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Registered Nurse (PACT Care Manager)
Uses the nursing process and evidence-based practice to collaborate with the Teamlet and larger Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing and patient -driven holistic care plan for life. Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. - Follows the patient's personalized health care plan as designated by the patient and Patient Aligned Care Team (PACT). - Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care - Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient ca
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