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Registered Nurse PACT Team Primary Care Open & Continuous Announcement CY22
This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 30, 2022. The initial cut-off date for referral of eligible applications will be April 4th, 2022 , with subsequent cut-off dates every Monday on an as-needed basis until positions are filled.

Registered nurses assigned to a Patient Aligned Care Team (PACT) Model are members of a teamlet assigned to a panel of patients. The RN functions as a member of a team consisting of the patient, the patient's primary care provider, the teamlet LPN, the teamlet clerk and other professionals including Clinical Pharmacists, Dietitians, Psychologists, and others. The RN optimizes patient care delivery and patient outcomes by providing Case Management; Care Coordination: and Telephone Management. The RN 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. The RN utilizes motivational interviewing techniques to facilitate patient development of patient driven goals for health optimization. The RN performs independently in collaboration with the provider to carry out the plan of care for the veteran. He/she appropriately delegates to other team members but is responsible for providing case management and care coordination activities, clinical triage and making more complex clinical decisions. The RN uses face to face visits, telephone visits, secure messaging, and possible inpatient visits to patients assigned to the teamlet. The RN provides backup for other teamlet RN staff. The RN tracks patient outcomes to determine if interventions are effective.

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