Transition Services Coordinator

5 days ago

Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

**Job Summary:**


We are seeking a Registered Nurse to join our team as a Transition Services Coordinator at Vancouver Coastal Health.


**Key Responsibilities:**



  • Lead and facilitate 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.
  • 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 way of assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments.
  • Assist in administrative activities and optimal use of program resources.

**Qualifications:**



  • 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.

**Working at Vancouver Coastal Health:**


Vancouver Coastal Health 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.


**Benefits & Perks:**



  • 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 recognition programs to honour staff, medical staff and volunteers

  • Transition Services Professional

    4 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    Job SummaryVancouver Coastal Health is seeking a qualified candidate to fill the role of Transition Services Coordinator. This position will be responsible for leading and facilitating acute to community transitions by assessing and evaluating clinical and functional needs. The successful candidate will also be responsible for coordinating community staff...

  • Healthcare Transition Coordinator

    3 weeks ago

    Vancouver, British Columbia, Canada Providence Health Care Full time

    Job Description:We are seeking a skilled and compassionate Healthcare Transition Coordinator to join our team at Providence Health Care.Company Overview:Providence Health Care is a leading provider of healthcare services in [location]. Our mission is to deliver high-quality patient care while promoting a culture of compassion, respect, and...

  • Transition Services Coordinator

    2 months ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About the RoleVancouver Coastal Health is seeking a highly skilled Registered Nurse to join our team as a Transition Services Coordinator. In this role, you will be responsible for leading and facilitating acute to community transitions by assessing and evaluating clinical and functional needs and coordinating community staff and resources to ensure seamless...

  • Clinical Coordinator

    4 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About the RoleVancouver Coastal Health is seeking a skilled and compassionate Intake and Transition Nurse to join our Primary Care team at Three Bridges Community Health Centre in Vancouver BC.Key ResponsibilitiesConduct intake and transition functions for designated site/program services, working collaboratively within an interdisciplinary team.Provide...

  • Care Transition Specialist

    3 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About Vancouver Coastal HealthVancouver Coastal Health is a world-class innovator in medical care, research, and teaching, delivering service to over one million BC residents.As a leading healthcare provider, we strive to create healthy lives in healthy communities by showcasing our passion for care, connection to the communities we serve, and a culture of...

  • Senior Transition Administrator

    4 weeks ago

    Vancouver, British Columbia, Canada Raymond James Financial, Inc. Full time

    About the RoleThe Senior Transition Administrator will be responsible for providing support and acting as a liaison between the home office and new Financial Advisors joining Raymond James branch offices.Key Responsibilities• Assist the National Sales team in transitioning Financial Advisors/Agents in Canada to Raymond James• Maintain an ongoing dialogue...

  • Healthcare Professional

    3 days ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    Job SummaryVancouver Coastal Health (VCH) is seeking a skilled Intake and Transition Nurse to join the Primary Care team at Three Bridges Community Health Centre in Vancouver, BC.Key ResponsibilitiesConduct intake and transition functions for designated site/program servicesProvide clinical judgment and guidance for initial client screening and...

  • Clinical Coordinator for Mental Health and Substance Use

    3 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    Job SummaryVancouver Coastal Health is seeking a Registered Nurse with experience in Community Health to join the Mental Health and Substance Use Inpatient Units and Psychiatric Assessment Unit on the Vancouver General Hospital campus as a Transition Services Coordinator.As a Transition Services Coordinator with VCH, you will:Lead and facilitate acute to...

  • Discharge Planning Coordinator for Acute Care

    3 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About Vancouver Coastal HealthVancouver Coastal Health is a world-class innovator in medical care, research and teaching, delivering service to more than one million BC residents.We are looking for a highly skilled Discharge Planning Coordinator to join our team in Vancouver, BC.Role SummaryThe successful candidate will lead and facilitate acute to community...

  • Energy Transition Sales Specialist

    4 weeks ago

    Vancouver, British Columbia, Canada Jetson Home Inc. Full time

    Job SummaryWe are seeking a skilled Sales Representative to join our team at Jetson Home Inc. in Vancouver. As an Energy Transition Sales Specialist, you will play a crucial role in accelerating the adoption of sustainable energy solutions for residential homeowners.About Jetson Home Inc.At Jetson Home Inc., we are committed to making a dramatic impact on...

