Registered Nurse (RN) Care Manager (Primary Care Float)

Quick Facts

• Role: Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM), Outpatient Primary Care (Float Position)

• Schedule: Monday–Friday, 7:30am–4:00pm

Description

The PACT RN Care Manager provides comprehensive, patient-centered nursing care and coordination within outpatient primary care. This is a float role supporting a designated panel of patients, emphasizing patient education, self-management, chronic disease management, transitions of care, and customer satisfaction. Care is delivered through in-person and multiple virtual/remote modalities, while applying evidence-based practice and quality improvement.

Responsibilities

• Coordinate care for a panel of PACT patients and serve as primary care coordinator

• Apply all elements of the nursing process, including education, self-management, health promotion, wellness, and chronic disease management

• Lead evidence-based nursing practice using clinical guidelines, nursing protocols, quality improvement, and population health strategies

• Manage transitions of care across inpatient, outpatient, specialty, and community settings to support timely access

• Provide care via face-to-face visits, virtual care, telephone encounters, and secure messaging

• Use population health tools, risk stratification, and panel management to identify high-risk patients, close care gaps, and prevent complications

• Deliver RN-led chronic disease management, preventive care, health coaching, motivational interviewing, and individualized care planning

• Coordinate same-day needs, post-discharge follow-up, referrals, lab/diagnostic testing, clinical reminders, procedures, and pre-visit planning

• Collaborate with interdisciplinary teams, extended care support teams, patients, families, and community resources

• Advocate for patients through education and facilitation of continuity of care

• Participate in daily huddles and pre-planning for efficient clinic operations and patient experience

• Apply Whole Health principles and appropriate task delegation

• Monitor performance metrics and use VHA panel management tools for data-driven quality improvement

• Practice in accordance with Nurse Practice Acts and licensure requirements

Benefits

• Competitive salary with regular increases and potential performance awards

• Paid time off (26 days annual leave, 13 days sick leave, and 11 paid federal holidays)

• Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% employer contribution

• Federal health/vision/dental/term life/long-term care insurance options

• Licensure: 1 full and unrestricted license from any U.S. state or territory

Requirements

• U.S. citizenship (or non-citizen appointment only if qualified citizens cannot be recruited)

• English language proficiency for basic written and spoken English

• Graduate of an accredited school of professional nursing (ACEN or CCNE) or meet approved nursing education pathways

• Current, full, active, unrestricted RN license in a U.S. state/territory/DC (or approved Graduate Nurse Technician temporary path while pursuing licensure)

• BLS certification required

• Background/security investigation

• Complete required onboarding and pre-employment requirements (including ID verification)

• Seasonal influenza vaccination participation (required)

• Comply with applicable Nurse Practice Acts and licensure requirements

• Selective Service registration for males born after 12/31/1959