Vancouver Coastal Health

  • Transition Services Coordinator (Nursing) (RN)

  • Job Description

    Job Title: Transition Services Coordinator (Nursing) (RN) 
    Work Site:

    Transition Services

    additional work site: Vancouver General Hospital, UBC Hospital, St. Paul's Hospital, Mount St Joseph, Holy Family, GF Strong 

    Status: Casual 
    Start Date: As Soon As Possible
    Salary: $39.91 - $48.92 per hour
    Hours: 0800-1600/0830-1630 with rotating days off 
    Reference#: 107613-mhs

     



    As part of a multidisciplinary team in the Emergency Department you will be involved with complex care planning in a ground breaking initiative to provide the best care for elderly patients.   You will be bridging the gap between acute care and community to ensure patient’s safety and a seamless transition home.



     


    JOB SUMMARY:

    Within the context of a client and family centred care model and in accordance with the College of Registered Nurses' of British Columbia (CRNBC) standards of professional practice, code of ethics, and the established vision and values of the organization, the Transition Services Coordinator leads and facilitates acute to community transitions by assessing and evaluating clinical and functional need and coordinating community staff/resources in carrying out the care following discharge from an acute site. Responsible and accountable for the development and effectiveness of policies, procedures and standards for the transition services program in community care. Coaches and encourages acute and community colleagues to embrace new and evolving clinical pathways and practice (Home is Best). Plans and facilitates clinical discussions to support safe client discharges with care teams and other health care professionals; advises on the availability and eligibility for community services. Makes community referrals based on client needs, urgency and best practices to determine the appropriate treatment; educates and provides consultation to client/family. Coordinates transition of clients to residential care, utilizing clinical decision support tools (Inter-RAI MDS) as appropriate. Documents and maintains client records and clinical assessments. Participates on committees as directed. Coordinates care given by others in an area or unit by way of assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments. Assists in administrative activities and optimal use of program resources.

    QUALIFICATIONS:


    Education and Experience

    • Baccalaureate degree in Nursing with five (5) years’ recent, related experience which includes three (3) years in a community health setting, one (1) year experience in quality improvement, research and evaluation activities, and a clinical decision-support tool for severity assessment and discharge (Acute/Subacute/SNF/Rehabilitation/Behavioural Health), experience in a tertiary health care environment, or an equivalent combination of education, training and experience.
    • Current practising registration with the College of Registered Nurses’ of British Columbia. 


    Knowledge, Skills & Abilities

    • Broad knowledge of nursing theory and practice within a client and family centred model of care. 
    • Broad knowledge of the College of Registered Nurses’ of British Columbia Standards for Nursing Practice. 
    • Broad knowledge of evidence based nursing practice related to patient acuity and bed utilization practices within a tertiary level teaching hospital. 
    • Broad knowledge of other health care disciplines and their role in client care and discharge planning. 
    • Broad knowledge of clinical studies methodology and data presentation. 
    • 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 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.

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


    ***Employees of VCH must apply via the Internal Application Process. Refer to the staffpostings.vch.ca 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.

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