Access, Care And Transitions (Act) Coordinator - New Westminster

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Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.
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Effective October 26, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.
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Detailed Overview
In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, ACT Coordinator performs a range of functions including allocation decision-making for Fraser Health non-acute bed resources such as long term care, assisted living, hospice and specialized mental health beds ensuring access for eligible clients at highest need. The ACT Coordinator also provides consultation advice, services coordination and monitoring as follows:
Acts as a resource and liaison to internal/external staff, agencies, clients and families regarding information and issues related to long term care facilities contracted by Fraser Health; collaborates with contracted service providers to resolve complex client specific issues. Mediates and supports contracted facilities and residents/families in the resolution of issues. Facilitates the implementation of policies and procedures relevant to long term care in a manner that respects the clients' and families' needs and the characteristics and strengths of the individual facilities.
Responsibilities

• Works with clerical support staff to maintain databases and transfer lists to effect optimum bed utilization by ensuring comprehensive client information is managed efficiently.
• Mediates and resolves issues of dispute between facility and resident and families. Supports management of client feedback activities. Documents findings and outcomes.
• Receives, reviews and approves requests for supportive funding from contracted long term care facilities.
• Liaises with care staff, residents & families to resolve resident specific issues related to coverage and benefits and Temporary Reduction of Client Rates for medical equipment.
• Manages the Priority Access and Transfer lists in accordance with procedures that are aligned with the Ministry of Health and Fraser Health policy.
• Facilitates relocations and discharges as appropriate ad required and/or requested by residents and families by collaborating with appropriate agencies and Health Authorities.
• Performs other related duties as assigned.
• Participates in the collection of specific data in order to demonstrate accountability for effective, efficient and equitable utilization of non-acute bed resources.
• Participates in the development and implementation of long term care policies for improved care/clinical practice protocols and system responsiveness in long term care facilities; improved client access/transitions and system responsiveness. Participates in the development and presentation of written information for clients, families and other health care professionals regarding access issues.
• Reports risk concerns as appropriate. Identifies and arranges to relocate residents to alternate facilities when clinical capacity and/or physical environment is not appropriate to care needs.
• Responds to Adult Guardianship concerns by reviewing and investigating the reported situation and providing consultation to care facility staff. Implements Adult Guardianship legislation. Liaises with the Office of the Public Trustee or other external agencies as required. Completes reports and makes recommendations on risk issues.
• Provides consultation and support to facility staff of contracted sites to effectively respond to identified issues of risk. Promotes clinical practice protocols/guidelines and standards and collaborates with long term care facilities to resolve complex resident specific care issues.
• Implements policy for Fraser Health decommissioning and downsizing projects as a part of Fraser Health long term care redevelopment. Coordinates decommissioning and transition planning for residents and families.
• Identifies issues of concern to the health and safety of residents during facility visits and, when required, reviews the care planned or provided, observes and evaluates resident goals, actions and outcomes and provides input into appropriateness with care. Advises and/or arranges for further care needs assessments by outside agencies or within Fraser Health, as required. Acts as a liaison between referring care teams and receiving facilities/hospice to facilitate admissions. Provides clinical guidance to these teams for developing care plans to meet complex client needs at time of admission.
• Acts as a resource and liaison to internal/external staff, agencies, clients and families regarding information and issues related to long term care facilities contracted by Fraser Health.
• Monitors acute care sites and works collaboratively with Site Access Coordinators and other acute care team members to facilitate new admissions, sets priorities for bed allocation across Fraser Health in a way that responds to individual client and acute care systems with highest need and greatest urgency.
• Acts as the Health Care Provider and completes financial incapability assessments as required. Complete assessments regarding the HCCCFAA process.
• Receives and reviews low risk complaints regarding compliance with relevant legislation, provincial and health authority policies and protocols.
• Participates in education, assists in the development and provision of orientation package for students, new staff, and other health professionals.
• Receives, reviews and processes assessments forwarded for care and transitions team. Maintains and ensures communication of all current information regarding need and urgency for clients in assigned areas.

Qualifications
Education, Training & Experience
Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Three (3) years of recent, related experience in long term care including one (1) year in a supervisory and/or leadership role, or an equivalent combination of education, training and experience. Valid B.C. Driver's License and access to a personal vehicle for business-related purposes.
Skills & Abilities

• Ability to communicate effectively both verbally and in writing.
• Demonstrated analytical, critical thinking and problem solving skills.
• Ability to establish goals and objectives, set priorities, and organize workload.
• Knowledge of relevant acts, legislation, standards and policies governing the operation of long term care facilities.
• Proficiency in the use of a personal computer (PC) and all relevant applicable software applications.
• Knowledge of the broad healthcare system and the continuum of care.
• Physical ability to perform the duties of the position.
• Ability to work independently and in an organized and self-directed manner.
• Ability to problem-solve and effectively deal with conflict situations.
• Knowledge of gerontology, geriatrics and the needs of adults living with chronic illness.
• Ability to foster effective teaching and learning relationships.