Come work as a Transition Services Coordinator with Vancouver Coastal Health (VCH)!

Vancouver Coastal Health is looking for a Transition Services Coordinator with a Masters Degree to join the team in Vancouver. Apply today to join our team!

Experience in discharge planning of patients from an acute care setting, or experinece in a rehabilitation background are considered an asset. 

As a Transition Services Coordinator with VCH, you will:

• Lead and facilitate acute to community transitions by collaborating with the care team, assessing and evaluating clinical and functional need and coordinating community staff/resources in carrying out the care following discharge from an acute site.
• Provide input to the Manager, Clinical Operations Supervisor and/or Clinical Nurse Educator on the development and recommendation of changes to related Transition Services policies, procedures or protocols for care transition from acute to community.
• Coach and encourage acute and community colleagues to embrace new and evolving clinical pathways.
• Plan and facilitate clinical discussions to support safe client discharges with care teams and other health care professionals.
• Advise on the availability and eligibility for community services.
• Make community referrals based on client needs, urgency and the recommendation of the care team.
• Educate and provide consultation to client/family about the community services and options available to them upon discharge and the transition plan.
• Assess and coordinate transition of clients to long term care (LTC), utilizing clinical decision support tools (Inter-RAI MDS) as appropriate.
• Document and maintain client records and clinical assessments.
• Participate on committees as directed.
• Coordinate care given by others in an area or unit by assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments.

Education & Experience

• Master’s degree in a Health Science discipline with three (3) years’ experience in an acute and/or community health setting including one (1) year experience in complex discharge planning or an equivalent combination of education, training and experience.
• Eligible for registration with the appropriate professional body or association, as applicable.

Knowledge & Abilities

• Broad knowledge of applicable allied practice and practice within a client and family centred model of care.
• Broad knowledge of evidence based practice related to patient acuity and bed utilization practices within an acute care setting.
• Broad knowledge of other health care disciplines and their role in client care and discharge planning.
• Broad knowledge of home and community care.
• Demonstrated knowledge of hospital discharge processes, including Alternate Level of Care.
• Broad knowledge of clinical studies methodology and data presentation.
• Demonstrated ability to apply acquired analytical/investigative skills and the knowledge to effectively gather, maintain and analyze statistics.
• Demonstrated ability to apply critical thinking within clinical and evaluation activities.
• Demonstrated ability to work independently.
• Demonstrated ability to work collaboratively as a member of an interdisciplinary team.
• Demonstrated ability to provide leadership, work direction and consultation. 
• Demonstrated ability to demonstrate, facilitate and coach.
• Demonstrated ability to communicate orally and in writing.
• Demonstrated ability to communicate with, and deal effectively with, co-workers, physicians, other health care staff, clients and their families, and staff of outside agencies.
• Demonstrated ability to effectively deal with conflict situations.
• Demonstrated ability to adjust to new or unexpected events.
• Demonstrated ability to plan, organize and prioritize work.
• Demonstrated physical ability to perform the duties of the position.
• Demonstrated computerized software skills in word processing, databases, spreadsheets, presentations and internet access and ability to operate a computerized patient care information system.
• Ability to operate related equipment.

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. Successful applicants may be required to complete a Criminal Records Review Check.

As per Ministry of Health policy, all health care workers working in publicly-funded health care facilities are required to report their past receipt of certain vaccines or history of certain infections. Collecting these records will allow for offering of any missing vaccines, and for appropriate actions to be taken in the event of any future exposure to a communicable disease or during outbreaks. For all new hires and appointments to Vancouver Coastal Health, you will be asked to provide this information as part of the onboarding process.

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.

• Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
• Grow your career with 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

At Vancouver Coastal Health, our vision of healthy lives in healthy communities inspires us and our values and pillars guide us. We support equitable practices, diverse teams and inclusive environments, which are vital to creating welcoming spaces where everyone can bring their whole selves to work and feel supported. We encourage applications from equity-deserving communities, including Indigenous Peoples and members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientation.

Vancouver Coastal Health is proud to be recognized as one of Canada's Top 100 Employers in 2024.

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.