Registered Nurse - PACT Care Manager

Veterans Health Administration

Atlanta (GA)

On-site

USD 85,000 - 160,000

Full time

4 days ago

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Benefits offered by this job

Paid time off

Federal retirement benefits

Federal health/vision/dental

Job summary

Veterans Health Administration is seeking a Registered Nurse Care Manager to oversee patient care for a high-risk panel within the PACT program. You will coordinate care, support transitions, and use data resources to guide population health initiatives.

Responsibilities include developing patient-driven care plans with interdisciplinary teams, providing health education and coaching to patients and families, and documenting interactions in the electronic record.

Qualifications

Active RN license in any US state.
Experience in care management for high-risk patients.
Ability to coordinate with interdisciplinary teams and families.

Responsibilities

Serve as primary contact for care management for an assigned patient panel.
Develop and update patient-driven care plans with interdisciplinary teams.
Educate, coach, and counsel patients and families on self-management and wellness.
Collaborate with VA services and community resources to support transitions and comprehensive care.
Monitor outcomes to identify care gaps and enhance patient wellness.

Skills

Nursing

Care coordination

Patient education

Telehealth

Data resources

Education

RN License

Tools

VA Video Connect

Job description

Department: Department of Veterans Affairs

This is an open continuous announcement until September 30, 2026. Qualified applicants will be referred and considered as vacancies become available.

Key Responsibilities

The primary duties for the PACT RN Care Manager include, but are not limited to: Serve as the primary point of contact for care management and coordination for an assigned patient panel, focusing on high-risk patients, care transitions, and population health strategies utilizing data resources.

Use nursing expertise, evidence-based guidelines, and standardized protocols to develop, implement, and update individualized, patient-driven care plans in collaboration with interdisciplinary teams and patients/families. Provide health education, coaching, and counseling to patients and families, emphasizing self-management, prevention, wellness, and shared decision-making.

Work actively with the PACT Team, internal and external VA services, and community-based resources to assess patient needs, support care transitions, and ensure comprehensive patient care. Participate in performance improvement activities, utilize patient registries and data resources for population health management, and monitor outcomes to identify care gaps and enhance patient wellness.

Maintain current knowledge of multidisciplinary resources and programs, refer patients as appropriate, and serve as a resource for navigating the healthcare system and processes.

Assess patients for telehealth and home monitoring devices, utilize VA Video Connect, Document all patient interactions and interventions in the patient record, complete encounters for workload credit, and support compliance with standards and nursing practice aligned with Primary Care ICC and CAN Score management.

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: full-time, multiple tours available
Compressed/Flexible: May be available
Telework: Not available
Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized EDRP: Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants selected for an EDRP-eligible position will be notified in their conditional job offer. The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment.

Program approval, award amount (up to $200,000), and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants are ineligible to apply. Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO): Not authorized

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $84655 – $160118/yr.

What security clearance is required?

This position requires a Other security clearance.

What is the application deadline?

Applications close on 2026-09-30.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.