Primary Care Team Nurse; RN​/RPN), Integrated Care Team - Lily's Community Health Center

Come work as a Primary Care/Integrated Care Team Nurse (RN/RPN) at Lily's Community Health Centre at Vancouver Coastal Health (VCH) in Vancouver, B

The Registered Nurse/Psychiatric Nurse practices within the context of an integrated, team based primary care and population health model and within the Scope of Practice and Professional/Practice Standards of the British Columbia College of Nurses and Midwives (BCCNM) standards of practice for registered nurses or registered psychiatric nurses respectively and within VCH policies, guidelines and clinical practice documents.

Works collaboratively to coordinate and develop a plan of care within a team-based and interdisciplinary care team model that includes Primary Care, Mental Health and Substance Use, Home Health and other community partners. Cares for clients and families who are experiencing health challenges such as, but not limited to, chronic disease and mental health and substance use and who are adversely affected by the social determinants of health to establish and coordinate a plan of care and support a transition between services.

Uses health interventions and/or self-management principles to conduct physical and mental health assessments, identify problems and address issues or variances from the plan of care, in collaboration with the interdisciplinary team and any other health care services. Acts as a resource to the team by providing information and nursing support based on nursing theory and practice related to clients with complex health care needs.

Provides direct care activities within the clinic or on outreach/home based visits by assessing, planning, implementing, evaluating and documenting client care as part of their team and collaboratively with other partners. Establishes, maintains and enhances therapeutic relationships based on respect.

CHCs offer clinic services, referral services, support groups, therapy and ambulatory nutrition care, and a full range of addiction and mental health services, to those who are living with complex psychosocial and clinical needs, who are vulnerable and underserved, and who require a higher intensity of services to achieve and maintain functional stability. Each clinic is staffed with Integrated Care Teams (ICTs) to care for people who experience barriers accessing services, have no primary care providers and are challenged by complex health concerns (including psycho-social, physical, mental health and addiction co-morbidities).

Each ICT provides care on-site and via outreach, with nurses, social workers, counselloers, peer specialists, community liaison workers, family physicians, nurse practitioners, and psychiatrists. ICTs are supported on-site by more specialized care providers: wound care clinicians, palliative care nurses, OTs, dieticians, and many other disciplines.

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.

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.

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…