  • Care Coordinator for Community Health

    3 weeks ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About Vancouver Coastal HealthVancouver Coastal Health is a world-class innovator in medical care, research and teaching, delivering service to more than one million BC residents.Job SummaryThe salary range for this position is CAD $49.20/Hr. - CAD $63.47/Hr.Care Coordinator RoleWe are seeking a skilled Care Coordinator to join our team in Vancouver. The...

  • Senior Transit Planning Manager

    6 days ago

    West Vancouver, British Columbia, Canada Westvancouver Full time

    West Vancouver is a vibrant community on the North Shore, boasting an array of parks, beaches, and sports, recreation, and arts amenities.We are seeking employees with a passion for public service to join our team in creating a complete, inclusive, and livable community.The District of West Vancouver's Transit Department is currently seeking a permanent...

  • Transitional Housing Support Specialist

    3 weeks ago

    Vancouver, British Columbia, Canada The Salvation Army Full time

    Are you passionate about supporting individuals in need? Do you have a strong desire to make a positive impact in your community?The Salvation Army is seeking a skilled and compassionate Residential Support Worker - Transitional Housing to join our team in Vancouver. This rewarding role will enable you to work with residents in all areas of personal...

  • Clinical Coordinator for Mental Health and Substance Use

    4 days ago

    Vancouver, British Columbia, Canada Vancouver Coastal Health Full time

    About the RoleVancouver Coastal Health is seeking a highly skilled Registered Nurse to fill the role of Transition Services Coordinator in our Mental Health and Substance Use Department.The successful candidate will be responsible for leading and facilitating acute to community transitions by assessing and evaluating clinical and functional needs, and...

  • Administrative Services Coordinator

    4 weeks ago

    Vancouver, British Columbia, Canada J.T. Insurance Services (Canada), Inc. Full time

    Job OverviewWe are seeking a highly organized and detail-oriented Administrative Services Coordinator to join our team at J.T. Insurance Services (Canada), Inc.

  • Social Services Coordinator

    4 weeks ago

    Vancouver, British Columbia, Canada PHS Community Services Society Full time

    Job DescriptionAt PHS Community Services Society, we are committed to providing harm reduction services to our program participants. As a Social Services Coordinator, you will play a vital role in supporting individuals who face barriers and stigma related to addiction, homelessness, poverty, or incarceration.We are seeking an individual who can provide...

  • Support Services Coordinator

    3 weeks ago

    Vancouver, British Columbia, Canada PHS Community Services Society Full time

    As a Support Services Coordinator with PHS Community Services Society, you will play a vital role in providing harm reduction services to program participants across the organization's continuum.We are seeking individuals who can provide supportive services based on their own experiences facing and overcoming barriers related to addiction, homelessness,...

  • Financial Services Coordinator

    3 weeks ago

    Vancouver, British Columbia, Canada Macdonald Commercial Real Estate Services Ltd. Full time

    We are seeking a skilled Financial Services Coordinator to join our team at Macdonald Commercial Real Estate Services Ltd. in Vancouver, BC.This is a permanent, full-time position working 30 hours per week with a salary range of $45,000 - $55,000 per year, depending on experience.About the Role:The Financial Services Coordinator will be responsible for...

  • Care Coordinator for Indigenous Health Services

    3 weeks ago

    Vancouver, British Columbia, Canada PHSA Full time

    Job SummaryWe are seeking a highly skilled Care Coordinator to join our team at PHSA. The successful candidate will have the opportunity to make a meaningful impact in the lives of Indigenous patients and their families.About UsPHSA is one of BC's largest employers, providing specialized health services throughout the province. We are committed to employment...

  • Child and Youth Services Specialist

    4 weeks ago

    Vancouver, British Columbia, Canada Family Services of Greater Vancouver Full time

    About the RoleAt Family Services of Greater Vancouver, we provide compassionate, client-centered care to youth experiencing homelessness, families and children impacted by trauma, victims of domestic violence, and other vulnerable people from an evidence-based, trauma-informed lens. We are seeking a Child and Youth Worker to provide one-to-one and group...