The Registered Nurse (RN) Care Manager is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day and/ or telephonic case management. The RN functions in the Primary Care Clinic which utilizes a Patient Aligned Care Team (PACT) model. The RN uses the nursing process and evidence-based practice to collaborate with the Core Team in developing the patient-driven care plan. Duties include but not limited to: Demonstrates clinical knowledge in assessing, planning, implementing documenting and evaluating care for a designated group of patients across the continuum of care. Triage and apply a collaborative team approach in identifying, analyzing and resolving patient care problems. Collaborates with patients to assess and identify needs, iss
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