Abstract: Veterans within the Veterans Health Administration (VHA) experience higher rates of chronic disease and poorer health than non-veterans (Balbale et al., 2016). The implementation of the Patient Aligned Care Team (PACT) in 2009 aimed to improve care coordination and mitigate cost concerns. However, recent literature suggests that veterans feel that Registered Nurse Care Managers (RNCMs) are overburdened and struggle to provide high-quality care coordination (Flynn & Krause-Parello, 2019). Moreover, the VHA faces a high nursing turnover rate, with many facilities experiencing nurse shortages (Office of Healthcare Inspections, 2018). This study examines the effects of burnout, job satisfaction, and workload on RNCMs' ITL and the veterans’ perception of the quality of care coordination they deliver. Utilizing the Nursing Organization and Outcomes Model (NOOM; Aiken et al., 2002) and the Care Coordination Conceptual Framework (McDonald et al., 2007; Van Houdt et al., 2013), a secondary analysis of cross-sectional survey data from RNCMs and veterans across the United States was conducted. The results show that RNCM job satisfaction and burnout significantly predict ITL among VHA medical centers, and burnout, workload, and job satisfaction significantly predict the quality of care coordination at the VHA. Retaining experienced RNCMs within the VHA is crucial to ensure quality care for veterans. This study provides valuable insights for nursing practice and future research, aiming to reduce RNCM burnout and ITL, enhance job satisfaction, and improve veterans' perception of care coordination quality.