PACT Nurse Manager - Care Coordination & Wellness

U.S. Department of Veterans Affairs; Crown Point (IN); On-site; USD 85,000 - 105,000; Full time

Job summary

The Registered Nurse - Patient Aligned Care Team Manager at the U.S. Department of Veterans Affairs acts as the primary coordinator for a designated panel of patients, emphasizing health promotion, chronic care management, patient self-management support, and overall wellness.

This role delivers knowledge-based nursing care within the Primary Care PACT, collaborates with team and external services, and supports care transitions to ensure timely access to resources and improved patient outcomes.

Qualifications

• Active RN license in the United States.
• BSN or higher and eligible for state licensure.
• Experience in primary care or care coordination is preferred.

Responsibilities

• Executes leadership and coordination within Primary Care PACT.
• Delivers knowledge-based nursing care and care coordination to patient panels.
• Provides coordinated nursing care to designated panels of patients.
• Focuses on proactive, patient-centered care using evidence-based guidelines.
• Acts as the coordinator for a designated panel focusing on health promotion and chronic care management.
• Collaborates with PACT members and external services to ensure timely access to resources.
• Engages in patient and family education to improve outcomes and wellness.

Skills

English Language Proficiency

RN license

Care coordination

Patient education

Education

BSN or higher

RN License

Job description

The Registered Nurse - Patient Aligned Care Team Manager at the U.S. Department of Veterans Affairs acts as the primary coordinator for a designated panel of patients, emphasizing health promotion, chronic care management, patient self-management support, and overall wellness.

This role delivers knowledge-based nursing care within the Primary Care PACT, collaborates with team and external services, and supports care transitions to ensure timely access to resources and improved patient outcomes.