Transition Services Coordinator

Transition Services Coordinator (Registered Nurse) - Nursing Join to apply for the Transition Services Coordinator (Registered Nurse) - Nursing role at Vancouver Coastal Health. The salary range for this position is CAD $49.20/hr - CAD $63.47/hr. Overview Vancouver Coastal Health is looking for a Registered Nurse to join the Transition Services team at Vancouver General Hospital. As a Transition Services Coordinator, you will lead and facilitate acute to community transitions by assessing and evaluating clinical and functional needs and coordinating community staff and resources to ensure care after discharge from an acute site. Responsibilities Lead and facilitate acute to community transitions by assessing and evaluating clinical and functional needs and coordinating community staff/resources in carrying out the care following discharge from an acute site. Be responsible and accountable for the development and effectiveness of policies, procedures and standards for the transition services program in community care. Coach and encourage acute and community colleagues to embrace new and evolving clinical pathways and practice (Home is Best). Plan and facilitate clinical discussions to support safe client discharges with care teams and other health care professionals; advise on the availability and eligibility for community services. Make community referrals based on client needs, urgency and best practices to determine the appropriate treatment; educate and provide consultation to the client/family. Coordinate transition of clients to long term care, utilizing clinical decision support tools (Inter-RAI MDS) as appropriate. Document and maintain client records and clinical assessments. Participate on committees as directed. Coordinate care given by others in an area or unit by assigning service priority to various Home Health teams and adjusting client/patient/resident assignments. Assist in administrative activities and optimize the 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 of recent, related experience which includes three (3) years in a community health setting, one (1) year in quality improvement, research and evaluation activities, and clinical decision‑support tool experience for severity assessment and discharge (Acute/Subacute/SNF/Rehabilitation/Behavioural Health). Equivalent combinations of education, training and experience are acceptable. 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 facilitate, coach and communicate orally and in writing. Demonstrated ability to manage conflict, adapt to new or unexpected events, 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. Hours of Work 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. Health and Safety 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 offering of missing vaccines and appropriate actions to be taken in the event of future exposure to a communicable disease or during outbreaks. For all new hires and appointments to Vancouver Coastal Health, this information is requested as part of the onboarding process. Benefits 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 available to employees and their immediate families. Award‑winning recognition programs to honour staff, medical staff and volunteers. Access to exclusive discount offers and deals for VCH staff. Equity, Diversity and Inclusion We support equitable practices, diverse teams and inclusive environments, which are vital to creating welcoming spaces where everyone can bring their whole selves to work and feel supported. We encourage applications from equity‑deserving communities, including Indigenous Peoples, members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientations. Key Details Seniority level: Mid‑Senior level Employment type: Temporary Job function: Other Industries: Hospitals and Health Care Application Process Applicants should submit an application online via the Internal Career Portal on CareerHub. Only short‑listed applicants will be contacted for this posting. #J-18808-Ljbffr