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Specialty Medicine/Surgery

Role and Facility Information

Reporting to the Manager, Care Management & System Navigation, the Care Management Leader practices in accordance with the standards of professional practice and code of ethics as outlined by the British Columbia College of Nurses and Midwives (BCCNM) as well as within a client and family centered care model and the vision and values of PHC. From the point of admission, coordinates and collaborates with the acute interprofessional team to expedite effective patient care and coordinate timely sustainable discharge plans. Conducts comprehensive nursing assessments and provides direction to the interprofessional team on appropriate level of care, interventions to address barriers, resources necessary to achieve optimal outcomes including securing funding and approvals for services as required. Is accountable for the development and effectiveness of policies, procedures and standards to support effective care management and discharge planning. Participates in committees, task groups, continuing education, and/or corporate initiatives. Applies the use of data in own practice; identifying where to focus efforts, the measurement of progress towards identified outcomes, and as an educational tool to ensure that the plan of care and services provided are patient focused, high quality, efficient, and effective.

Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Three (3) years recent, related experience including (1) year of experience in community care and discharge planning or an equivalent combination of education, training and experience.

Skills And Abilities:
Comprehensive knowledge of Nursing theory and practice within a patient/family centred model of care.
Comprehensive knowledge of the BCCNM standards for nursing practice.
Broad knowledge of evidence based nursing practice related to various patient population groups and demonstrated ability to apply knowledge to a case management process.
Broad knowledge of pathophysiology and pharmacology, and demonstrated ability to apply knowledge to safely-plan discharge.
Broad knowledge of biological and pathophysiological indicators related to severity of illness to apply medical appropriateness criteria to resource utilization and transition/discharge planning.
Broad knowledge of the illness or disease process and potential long-term complications.
Broad knowledge of other health care disciplines and their role in patient care.
Broad knowledge of clinical pathways, expected length of stays, resource utilization, and patient assessment.
Broad knowledge of external agencies and community resources.
Demonstrated ability to engage in comprehensive assessment, observation and monitoring of patients.
Demonstrated ability to plan, organize, and prioritize work.
Demonstrated ability to analyze situations, problem solve, deal with conflict, and negotiate resolutions in a timely manner.
Demonstrated ability to provide leadership, work direction and consultation.
Demonstrated ability to work independently and as a member of an interprofessional team.
Demonstrated ability to develop and maintain collaborative working relationships and communicate (orally and in writing) effectively with clients and their families, coworkers, physicians, other health care staff, and staff of external agencies.
Demonstrated computer skills including the ability to effectively use computerized client care information system.
Physical ability to carry out the duties of the position.


Live and work in BC


The world-class city of Vancouver is situated in the southwest corner of British Columbia, surrounded by mountains and ocean vistas. With a population of two million, Vancouver is Canada’s third largest city and is frequently honoured as one of the best places to live in the world. As North America’s gateway to the Pacific Rim, Vancouver has strong links to international markets and is home to a vibrant mix of cultures. Blessed with a balmy coastal climate, the city offers recreational pursuits to suit every taste and disposition, from extreme skiing and mountain biking, to sailing, golfing, nature walks and meditative retreats. The city boasts myriads of theatres, galleries and restaurants.

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