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The Registered Nurse (PACT) Care Manager position is based at the Palm Bay VA Clinic. Address, 5200 Babcock Street Northeast, Suite 101Palm Bay, FL 32905-4612
This RN (PACT) Care Manager reports directly to the Nurse Manager of Primary Care in Palm Bay VA Clinic or designee.
The Registered Nurse (PACT) Care Manager is responsible for the care of Veterans with acute and/or chronic medical, surgical, and/or mental health conditions. The RN must provide a focused assessment, critical reasoning, and astute clinical judgement in order to expedite appropriate care and treatment, especially given that the patient may present with complex problems or potentially life-threatening conditions and/or behavioral health emergencies. The RN provides coordinated care across the life span to Veterans, families, caregivers, groups, populations, and communities. The PACT Care Manager RN provides coordination and transition of care across the continuum of care in a variety of outpatient settings, which include but are limited to, clinics, Ambulatory Surgery & Diagnostic Procedure areas, Telehealth service environments, and Care Coordination organizations. During each encounter, the PACT Care Manager RN focuses on patient safety and the quality of nursing care by applying appropriate nursing interventions.
The Registered Nurse (PACT) Care Manager provides care and counseling of persons to promote and maintain health and the prevention of illness and injury based upon the nursing process, which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling, provision of care supportive to or restorative of life and well-being, and executing medical regimens, including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. utilizing the nursing process to assess, coordinate, facilitate, and deliver nursing care to patients utilizing the outpatient clinics/services; and formulating an interdisciplinary plan of care and documenting assessments, interventions, and referrals in the computerized patient record system. This RN will also participate in the development and implementation of performance improvement monitors to support activities to improve the overall quality of care delivery. The RN will complete women's health training and training in interim care for coverage during the seasonal influx. This RN will need to be proficient in VA Video Connect (VVC), scrubbing, patient check ins, secure messaging, and walk in triage. This training will be provided, if needed.
The duties for the Registered Nurse (PACT) Care Manager include but not limited to:
- Identify and clarifying patient needs, performing procedures.
- Initiates and implements an interdisciplinary plan of care based on assessments.
- Conducts health education, promoting patient advocacy, coordinating nursing and other health services, assisting the patient to navigate the health care system, and evaluating patient outcomes.
- Acts as a partner and advisor, assists and supports patients and families to optimally manage their health care, respecting their culture and values, individual needs, support in self-management, health goals and treatment preferences.
- Facilitates continuity of care using the nursing process, multidisciplinary collaboration, and coordination of appropriate health care services and community resources across the care continuum.
- Refers and consults with the interdisciplinary healthcare team and integrates recommendations for continuing patient care into the plan of care.
Work Schedule: Full time, Monday-Friday, 8:00 AM to 4:30 PM, with work day/hours flexibility required as patient care needs require.
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
