Transition Services Coordinator; Registered Nurse; Nursing

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 Transition Services Coordinator with Vancouver Coastal Health (VCH) at Vancouver General Hospital in Vancouver, BC!

Within the context of a client and family centred care model and in accordance with the British Columbia College of Nurses and Midwives (BCCNM) Nursing Professionals (BCCNP) standards of professional practice and Code of Ethics for registered nurses or registered psychiatric nurses, 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.

Education & Experience

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• 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.

Knowledge, Skills & Abilities

• Broad knowledge of nursing theory and practice within a client and family centred model of care.
• Broad knowledge of the BCCNM 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…