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Job description
Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM)
Outpatient Primary Care (PC) executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex patient care beyond the immediate practice setting. The PACT RNCM demonstrates expertise in professional nursing practice to provide nursing care and care coordination within the Primary Care PACT and improve outcomes beyond the immediate practice setting. The PACT RNCM functions as a key team member providing comprehensive, coordinated nursing care to panels of patients. This role leads proactive, patient-centered care by using nursing expertise, evidence-based guidelines, and standardized nursing protocols to improve outcomes within the immediate PACT and beyond. The PACT RNCM acts as the primary coordinator for a designated panel of patients emphasizing health promotion, chronic care management, patient self-management support, and overall wellness. They collaborate with the PACT team members, extended care support team and external services to develop and implement holistic, patient-driven care, facilitate care transitions, and ensure timely, coordinated access to health care resources. The PACT RNCM also engages in patient and family education and advocates for patients' needs to enhance patient outcomes and wellness. The PACT RNCM champions a collaborative team approach for managing patient panels, ensuring continuity and quality of care tailored to individual patient goals and needs with positive outcomes for patients, the immediate practice setting, and beyond the immediate practice setting. Nursing practice must be in accordance with the Nurse Practice Act of the State, Territory or Commonwealth of the United States, or the District of Columbia governing licensure.
Core Duties include, but are not limited to:
Care Coordination & Transition Management
Patient Care/Customer Service
Population Identification
Stratification, Care Coordination & Transition Management
Team Support and Teamwork
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
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Work Schedule: M-F, CST (No holidays nor weekends)
Telework: Available on an ad-hoc (as needed) basis
Virtual: This is not a virtual position.
Duty Location: North West San Antonio VA Clinic VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.