PACT Registered Nurse Care Manager (RNCM)

Job title: PACT Registered Nurse Care Manager (RNCM)

Responsibilities

• coordinating care
• managing diseases
• educating patients

Requirements

• Requires English proficiency

• Accredited professional nursing education

• Unrestricted U.S. RN registration, and U.S. citizenship or qualifying exception. Preferred: 3+ years RN and 2+ years outpatient experience

• BSN preferred

• Technical tools mentioned

• population health tools

• Summary

• The Marion Il VMAC is seeking a full time registered nurse to join Primary Care Nursing Service within Marion IL.

Duties

• The PACT Registered Nurse Care Manager (RNCM) functions as a core member of the Primary Care Patient Aligned Care Team (PACT), providing comprehensive, evidence-based nursing care and care coordination for an assigned panel of Veterans. The RNCM delivers proactive, Veteran-centered care focused on chronic disease management, preventive health, care transitions, self-management support, and improved patient outcomes. Serves as the primary care coordinator for an assigned panel of Veterans within the Marion Primary Care PACT. Performs assessment, planning, implementation, and evaluation using the full nursing process to improve clinical outcomes. Provides RN-led chronic disease management and preventive health services using established VA/DoD guidelines and evidence-based practice. Manages care transitions across inpatient, outpatient, specialty, community, and virtual settings to ensure continuity of care. Identifies high-risk and rising-risk Veterans using population health tools; executes focused panel management to close care gaps. Conducts health coaching, motivational interviewing, and patient education to support self-management and Whole Health goals. Coordinates same-day access needs, post-discharge follow-up, labs, clinical reminders, procedures, and specialty referrals. Participates in daily PACT huddles and collaborates with the interdisciplinary team to improve access, continuity, quality, and Veteran experience. Reviews team metrics, prepares patient data, and supports proactive approaches to care delivery. Maintains professional communication and customer service, advocating for Veterans and supporting positive patient outcomes. Engages in continuous professional development, mentoring, precepting, and integration of evidence-based practice. 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: 8:00am - 4:30pm Monday-Friday. This position may require flexibility based on clinical need. Telework: ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: not authorized Permanent Change of Station (PCS): not authorized

Qualifications

• Basic

Requirements

• English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licens