The Iowa City VA Health Care System (ICVACS) is currently recruiting for one (1) Registered Nurse to work as part of the Patient Aligned Care Team (PACT) for our Primary Care Department in Iowa City, Iowa. ICVAHCS is in Veterans Integrated Service NetworkLearn more about this agency
The Patient Aligned Care Team (PACT) Registered Nurse provides comprehensive and coordinated nursing care to an assigned panel of patients. The PACT RN collaborates with both VA services and community services, as appropriate, to effectively meet the Veteran's needs, based on his or her goals and plan of care, with a focus on self-management.Duties include but are not limited to:
- Triaging and applying a collaborative team approach in identifying, analyzing, and resolving patient care problems;
- Monitoring patients at high risk for hospitalization and keeping the Primary Care Provider (PCP) apprised of clinical issues needing provider intervention;
- Monitoring high risk, high volume and problem prone patients throughout their lifespan;
- Providing post discharge and emergency room telephone calls to team panel to ensure transition, assessing current needs and appointing as needed for follow up care;
- Collaborating with internal and external services to facilitate care transition in order to effectively meet the patient's needs;
- Providing patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals;
- Supporting implementation of group and shared medical appointments to meet the needs of the patient panel;
- Applying skills such as motivational interviewing to promote patient self-management toward a patient-driven holistic care plan for life;
- Serving as an advocate for patients, and team player to colleagues, as he/she continues to enhance his/her own professional growth, development, and practice.
Financial Disclosure Report: Not required
Job family (Series)
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/564697900. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.