PACT Registered Nurse Care Coordinator

Summary The Pact Aligned Care Team Registered Nurse Care Coordinator functions as a member of a team consisting of the patient, primary care provider, LPN, clerk, and other professionals including Clinical Pharmacist, Dietitians, Psychologists, and others. The RNCC optimizes patient care delivery and patient outcomes by providing Case Management; Care Coordination; and Telephone/Virtual Care Management. Responsibilities Duties include but are not limited too: Provides care to patients with acute problems, patients undergoing transitions of care, and patients with chronic conditions, especially high-risk patients, who would benefit from case management. Utilizes motivational interviewing techniques to facilitate development of patient driven goals for health optimization. Performs independently in collaboration with the provider to carry out the plan of care for the veteran. Delegates to other team members but is responsible for providing case management , and care coordination activities, clinical triage, and making complex clinical decisions. Responsible for the nursing care for patients and working with and/or leading other team members to ensure quality care is delivered timely by the appropriate person. Utilizes various platforms for visits including face to face, telephone visits, Video Connect Visits, secure messaging, and possible inpatient visits to patients assigned to the team. Tracks patient outcomes to determine if interventions are effective. Performs nursing assessments: triages face to face, Video/Virtual visits or by telephone; in collaboration with the patient and provider, identifies goal for optimizing health. Provides patient/family education to improve outcomes, evaluates patient progress or lack of progress toward achieving goals. Performs case management activities, and care coordination activities for those patients assigned to the team who require those services. Demonstrates leadership in delivering and improving holistic care to the adult and geriatric population through collaborative strategies. Provides direct nursing care to individual and groups of patients and assists with the direction an supervision of other assigned clinical and/or clerical staff. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday- Friday, 9:30am- 6:00pm. Work schedule subject to change based on agency needs. Work on some evenings and or weekends. Travel may be required.to cover clinics. Telework: Ad-hoc based on needs of service. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the

Created: 2026-02-26