Complex Care Clinician

Salary Details The salary range for this position is CAD $41.42/Hr. - CAD $55.91/Hr. Job Summary Come work as a Registered Nurse with Vancouver Coastal Health (VCH)Passionate about working with high-complex medically frail clients? Ready to take your nursing career to a different level? Apply to work as a Complex Care Clinician (RN or RPN) - Home Health in Vancouver, todayAs a Complex Care Clinician (RN or RPN) - Home Health you will:Apply specialized theory, clinical expertise and knowledge relating to designated/specific client populations, working across multiple sites/clinics/services (if applicable).Leverage clinical expertise and knowledge, to address the complex medical, cognitive, and behavioral needs of eligible clients, primarily focusing on delivering safe, ethical, and high-quality care.Ensures that each client's care plan is tailored to their specific needs and goals, actively integrating principles of prevention, chronic disease management, palliative approach to care, and self-care management as needed.Provide wrap-around care to designated client populations, with a strong commitment to client and family-centered care.Perform ongoing assessments that allow for the identification of any issues or deviations from the care plan, prompting collaboration with appropriate medical providers, care providers, interdisciplinary team members, and community agencies to address these concerns.Actively collaborate with interdisciplinary team members, the leadership team, and other healthcare professionals/providers to strive to enhance the overall quality of life and consistently achieves excellence in client and family-centered care.Maintain a strong dedication to individualized and comprehensive care.Contribute significantly to the overall well-being and positive outcomes of the clients they serve.ABOUT HOME HEALTH PROGRAMS: Home Health programs provide a range of health care and support services to people living in the community who have acute, chronic, palliative, or rehabilitative health care needs. Home Health clients typically have on-going health issues and/or complex personal and/or soical issues, requiring care planning and coordination of approporiate resources. Clients include frail elderly, younger clients with disabilities, and adults with chronic illnessess requiring supports to maintain/promote independence.THE CLIENT POPULATION: Home Health clients typically have on-going health issues and/or complex personal and/or soical issues, requiring care planning and coordination of approporiate resources. Clients include frail elderly, younger clients with disabilities, and adults with chronic illnessess requiring supports to maintain/promote independence. Qualifications Education & Experience Current practicing registration as a Registered Nurse or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Two years’ recent case management or home care nursing experience, including experience working with the complex medically frail population or an equivalent combination of education, training and experience.Local area travel requires the use of personal vehicle. Valid BC Driver’s License.Knowledge, Skills & AbilitiesDemonstrated knowledge and ability in nursing practice related to designated client group – Home Health Preventative Complex Care clients:Demonstrated proficiency in performing comprehensive, evidence informed and strength-based holistic health assessment and evaluating health promotion activities, using multiple sources and methods to identify needs, assets, inequities and resources.Knowledge of appropriate assessment and screening tools used to support decision making in management of complex client’s care needs (e .g. risk assessment tools, Inter-RAI, ethical decision tools, Zarit tool, MMSE .Demonstrated proficiency in performing focused assessments, elicit, synthesize and integrate all relevant information from a variety of sources and develop client-centered plan of care using evidence-informed and best practice in the provision of safe, quality care.Demonstrated ability to use critical thinking and clinical judgement to take action and prioritize care when unexpected changes occur (. changes in acuity and stability, emergent health needs and functional decline).Ability to engage clients and individuals involved in client’s circle of care to actively participate as equal partners in care planning, decision making and care delivery evaluation.Demonstrated competency in ongoing monitoring, evaluating and adjusting client’s care plan based on effectiveness of interventions and/or changes in condition or environment. Modifies client’s care plan in collaboration with the medical provider, the client and the individuals involved in client’s circle of care.Knowledge of effective strategies for connecting with clients and individuals involved in client’s circle of care to promote collaborative, active and informed shared decision-making while taking into account the determinants of health.Demonstrated ability to organize and facilitate meetings and collaboration with clients and individuals involved in client’s circle of care to enhance client-centered care (. leads case conference with most responsible provider).Demonstrated competencies in basic and advanced nursing skills to deliver nursing interventions as per entry- level competencies and home health competencies for registered nurses and registered psychiatric nurses (. medication administration, wound care, vital signs, pain management, setting up home support or delegation of tasks .Demonstrated knowledge of acute and chronic disease management, life limiting diseases, palliative care, mental health and substance use and appropriate assessment tools and interventions to support self-management to optimize mental and physical health.Demonstrated skill in conducting goals of care conversations and in understanding the care goals and what is most important to the client.Demonstrated ability to provide culturally safe care to diverse populations, including Indigenous People in accordance with BCCNM practice standards for Indigenous Cultural Safety, Cultural Humility, and Anti-Racism.Demonstrated understanding of Trauma Informed Practice and Harm Reduction.Knowledge of provincial acts, regulations, and program policies and guidelines related to home, community and primary care.Demonstrated skill in performing RN/RPN autonomous scope of practice and standards of care relevant to designated patient/client population.Demonstrated skill in CPR techniques. Closing Statement 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.As per Ministry of Health policy, 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 for offering of any missing vaccines, and for appropriate actions to be taken in the event of any future exposure to a communicable disease or during outbreaks. For all new hires and appointments to Vancouver Coastal Health, you will be asked to provide this information as part of the onboarding process. WHY JOIN VANCOUVER COASTAL HEALTH?VCH 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.Comprehensive health benefits package, including MSP, extended health and dental and municipal pension planGrow your career with employer-paid training and leadership development opportunitiesWellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate familiesAward-winning recognition programs to honour staff, medical staff and volunteersAccess to exclusive discount offers and deals for VCH staffAt Vancouver Coastal Health, our vision of healthy lives in healthy communities inspires us and our values and pillars guide us. 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 and members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientation.Vancouver Coastal Health is proud to be recognized as one of BC’s Top Employers, Canada’s Best Diversity Employers and Canada's Top Employers for Young People in 2025.