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Veterans Health Administration in Indiana is seeking a Registered Nurse - ABJ Patient Aligned Care Team Manager to coordinate a patient panel, promote health and wellness, and lead care coordination within Primary Care PACT.
The role emphasizes proactive, patient-centered care, collaboration with the care team, and education to improve outcomes. Typical schedule is Mon-Fri, 8:00am-4:30pm; telework is not available.
The Registered Nurse, Patient Aligned Care Team Manager acts as the primary coordinator for a designated panel of patients emphasizing health promotion, chronic care management, patient self management support, and overall wellness.
The Registered Nurse, Patient Aligned Care Team Manager, duties include, but are not limited to: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex patientcare beyond the immediate practice setting. Delivers fundamental knowledge-based nursing care and care coordination within the Primary Care PACT. Provides fundamental, knowledge-based, coordinated nursing care to panels of patients.
Focuses on proactive, patient-centered care by using nursing knowledge, evidence-based guidelines, and standardized nursing procedures/protocols. Acts as the coordinator for a designated panel of patients, emphasizing health promotion, chronic care management, patient self-management support, and overall wellness.
Collaborate with the PACT 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.
Virtual: This is not a virtual position.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $80018 - $149392/yr.
This position requires a Other security clearance.
Applications close on 2026-10-19.
This position is open under the 'Fed Internal Search' hiring path.