Chronic Disease Management Nurse (Rn)

Come work as a Chronic Disease Management Nurse with Vancouver Coastal Health (VCH)!

Vancouver Coastal Health is looking for a Registered Nurse with experience working with chronic disease/complex illnesses to join the Primary Care Network in Powell River, BC. Apply today to join our team!

As a Chronic Disease Management Nurse with VCH you will

• Act as a resource for the interdisciplinary team and primary care provider by providing information based on nursing theory and practice related to patient/clients with chronic conditions as well as cross sector community resources.
• Work as a member of an interdisciplinary team supporting the primary care provider (GP or NP) in the provision of Chronic Disease Management (CDM) assistance to a patient/client population.
• Support the Primary Care Provider in identifying patient/clients who would benefit from Chronic Disease Management support for a full range of chronic conditions.
• Consult, confer, and collaborate with physicians, nurse practitioners and others involved in the patient/client’s care including the patient, their caregivers and family to achieve excellence in patient-centred education and ongoing management of a patient’s chronic condition.
• Facilitate care through assessing patient/clients, implementing clinical interventions, coordinating ongoing care, empowering patients to manage their chronic condition and evaluating patient/client outcomes.
• Collaboratively participate in the development and implementation of shared care plans that are accessible to the patient/client, family and healthcare providers involved in the patient/client’s care.

ABOUT PRIMARY CARE NETWORKS

This new model of care includes a multi-disciplinary team of nurses, pharmacists and allied health professionals, working alongside and supporting family physicians, nurse practitioners at primary care offices, Primary Care Community Health Centres, Urgent and Primary Care centres, and services delivered by not-for-profit community health partners. Team members involved in the patient’s care will work closely together, so that they can get a full picture of the health care needs. PCNs are expected to provide patients and primary care providers with strong, effective links to hospitals and diagnostic service providers.

About Powell River, Bc

On the Sunshine Coast of British Columbia, where endless green mountains meet sheltered Pacific Ocean waters, Powell River provides a stimulating blend of outdoor adventure and cultural amenities. Originally founded as a resource extraction centre - once home to the world's largest pulp and paper mill - Powell River now offers adventurers countless opportunities for kayaking, canoeing, rock climbing, golfing, boating, hiking, biking, fishing, and scuba diving. This area is host to world-class art galleries, tremendous dining opportunities, and memorable events and festivals.

On the doorstep of both Vancouver and Vancouver Island, the Powell River region offers an array of experiences for travelers of all kinds, no matter the season. Experience the legendary Sunshine Coast Trail and Powell Forest Canoe Route, rock-climb the Eldred Valley, snowshoe in the Knuckleheads; this is the adventure destination you've long been waiting for.

Education & Experience

• Two (2) years’ recent, related nursing experience in chronic disease/complex illness education or chronic disease management or an equivalent combination of education, training and experience.
• Valid BC Driver’s License. Local area travel requires the use of a personal vehicle for which mileage will be reimbursed.
• Current practicing registration as a Registered Nurse with the British Columbia College of Nursing Professionals (BCCNP).

Knowledge & Abilities

• Demonstrated ability to provide effective consultation.
• Comprehensive knowledge of health care disciplines and their role in chronic disease management and care procedures/processes.
• Physical ability to perform the duties of the position.
• Demonstrated ability to establish workload priorities in collaboration with others.
• Demonstrated ability to teach, demonstrate, facilitate and coach.
• Demonstrated ability to communicate effectively with co-workers, physicians, other health care staff and patients and their families, either one-on-one and in-groups.
• Comprehensive knowledge of BCCNP standards for nursing practice.
• Demonstrated ability to work in multicultural environments.
• Computer literacy with demonstrated word processing, spreadsheet, and database skills.
• Demonstrated skill in CPR techniques.
• Demonstrated ability to deal with and/or guide others in resolution of conflict issues.
• Knowledge of policies, procedures, and standards of care.
• Demonstrated ability in understanding the stages of change/motivational interviewing techniques.
• Demonstrated ability to provide culturally competent care to local residents
• Demonstrated ability to function as an effective team member, leader, and facilitator.
• Broad knowledge of nursing science theory, and practice within a patient/family centred care model.
• Demonstrated ability to work independently and in collaboration with others.
• Demonstrated ability to promote a creative practice change environment.
• Broad knowledge of clinical practice that includes comprehensive and coordinated care for Chronic Disease Management (CDM) and prevention using agreed upon best practice quality improvement measures, guidelines and protocols.

The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.

As per the current Public Health Orders (Long Term Care/Seniors Assisted Living Provincial Health Officer Order and the Health Sector Order), as of October 26, 2021, all employees working for Vancouver Coastal Health must be fully vaccinated for COVID-19. Proof of vaccination status will be required.

WHY JOIN VANCOUVER COASTAL HEALTH?

VCH is a world class innovator in medical care, research and teaching, delivering service to more than one million BC residents. At VCH, we embrace thinking boldly, taking smart risks, and "going first" when we believe it will lead to the best possible outcomes for patients and their families. We invite you to join us in creating healthy lives in healthy communities by showcasing our passion for care, connection to the communities we serve and our culture of teamwork that makes VCH a great place to work.

• Grow your career with employer-paid training and leadership development opportunities
• Award-winning recognition programs to honour staff, medical staff and volunteers
• Access to exclusive discount offers and deals for VCH staff
• Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
• Wellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate families

Diversity, equity, and inclusion are essential to our goals of creating a great place to work and delivering exceptional care. We acknowledge and accommodate unique differences and ensure special measures are in place so that all prospective and current employees are given an opportunity to succeed.

We are committed to building a representative workforce and encourage applications reflecting diversity of sex, sexual orientation, gender identity or expression, racialization or ancestry, disability, political belief, religion, marital or family status, age, and/or status as a First Nation, Metis, Inuit, or Indigenous person.

Vancouver Coastal Health is proud to be recognized as one of Canada's Top 100 Employers in 2023.

Only short-listed applicants will be contacted for this posting.

***Employees of VCH must apply online via the Internal Career Portal on CareerHub, you are currently viewing the External Career Portal. Refer to the https//my.vch.ca/working-here/job-postings site for instructions on how to view internal job postings and how to apply as an employee. Current VCH employees who apply to this posting using this external site will be considered as an external candidate. Seniority will not apply.***

Thank you for your interest in Vancouver Coastal Health.