Takes responsibility for Consult coordination and patient flow management, including appointment management, triage of patients, patient education, monitoring of patient progress toward predetermined goals and timely follow-up. Participates in clinic for setting patients' goals of care as part of the interdisciplinary team. Utilizes the nursing process in managing, developing, implementing, and evaluating each patient's individual plan in collaboration with the interdisciplinary care team to attain specific clinical outcomes in the outpatient specialty clinic settings. - Communicates with Veterans: health care options including local VA, other VA Medical Centers, and the community based on eligibility criteria for community care per National Directives (i.e. MISSION Act). - Works closely
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