PACT RN Care Manager - Care Coordination & Chronic Disease

Aptive Resources; Yreka (CA); On-site; USD 90,000 - 115,000; Full time

Job summary

Aptive Resources, in partnership with Valor Healthcare, is hiring a Registered Nurse Care Manager to provide care coordination and chronic disease management within the PACT model at the proposed Yreka, CA CBOC, pending VA contract award.

Location: On-Site in Yreka, CA. Schedule: Mon–Fri, 7:30am–5:30pm; clinical hours 8:00am–4:30pm. You will work with PACT staff to design and manage patient care plans and engage through multiple care modalities.

Qualifications

• Graduate of an ACEN- or CCNE-accredited school of professional nursing.
• Current, full, active, unrestricted RN registration in California.
• Current BLS certification.
• Experience in care coordination and chronic disease management.
• Must pass VA credentialing, privileging review and background check; PIV credentialing.

Responsibilities

• Provide professional nursing services per licensure, certification, and assigned function.
• Collaborate with PACT to develop and manage care plans and care coordination for the assigned panel.
• Participate in secure messaging, virtual care, shared medical appointments, and face-to-face visits.
• Identify needs for discipline-specific referrals and enter consultations as needed.
• Enter orders in the VA EHR for tests per RN protocols or PCP orders.
• Use evidence-based guidelines to promote patient engagement, self-care, and wellness.
• Maintain >90% completion rate for preventive screenings; document in CPRS within 72 hours.

Skills

Care coordination

Chronic disease management

Nursing license

Communication skills

Education

ACEN- or CCNE-accredited nursing program

Tools

VA EHR (CPRS)

Job description

Aptive Resources, in partnership with Valor Healthcare, is hiring a Registered Nurse Care Manager to provide care coordination and chronic disease management within the PACT model at the proposed Yreka, CA CBOC, pending VA contract award.

Location: On-Site in Yreka, CA. Schedule: Mon–Fri, 7:30am–5:30pm; clinical hours 8:00am–4:30pm. You will work with PACT staff to design and manage patient care plans and engage through multiple care modalities.