The Patient Aligned Care Team (PACT) RN Care Manager provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN Care Manager demonstrates leadership by serving as an advocate for patients. team player to colleagues as she/he continues to enhance his/her own and the team's professional growth, development and practice. Major Duties include but are not limited to: · Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care: Recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient. · Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. · Collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness. · Maintains professional knowledge and skills based on current evidence based practice. · Demonstrates leadership by sharing knowledge with colleagues or students to enhance professional growth, development and practice. · Promotes patient, family and team interactions and problem solving by actively participating in interdisciplinary meetings to facilitate collaboration and the achievement of identified goals. · Initiates/actively participates in interdisciplinary opportunities to improve patient care at the program level. · Applies critical thinking and analytical skills to identify barriers for optimal patient care delivery. Analyzes, interprets and implements processes to improve patient outcomes with the use of various quality metrics and/or data tools Work Schedule: Monday- Friday Days. Clinic is open 7:30 a.m. to 4:30 and tour will be determined later Financial Disclosure Report: Not required
Internal Number: 600307200
About Veterans Affairs, Veterans Health Administration
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.