Chronic Disease Care Coordinator (RN), Bella Bella
About The Position
Working within the context of a client and family centred care model and in accordance with the British Columbia College of Nurses and Midwives (BCCNM) as a registered nurse and in collaboration with the physician practice teams, Director Community Care/Primary Health Care Networks, supports physician practices in office redesign to include comprehensive and coordinated case management skills for Chronic Disease Management (CDM) and prevention using agreed upon best practice quality improvement measures, guidelines and protocols. Collaboratively develops and implements shared care plans that are accessible to other healthcare providers involved in the patient’s care management. Assists individuals to achieve and maintain optimal health through the provision of information/health promotion, disease prevention and treatment services. Within the community multidisciplinary team context, provides continuity of care by assessing patients, liaising with team members, implementing clinical interventions, evaluating patient outcomes, coordinating ongoing care and supporting transition. Acts as a clinical resource for the interdisciplinary team by providing information based on specialized theory and practice related to patients with complex heath care needs. Consults, confers, and collaborates with multidisciplinary team members, physicians, educational resources and other health care professions to achieve excellence in patient-centred education and research.
Requirements
- Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
- Three (3) years' recent, related nursing experience in chronic disease/complex illness education or chronic disease management and prevention, experience facilitating change, group process and team building, 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.
- Broad knowledge of nursing science theory, and practice within a client/family centred care model.
- Comprehensive knowledge of BCCNM standards for nursing practice.
- Comprehensive knowledge of health care disciplines and their role in chronic disease management and care procedures/processes.
- 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.
- Broad knowledge of policies, procedures, and standards of care.
- Broad knowledge of research methodology and processes, including analytical and evaluation skills.
- Demonstrated ability in understanding the stages of change/motivational interviewing techniques.
- Demonstrated ability to function as an effective team member, leader, and facilitator.
- Demonstrated ability to teach, demonstrate, facilitate and coach.
- Demonstrated ability to communicate effectively with co-workers, physicians, other health care staff and clients and their families, either one-on-one and in-groups.
- Demonstrated ability to promote a creative practice change environment.
- Demonstrated ability to establish workload priorities in collaboration with others.
- Demonstrated ability to provide effective consultation.
- Demonstrated ability to work independently and in collaboration with others.
- Demonstrated ability to deal with and/or guide others in resolution of conflict issues.
- Demonstrated skill in CPR techniques.
- Physical ability to perform the duties of the position.
- Computer literacy with demonstrated wordprocessing, spreadsheet, presentation and database skills.
Responsibilities
- Supports physician practices in office redesign to include comprehensive and coordinated case management skills for Chronic Disease Management (CDM) and prevention using agreed upon best practice quality improvement measures, guidelines and protocols.
- Collaboratively develops and implements shared care plans that are accessible to other healthcare providers involved in the patient’s care management.
- Assists individuals to achieve and maintain optimal health through the provision of information/health promotion, disease prevention and treatment services.
- Provides continuity of care by assessing patients, liaising with team members, implementing clinical interventions, evaluating patient outcomes, coordinating ongoing care and supporting transition.
- Acts as a clinical resource for the interdisciplinary team by providing information based on specialized theory and practice related to patients with complex heath care needs.
- Consults, confers, and collaborates with multidisciplinary team members, physicians, educational resources and other health care professions to achieve excellence in patient-centred education and research.
Benefits
- Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
- Employer-paid training and leadership development opportunities
- Wellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate families
- Award-winning recognition programs to honour staff, medical staff and volunteers
- Access to exclusive discount offers and deals for VCH staff
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
