Vancouver Coastal Health

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Chronic Disease Care Coordinator

Chronic Disease Care Coordinator

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Job Description

Job Title: Chronic Disease Care Coordinator
Work Site: Powell River Community 
Status: Temporary Full Time till January 2019
Start Date:As Soon As Possible 
Salary: $39.91 - $48.92 per hour
Hours: 0830-1630 Monday-Friday with Sat/Sun/Stats off 
Reference#: 106159-bmc





About Powell River: 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.





Working within the context of a client and family centred care model and in accordance with the College of Registered Nurses of British Columbia (CRNBC) 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.


Education & Experience

  • Baccalaureate in Nursing, 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.
  • Current practicing registration with the College of Registered Nurses’ of British Columbia.
  • Valid BC Drivers License. Local area travel requires the use of a personal vehicle for which mileage will be reimbursed.

Knowledge, Skills & Abilities

  • Broad knowledge of nursing science theory, and practice within a client/family centred care model.
  • Comprehensive knowledge of CRNBC 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.

The area of work is Tla'amin Health and travel will be required as incumbent works with the Sechelt band.

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.

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

***Employees of VCH must apply via the Internal Application Process. Refer to the site for How to Apply instructions. 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.

JFNRG City_Powell River

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