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Veterans Health Administration in Texas seeks a PACT Registered Nurse Care Manager to coordinate outpatient care within the PACT team. You will oversee transitions of care, develop Veteran-centered nursing plans, and deliver preventive and chronic disease management interventions across multiple modalities.
The role emphasizes patient education, self-management support, and collaboration with the care team to ensure timely access and high-quality outcomes.
The Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM): Outpatient Primary Care (PC) is responsible and accountable for all elements of the nursing process when providing nursing care and care coordination within the Primary Care PACT.
Major Duties include, but are not limited to: Provides primary care coordination for the Patient Aligned Care Team (PACT), overseeing transitions of care, developing and implementing Veteran-centered nursing care, delivering preventive and chronic disease management interventions, and providing care through multiple modalities, including face-to-face visits, virtual encounters, secure messaging, and telephone-based services.
Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction while functioning as a key team member providing comprehensive, coordinated nursing care to panels of patients. Demonstrates leadership in delivering proactive, patient-centered care by using nursing knowledge, evidence-based guidelines, and standardized nursing protocols within the immediate practice setting.
Acts as the primary coordinator for a designated panel of patients, emphasizing health promotion, chronic care management, patient self-management support, and overall wellness. 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.
Engages in patient and family education and advocates for patients' needs to enhance patient outcomes and wellness. Champions a collaborative team approach for managing patient panels, ensuring continuity and quality of care tailored to individual patient goals and needs. This position potentially requires flexibility in schedule and assignments. All other duties as assigned.
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: Monday-Friday, 0800-1630 Telework: Not Available Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $75766 – $140903/yr.
Applications close on 2026-10-26.
This position is open under the 'Fed Internal Search' hiring path.