PACT Nurse Care Manager - Primary Care & Transitions

Veterans Health Administration; Alamosa (CO); Hybrid; USD 70,000 - 133,000; Full time

Benefits offered by this job

Telework - situational

Paid time off

Federal retirement benefits

Federal health insurance

Job summary

Veterans Health Administration in the United States seeks a Registered Nurse Care Manager to provide fundamental, knowledge-based, coordinated nursing care to panels of patients. Responsibilities include primary care coordination for PACT, transitions of care, and Veteran-centered care across face-to-face, virtual, secure messaging, and telephone modalities.

The role emphasizes management of chronic disease, preventive services, patient education, and health coaching within an interdisciplinary

Qualifications

• Fundamental primary care coordination for a panel of patients.
• Deliver preventive and chronic disease management interventions.
• Provide health coaching and patient education to support Veteran-centered goals.

Responsibilities

• Provide fundamental primary care coordination for the PACT programs.
• Coordinate transitions of care and connect Veterans with appropriate services.
• Collaborate with interdisciplinary team to optimize health outcomes.
• Deliver care through multiple modalities including visits, virtual encounters, and telephone-based services.
• Participate in daily huddles and support care management for high-risk patients.

Skills

Care coordination

Nursing

Chronic disease management

Patient education

Health coaching

Team collaboration

Education

RN License

Job description

Veterans Health Administration in the United States seeks a Registered Nurse Care Manager to provide fundamental, knowledge-based, coordinated nursing care to panels of patients. Responsibilities include primary care coordination for PACT, transitions of care, and Veteran-centered care across face-to-face, virtual, secure messaging, and telephone modalities.

The role emphasizes management of chronic disease, preventive services, patient education, and health coaching within an interdisciplinary