The RN Care and Case Manager demonstrates leadership through collaboration with the PACT team members and larger Team in developing patient-driven holistic care plans. This includes chart reviews, calls for pre-visit/post visit follow up, collaborative management of high-risk patients, and follow up with discharged patients. Provides patient and family health education focusing on self-management, prevention, and wellness, based on patient goals. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken Engli
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