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Vancouver Coastal Health (VCH) is seeking a Primary Care/Integrated Care Team Nurse (RN/RPN) at Lily's Community Health Centre in Vancouver, BC. This role operates within an integrated, team-based primary care and population health model, adhering to the standards of practice set by the British Columbia College of Nurses and Midwives (BCCNM) and VCH policies. The nurse will collaborate within an interdisciplinary team, including Primary Care, Mental Health and Substance Use, Home Health, and community partners, to coordinate and develop care plans for clients and families facing health challenges such as chronic disease and mental health/substance use issues, often exacerbated by social determinants of health. The role involves conducting physical and mental health assessments, identifying problems, and addressing variances from the care plan. The nurse will act as a resource, providing nursing support for clients with complex health needs, and delivering direct care through clinic-based activities or outreach/home visits. This includes assessing, planning, implementing, evaluating, and documenting client care. Establishing and maintaining therapeutic relationships based on respect is a key aspect of the role. Community Health Centers (CHCs) provide comprehensive services including clinic services, referrals, support groups, therapy, nutrition care, and addiction and mental health services for vulnerable and underserved populations with complex psychosocial and clinical needs. Each CHC is staffed with Integrated Care Teams (ICTs) to support individuals facing barriers to accessing services, lacking primary care providers, and dealing with complex health concerns, including psycho-social, physical, mental health, and addiction co-morbidities. ICTs offer on-site and outreach care with a multidisciplinary team including nurses, social workers, counselors, peer specialists, community liaison workers, family physicians, nurse practitioners, and psychiatrists, supported by specialized care providers like wound care clinicians, palliative care nurses, OTs, and dieticians.
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Job Type
Full-time
Career Level
Mid Level

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