PACT Nurse Care Manager — Telework Eligible

U.S. Department of Veterans Affairs; Aurora (CO); On-site; USD 90,000 - 150,000; Full time

Job summary

U.S. Department of Veterans Affairs is seeking a Registered Nurse Care Manager to provide proactive, patient-centered nursing care within the Veterans Health Administration.

The role focuses on coordinating primary care for the PACT, managing transitions of care, and supporting veteran-focused health outcomes through evidence-based guidelines. The position emphasizes collaboration on an interdisciplinary team, use of multiple care modalities including telehealth, and ongoing health coaching to

Responsibilities

• Provide primary care coordination for the Patient Aligned Care Team (PACT) and transition of care
• Collaborate in Veteran-centered nursing care and chronic disease management
• Deliver care through multiple modalities: face-to-face, virtual encounters, secure messaging, and telephone-based services
• Apply population health tools and evidence-based guidelines to identify high-risk and chronically ill patients
• Coordinate same-day needs and post-discharge transitions with procedures, labs, follow-ups, and referrals
• Participate in daily huddles and care management for patients with chronic and ambulatory care-sensitive conditions
• Connect Veterans with wraparound services and interdisciplinary resources to support access and outcomes

Job description

U.S. Department of Veterans Affairs is seeking a Registered Nurse Care Manager to provide proactive, patient-centered nursing care within the Veterans Health Administration.

The role focuses on coordinating primary care for the PACT, managing transitions of care, and supporting veteran-focused health outcomes through evidence-based guidelines. The position emphasizes collaboration on an interdisciplinary team, use of multiple care modalities including telehealth, and ongoing health coaching to