Patient Aligned Care Team (PACT) Registered Nurse Care Manager

Quick Facts

• Role: Patient Aligned Care Team (PACT) Registered Nurse Care Manager (Outpatient Primary Care)

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

• Work model: In-person position (not virtual)

• Care focus: Veteran-centered, whole-person wellness

Description

Join an outpatient primary care team as a PACT Registered Nurse Care Manager. You will coordinate comprehensive, evidence-based nursing care for an assigned panel, manage chronic conditions and preventive interventions, and help Veterans navigate their healthcare journey while strengthening continuity of care.

Responsibilities

• Coordinate primary care for an assigned panel, ensuring timely access to services and continuity of care

• Deliver proactive chronic disease management and preventive healthcare using evidence-based guidelines

• Facilitate seamless transitions between hospital, outpatient, and specialty care (post-discharge follow-up, referrals, and diagnostic testing)

• Provide individualized patient education, health coaching, and motivational interviewing to support achievable health goals

• Collaborate with primary care providers and interdisciplinary team members to develop coordinated care plans

• Identify Veterans with complex/high-risk needs using population health tools and clinical indicators

• Provide accessible nursing care through in-person appointments, virtual visits, telephone consultations, and secure messaging

• Participate in daily team huddles and pre-visit planning to address same-day needs and improve access and quality

Requirements

• U.S. citizenship (non-citizens only if VA cannot recruit qualified citizens under VA policy)

• English language proficiency for direct patient care

• Graduated from an approved professional nursing school (ACEN or CCNE) or an eligible bridge/foreign-credential pathway

• Current, full, active, unrestricted RN license in a U.S. state/territory/DC (or Graduate Nurse Technician temporary appointment if eligible)

• Selectively Service Registration required for eligible males born after 12/31/1959

• Subject to background/security investigation

• Complete VA online onboarding and pre-employment requirements, including a pre-employment physical evaluation

• Pass required urinalysis testing for positions designated for drug screening (refusal results in denial)

• Participate in the seasonal influenza vaccination program

• May be required to serve a probationary period

Benefits

• Competitive salary with regular increases and potential performance awards

• Paid Time Off: 50 days per year (26 annual leave, 13 sick leave, 11 paid Federal holidays)

• Retirement: traditional federal pension (5 years vesting) and federal 401K with up to 5% VA contributions

• Insurance: federal health/vision/dental/term life/long-term care options (many transferable into retirement)

• Premium pay, incentive awards, and non-monetary recognition

• Continuing education opportunities, wellness and physical fitness programs, and other paid leave options