Provides outpatient primary care in the clinic setting. As member of the interdisciplinary team, executes position responsibilities that demonstrate leadership, experience, and creativity in performing a variety of duties, including supporting the primary care providers in managing complex patient care. Applies the Patient Aligned Care Team (PACT) principles utilizing the nursing process and evidence-based practice to collaborate with the Team and expanded Team in developing the patient-driven care plan for life. Responsible for collaborating with services internal and external to the VA to facilitate care transition to effectively meet the patients' needs. Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals.
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