Community Health Nurse - Registered Nurse Memorial Hospital

Salary range for this position is CAD $41.42 - $59.52 / hour

Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care. Fraser Health values diversity in the workforce and strives to maintain an environment of respect, caring and trust.

Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner.

• Establishes a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision‑making and care planning including the client's right to dignity and privacy.
• Screens referrals, provides individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions; assists clients to achieve an optimal level of function by facilitating timely and appropriate health services and utilizing a variety of resources and services; collaborates with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services.
• Develops a comprehensive shared patient/client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics; facilitates and supports the transition of the client care plan to the referring source, primary/community care provider and/or community agencies.
• Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies and evidence‑based best practice; provides comprehensive explanations of care to the client and family, as appropriate.
• As required based on the local community model, makes decisions on client specific direct care tasks; assigns direct client care tasks to Community Health Workers and when appropriate delegates client specific direct care tasks to Community Health Workers; provides in‑home demonstrations and training to standards of practice for assigned and delegated client specific tasks; ensures that the Community Health Worker has the necessary knowledge, skills and support to perform the delegated tasks within the clearly defined limits;
  
  collaborates with the Community Health Nurse – Licensed Practical Nurse in the monitoring of Community Health Workers performing clients specific delegated direct care tasks.
• Facilitates care conferencing to review client care plans, in collaboration with the interprofessional team and primary‑care provider to determine timing and referral to other services and/or interventions to improve client outcomes; initiates, monitors and evaluates the appropriateness and effectiveness of the short and long term care plan to meet specific client goals; develops next steps in collaboration with the client and family;
  
  develops and supports a transition process for achieving client care goals across the care continuum including discharge and/or transfer to other services, as required.
• Discusses clinical findings with client/family, in collaboration with the interprofessional team to develops action plans and sets goals directed at clinical needs, self‑management, self‑care and improved health‑related quality of life; accesses system information and resources to review client data such as medical history, progress notes, consultation reports, lab reports and incorporates findings into the care plan; plans, organizes and establishes priorities by using resources effectively and efficiently;
  
  responds to unanticipated events and/or changing client or…