The PACT RN Care Manager practices as a Registered Nurse under the guidance of the Nurse Manager for Primary Care within Montana VA Health Care System and supports the mission and vision of the Healthcare System. Primary Care provides acute and chronic care needs for Montana VA Health Care System including a wide variety of services for adult and elderly Veterans. The PACT RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Teamlet (Patient, Primary Care Provider, RN Care Manager, LPN, and MSA) and larger team (family/caregiver, internal and community-based services) involved in providing proactive, personalized, and patient centered care to the patient in developing the patient centered holistic plan for life. The PACT RN Care Manager is responsible for collaborating with services internal and external to Montana VA Health Care Services in order to facilitate care transition that will effectively meet the patients' needs as well as provide a robust interdisciplinary approach to care; health promotion and disease prevention, acute, chronic, and long-term needs. (PACT RN Care Manager coordinates discharge follow-up from the hospital, Emergency Department (ED), or Community Living Center (CLC), reassignment to or from another PACT, and care from provider (s) of specialty care.) The PACT RN Care Manager provides patient and family health education with a focus on self-management, shared decision making, and prevention and wellness that is based on the individual patient's goals. The PACT RN Care Manager helps the Veteran acquire the skills and resources they need to engage in self-care and self management and provide Veterans with ongoing support and coaching needed to succeed in making and sustaining changes in their health through a personalized plan of care. The PACT RN Care Manager demonstrates leadership by serving as an advocate for patients, team player to colleagues as s/he continues to enhance his/her own and the team's professional growth, development, and practice. Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. Note: Extended hours and weekends may be required Telework: Not Available Virtual: This is not a virtual position. 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.