Description du poste
Join VA Black Hills Health Care System as a Registered Nurse Care Manager in Outpatient Primary Care and make a lasting difference in Veterans' lives. In this rewarding role, you'll coordinate personalized care, manage chronic conditions, promote preventive health, and empower Veterans to achieve their wellness goals. Collaborate with a dedicated interdisciplinary team to improve access, strengthen continuity of care, and help Veterans navigate their healthcare journey with confidence.
PRINCIPALES MISSIONS :
Make a meaningful impact on the health and well-being of Veterans as a Patient Aligned Care Team Registered Nurse Care Manager at VA Black Hills Health Care System. This rewarding outpatient primary care position offers the opportunity to build lasting relationships with Veterans while helping them navigate their healthcare needs, manage chronic conditions, and achieve their personal health goals. As an essential member of a collaborative healthcare team, you'll connect Veterans with the resources, education, and support they need to take an active role in their health. Through proactive care coordination, evidence-based nursing practices, and a commitment to whole-person wellness, you'll help improve health outcomes, strengthen continuity of care, and enhance the overall Veteran experience. Join a mission-driven team where your nursing expertise, compassion, and dedication contribute to delivering exceptional care to those who have served our nation. Duties include, but are not limited to: Coordinate comprehensive, Veteran-centered primary care for an assigned panel of patients, ensuring timely access to services, continuity of care, and individualized support throughout their healthcare journey. Deliver proactive chronic disease management and preventive healthcare interventions using evidence-based guidelines to improve health outcomes, reduce complications, and promote long-term wellness. Facilitate seamless transitions between hospital, outpatient, and specialty care settings by coordinating post-discharge follow-up, referrals, diagnostic testing, and essential healthcare resources. Provide individualized patient education, health coaching, and motivational interviewing to empower Veterans to manage chronic conditions, establish achievable health goals, and make informed healthcare decisions. Collaborate with primary care providers, interdisciplinary team members, and extended healthcare services to develop coordinated care approaches that address Veterans' medical, preventive, and wellness needs. Identify Veterans with complex or high-risk healthcare needs using population health tools, clinical indicators, and proactive panel management strategies to prioritize interventions and close gaps in care. Deliver accessible nursing care through in-person appointments, virtual visits, telephone consultations, and secure messaging to address healthcare concerns, support treatment plans, and strengthen patient engagement. Participate in daily team huddles, pre-visit planning, and coordinated care activities to address same-day patient needs, streamline healthcare delivery, and improve access, quality, and the overall Veteran experience. 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, 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS):
À propos de Veterans Health Administration
OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans? The VA Black Hills Health Care System (VA BHHCS) is located in the beautiful Black Hills of Western South Dakota. South Dakota has No State Income Tax, has been named one of the Happiest and Safest States in the nation, is home to Top Ten Scenic Drives and Top Ten National Forests, features an Outdoor Life's Top City for Outdoor Enthusiasts and hosts the legendary annual Sturgis Motorcycle Rally. Hiking, fishing, rock climbing, canoeing, water skiing, golf, snowmobiling, hunting, camping, downhill and cross country skiing, motorcycling--the opportunities are endless. VA BHHCS is a multi-campus health care system, with approximately 1300 employees, providin