Registered Nurse - Patient Aligned Care Team Care Manager

<p>The Registered Nurse - Patient Aligned Care Team (PACT) Care Manager delivers and improves holistic care through collaboration strategies with others to provide comprehensive nursing care to patients assigned.</p><h3>Major Duties</h3><p>The Registered Nurse (RN) - Patient Aligned Care Team (PACT) Care Manager works in partnership with an assigned panel of patients and team members for effective disease and chronic care management. They use the nursing process and evidence-based practice to collaborate with the expanded team, internal and community-based services, in developing the patient driven care plan for prevention and management of diseases. Major Duties include, but are not limited to: Delivers efficient, comprehensive, and continuous patient-driven holistic care through active collaboration, communication and coordination of resources. Utilizes core elements of performance including knowledge and active participation in unit/service level quality improvement processes, such as the customer service program. Promotes the medical center mission, vision and values; compiles the Equal Employment Opportunity programs, partnerships, customer service standards and Veterans Affairs policies and procedures. Works in partnership with an assigned panel of patients and team members for effective disease and chronic care management. Responsible for collection of data and implementing evidence based changes to practice based on data results. Uses the nursing process and evidence-based practice to collaborate with the team (Patient, Primary Care Provider, PACT RN Care Manager, Health Technician, Pharmacists, and Clerical Associate) and expanded team (family member or caregiver, consulting providers, internal and community-based services involved in the care of the patient) in developing the patient-driven care plan for prevention and management of diseases. Collaborates with the services internal and external to the VA to facilitate care transition in order to effectively meet the patient's needs. Provides evidence-based patient and family health education with a focus on self-management, prevention, and wellness. Initiates follow-ups as recommended while administering the prescribed therapies using appropriate judgement. All other duties as assigned, pertaining to this occupation, to meet the needs of the Agency, Department, Facility, and/or Service. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Various; that may include: both 8 and 12 hour shifts, days, nights, weekends, and holidays. Schedule will ultimately be determined by Supervisor and/or needs of the Facility.??????? Telework: Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>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. 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. Must pass pre-employment physical evaluation. 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/trial period. Complete all application requirements detailed in the "Required Documents" section of this announcement.