigned patients consistent with licensure, certification, nursing practice standards, and the approved functional statement.
Develop, oversee, and manage care management plans and care coordination with Patient Aligned Care Team staff.
Participate in secure messaging, virtual care, view-alert management, shared medical appointments, telephone care, and face-to-face visits.
Identify patient needs for discipline-specific team members and discuss nursing recommendations with the Primary Care Provider.
Engage appropriate Patient Aligned Care Team staff and enter consultation requests when required for formal communication.
Delegate appropriate activities to qualified clinical or administrative associates while retaining accountability for assignments and outcomes.
Enter test orders under approved standardized RN care-management protocols or Primary Care Provider orders.
Provide same-day access for face-to-face and telephone nursing care.
Use evidence-based guidelines, standardized nursing protocols, and accepted practice standards to promote patient engagement, self-care, and wellness.
Manage patients transitioning between levels of care and participate in quality and performance-improvement activities.
Perform additional duties as assigned.
Maintain required licenses, certifications, credentials, privileges, and prescribing authorities.
Protect patient privacy and comply with confidentiality and information-security requirements.
Complete required training, documentation, quality reviews, and administrative responsibilities within established timeframes.
Immediately report patient safety events, compliance concerns, clinical risks, and other matters requiring escalation.
Obtain prior facility-supervisor approval before working overtime.