Summary The Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM) Outpatient Primary Care (PC) delivers fundamental knowledge-based nursing care and care coordination within the Primary Care PACT. This role focuses on proactive, patient-centered care by using nursing knowledge, evidence based guidelines, and standardized nursing procedures/protocols. Responsibilities Duties include but are not limited to: Provides fundamental primary care coordination for the PACT, supporting transitions of care, collaborating in Veteran-centered nursing care, delivering preventive and chronic disease management interventions, and providing fundamental care through multiple modalities, including face-to-face visits, virtual encounters, secure messaging, and telephone-based services. Awareness of population health tools and knowledge of evidence-based guidelines to identify and manage high-risk and chronically ill patients; serves on the interdisciplinary team, applies structured appoint...