This is an open continuous announcement for this vacancy. The first certificate of eligible applicants will be issued on March 11, 2021 with subsequent cut-off dates every 14 days up to May 26, 2021. Work Schedule: Monday to Friday 8:00am to 4:30pm. As needed for patient care. Financial Disclosure Report: Not required The RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Teamlet (Patient, Primary Care Provider, RN Care Manager, Clinical Associate and Clerical Associate) and expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven care plan for life. The major duties and responsibilities include, but are not limited to: Collaborates with services internal and external to VA to facilitate care transition in order to effectively meet the patient's needs. Provides patient and family health education with a focus on self-management, prevention and wellness, based on the patient's goals. Demonstrates leadership by serving as an advocate for patients, and a team leader with colleagues as she/he continues to enhance his/her team's professional growth, development and practice. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Works in partnership with an assigned panel of patients and teamlet members for effective disease and chronic care management. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.
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.