Gate specialty mutate CTAs on Care abilities, not only module manage.

Nurses can manage limited specialties but lack consultations.manage, so
hide Start/stage/chart edits that 403 while keeping queue/vitals/billing
aligned with what those routes actually authorize.

Co-authored-by: Cursor <cursoragent@cursor.com>

tests/Feature/CareSpecialtyShellTest.php

@@ -294,6 +294,8 @@ class CareSpecialtyShellTest extends TestCase
 
     public function test_workspace_includes_timeline_tab_and_complete_action(): void
     {
+        Member::query()->where('user_ref', $this->owner->public_id)->update(['role' => 'doctor']);
+
         app(SpecialtyModuleService::class)->activate(
             $this->organization,
             $this->owner->public_id,
@@ -378,6 +380,8 @@ class CareSpecialtyShellTest extends TestCase
 
     public function test_called_workspace_shows_call_again_until_session_starts(): void
     {
+        Member::query()->where('user_ref', $this->owner->public_id)->update(['role' => 'doctor']);
+
         app(SpecialtyModuleService::class)->activate(
             $this->organization,
             $this->owner->public_id,