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Complex Care Coordinator

2 months ago

Surrey, British Columbia, Canada Fraser Health Full time
About the Role

Fraser Health is seeking a skilled Community Health Nurse - Registered Nurse to join our team. As a key member of our interprofessional team, you will work independently in the community setting to provide high-quality care to clients with complex health needs.

Key Responsibilities
  1. Client Assessment and Care Planning: Conduct thorough assessments of clients' physical and emotional needs, and develop personalized care plans to promote optimal health outcomes.
  2. Collaboration and Communication: Work closely with clients, families, and healthcare professionals to ensure seamless care transitions and effective communication.
  3. Care Coordination and Management: Coordinate and manage client care services, including referrals to community resources and healthcare providers.
  4. Health Education and Promotion: Provide education and support to clients and families on health management, self-care, and wellness strategies.
  5. Quality Improvement and Risk Management: Participate in quality improvement initiatives and contribute to the development of policies and procedures to enhance client care.
Requirements
  • Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
  • One (1) year recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting.
  • Valid BC Driver's license and access to a personal vehicle for business-related purposes.
Skills and Abilities
  • Demonstrated knowledge, skills, and competence in gerontology and adults living with complex frailty and chronic illnesses.
  • Ability to communicate effectively, both verbally and in writing.
  • Ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectively.
  • Knowledge of broad health care services, community resources, and their role in providing a continuum of care.
  • Ability to promote client-focused care, including sensitivity to diverse cultures and preferences.