Care Management Transition Leader; CMTL

minimum Nurse to Patient Ratios (mNPRs)

Vancouver Coastal Health (VCH) is proud to be part of the provincial implementation of minimum Nurse to Patient Ratios (mNPRs), an initiative aimed at enhancing nursing practice and strengthening quality of care across the health system. mNPRs set the minimum number of nurses providing care to patients on a given unit. In British Columbia, mNPRs are developed in partnership with the Ministry of Health, the BC Nurses’ Union (BCNU) and health organizations.

Guided by our values:
We Care for Everyone, We Are Always Learning and We Strive for Better Results, we remain committed to fostering quality practice and learning environments where nurses can grow and thrive.

The salary range for this position is CAD $49.20/Hr.

- CAD $63.47/Hr.

Come work as a Care Management Transition Leader with Vancouver Coastal Health (VCH) at Lions Gate Hospital in North Vancouver, BC!

Within the context of a patient and family-centred framework and continuum-based care model and in accordance with established standards of professional practice and the vision, values and policies of the organization, the Care Management Transition Leader (CMTL) facilitates patient’s care management and transition planning across the care continuum from admission through discharge. Coordinates and collaborates with the acute interprofessional team to expedite effective patient care and coordinates timely sustainable discharge plans.

Conducts comprehensive nursing assessments, directs the interprofessional team on appropriate level of care and determines sustainable, quality discharge plans. Assesses and evaluates the clinical and functional status of the patient by coordinating both acute and community staff and resources to ensure the timely and safe discharge of patients. Plans and facilitates clinical discussions to support timely and safe patient discharges with care teams and other health care professionals by advising on availability and eligibility of community resources.

Accountable for the development and effectiveness of policies, procedures and standards to support care management and discharge planning. Intervenes to address barriers and provides leadership to achieve optimal outcomes including securing funding and approvals for services as required. Ensures relevant assessments are completed to determine the appropriate treatment and make community referrals based on patient care needs and urgency. Provides education and consultation to the patient/family and coordinates the transition of the patient post acute care.

This work is framed within VCH’s commitments to our pillars of Indigenous Cultural Safety, Anti-Racism, Equity, Diversity and Inclusion, and Planetary Health.

Education & Experience

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Three (3) years’ recent, related clinical nursing experience across the care continuum (i.e. acute/community) including (1) year experience in a supervisory/leadership role responsible for patient care coordination, access and planning, case management and/or discharge planning, or an equivalent combination of education, training, and experience.

Knowledge & Abilities

• Comprehensive knowledge of Nursing theory and practice within a patient/family centered model of care across the care continuum.
• Comprehensive knowledge of the BCCNM standards for nursing practice.
• Broad knowledge of evidence-based nursing practice related to various patient population groups, acute and community care areas, and demonstrated ability to apply knowledge to a case management process.
• Broad knowledge of pathophysiology and pharmacology and demonstrated ability…