The RN Care Manager is an essential component of the PACT Initiative (Patient Aligned Care Team). The RN Care Manager provides nursing assessments, telephone triage with advice per protocol, patient education, and case management responsibilities throughout the health care continuum. Collaboration and networking with multiple disciplines, services, and agencies is a necessary component of this role. The RN Care Manager (PACT): Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Demonstrates customer service principles in all aspects of work. Collaborates with the provider and LPN to provide comprehensive care to patients. Possesses a working knowledge of telephone triage, RN assessment clinics, and group clinics. Manages urgent/emergent patient care in the clinic environment, patient transitions to the emergency department, and inpatient admissions. Conducts post hospital discharge phone calls to all inpatients discharged from acute care. Conducts phone calls to patients to resolve care issues. Assists with care coordination. Networks with specialty clinics. Provides home management advice. Provides education regarding treatment plan changes and disease processes. Submits referrals to community health, HBPC, and CCHT. Communicates with people of varied educational levels and varied ethnic backgrounds. Works cooperatively as a member of a team in all assignments. Prioritizes the care for the veteran while in the work setting. Possesses intimate knowledge of utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. Utilizes critical thinking skills and sound judgment to ensure positive outcomes. Demonstrates knowledge and ability to apply principles of evidence-based practice. Provides support at the unit level, the service level, and the organizational level. Pay Schedule: NF23 Work Schedule: 80 hours per week, Various DTOD, may work other TOD to complete the mission as patient workload demands Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.