Clinical Nurse Specialist

2 months ago


Victoria, British Columbia, Canada AVI Health and Community Services Full time
Job Summary

The Clinical Nurse Specialist will work in partnership with an interdisciplinary team to provide participant-centered healthcare, including assessment, screening, and education, to support participants accessing the SAFER program. The Clinical Nurse Specialist will use a harm reduction, trauma-informed approach and is required to have demonstrated clinical skills and experience to independently assess individuals with complex primary care health needs and active poly-substance use.

Key Responsibilities
  • Provide care and support for individuals with high levels of poly-substance use and a variety and complexity of acute and chronic conditions, related but not exclusive to conditions of poverty and criminalization.
  • Work both independently and collaboratively with the SAFER team to support people contemplating or accessing prescribed pharmaceutical alternatives to illegal/toxic substances.
  • Provide care, assessment, screening, education, referrals, and advocacy regarding substance use, acute and chronic health concerns, mental health, sexual health, wound management, and general wellness, including primary and specialist care, substance use services, diagnostic and laboratory services, and medication management.
  • Provide harm reduction support through collaborative risk reduction strategy.
  • Collaborate with participants and SAFER team to develop and maintain individualized care plans, providing ongoing monitoring and support with participants in accordance with the care plan.
  • Work with community partners to ensure seamless support of mutual participants.
  • Provide screening and assessment and administer medications as ordered by program physicians and according to clinical protocols.
  • Provide education, information, and appropriate referrals that are responsive to the self-identified needs of participants to manage their health, enhance understanding of their health status, and navigate through the various services and community supports related to their care.
  • Participate in staff meetings, trainings, educational forums, and engagement in community building and networking.
  • Perform other duties as assigned.
Qualifications
  • Registered Nurse, Registered Psychiatric Nurse, or Licensed Practical Nurse registered with the BCCNM regulator.
  • Minimum 1 to 5 years' full scope, outreach nursing experience working with people with high levels of poly-substance use and mental health challenges.
  • Previous experience working in supervised consumption/overdose prevention services, safer supply, or other harm reduction programs.
  • Demonstrated commitment to social justice principles and practices, including harm reduction, anti-racism, decolonization, combating stigma related to drug use, HIV, hepatitis C, and challenging gendered oppression, ableism, homophobia, and transphobia.
  • Experience working in solidarity with diverse populations, including people who are criminalized for their drug use, people who are denied housing/precariously housed/warehoused, racialized identities, Indigenous persons, LGBTQI2S+ identities, sex workers, and people with disabilities.
  • Relevant or applicable training/experience in anti-racism and a demonstrated commitment to anti-colonial learning/unlearning.
  • Strong analysis of colonialism and intergenerational impacts of historical and ongoing colonization.
  • Demonstrated understanding of public health and equity-oriented models of social support and healthcare.
  • Strong knowledge of typical medical approaches to substance use disorder and opiate agonist treatment options.
  • Demonstrated skills, experience, and knowledge in the areas of primary care, substance use, harm reduction, HIV, HCV, sexual health, mental health, and health promotion.
  • Demonstrated commitment to person-centered healthcare service provision.
  • Works well under pressure and in stressful situations.
  • Capable, independent practitioner and committed team member.
  • Excellent communication, conflict resolution, and crisis management skills.
Skills and Abilities
  • Physical ability to carry out the duties of the position and operate related equipment.
  • Ability to establish and maintain respectful rapport with participants.
  • Ability to observe and recognize subtle changes in participants.
  • Strong advocacy skills.
  • Ability to work independently and as part of a multidisciplinary team.
  • Ability to communicate effectively, both verbally and written.
  • Ability to organize and prioritize workload.
  • Ability to use related equipment, including computers to complete documentation, data, and reports using Electronic Medical Records (EMR).
  • Practiced conflict resolution and non-violent crisis intervention skills.
Position Details
  • Pay: per BCNU pay grid, RN/RPN Level 3 (ranging between $41.42-$55.91) and LPN Level 1 (ranging between $32.84-$41.35) and all applicable premiums apply.
  • Hours and Schedule: shifts falling between 9:00 am to 6:00 pm. Week 1: Friday, Saturday, Sunday Week 2: Saturday and Sunday, Week 3: Friday and Saturday Week 4: Friday, Saturday, Sunday.
  • Location: This position operates out of the SAFER clinic in Victoria.
  • Union: AVI is a union environment under the Collective Agreement: HEABC & Health Services & Support Community Subsector Association 2022-2025.
  • Benefits: This position will be eligible for extended health, life, and AD&D on the 1st of the next month that starts after this position begins. AVI pays for the entire cost of the plan on behalf of its staff.
  • Pension: This position is eligible to join the Municipal Pension Plan (MPP) after 487.5 hours at AVI. At this time, AVI contributes an additional 9.31% towards your pension account.
  • Other Perks: This position gets 7.69% vacation (equivalent to 20 workdays, prorated for part-time), receives Stat In Lieu payments of 5% on each paycheque, and has a Sick Bank of 6.92%. Sick and Vacation banks are both accessible after your first 487.5 hours with AVI.
  • Proof of Vaccination Required: AVI is under BC's Health Services Order and continues to require proof of vaccination.
  • Hours of Work, Days Off, and Work Area may be subject to change.


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