Complex Care Lead (RN) - Home Health

Salary

The salary range for this position is CAD $47.77 / Hr. - CAD $61.62 / 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?

As a Complex Care Lead (RN) - Home Health , you will focus on :

• Providing clinical practice support and guidance to a group of Complex Care Clinicians.
• Providing input and assist with aspects of program development, workflows, standards.
• Assisting with team care coordination and oversight.
• Facilitating team-based care, work with medical partners and other clinicians to ensure quality of care for complex clients (such as seamless transitions, holistic follow up,

In addtion to the above, you will :

• Apply specialized theory, clinical expertise and knowledge relating to designated / specific client populations, working across multiple sites / clinics / services (if applicable).
• Provide leadership, guidance and clinical expertise to the Preventative Complex Care team, a dedicated group of healthcare professionals focused on delivering exceptional care to complex medically frail older adults in their homes and throughout the care continuum.

Leadership is centered on fostering a team-based approach to care, emphasizing the importance of knowledge-sharing within the multidisciplinary team.

• Ensure that every team member is well-informed about the needs of each client by promoting effective communication and collaboration.
• Serve as a valuable clinical resource for nurses and other healthcare providers, offering support and guidance to enhance their professional development.
• Lead and support the interdisciplinary team, nurture a culture of excellence, teamwork, and continuous learning, contributing to the overall growth and success of the team.
• Build strong relationships with external partners, including community organizations, to facilitate seamless care coordination for complex medically frail older adults.
• Promote effective partnerships, contribute to a comprehensive healthcare experience that addresses the unique and evolving needs of these individuals.

Qualifications

Education & Experience

• Current practicing registration as a Registered 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 , plus one (1) year's related administrative / leadership experience or an equivalent combination of education, training, and experience.
• Valid BC Driver’s License required as local area travel may require the use of a personal vehicle.

Knowledge, Skills & Abilities

• Demonstrated 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 (.

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 autonomous scope of practice and standards of care relevant to designated patient / client population.
• Demonstrated skill in CPR techniques.
• Demonstrated nursing leadership skills and abilities :
• Demonstrated ability to lead change and support staff through transition.
• Demonstrated ability to mentor, facilitate and coach and to work collaboratively as a member of an interdisciplinary team.
• Knowledge of research, quality improvement, evaluation process and methodologies.
• Demonstrated ability to provide leadership, supervision, and work direction.
• Demonstrated ability to manage effective communications with various levels internal to the organization and with partners external to the organization.
• Demonstrated ability to employ effective conflict resolution and reconciliation approaches and techniques.
• Demonstrated effective interviewing techniques.
• Demonstrated ability to apply Lean Management principles and project management skills.
• Demonstrated ability to employ teaching / learning strategies to transfer knowledge to engage staff, primary care providers, clients / families in planning and self-management of care.
• Demonstrated ability to promote staff morale, cooperation, assertiveness, creative planning for change and innovations, implementation of policies or other protocols and ongoing professional development of self.

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.

Successful applicants may be required to complete a Criminal Records Review Check.

As per the current Public Health Orders, as of October 5, 2023, all employees working for Vancouver Coastal Health must be fully vaccinated for COVID-19 or have received a single dose of the most-recent, updated COVID-19 vaccine.

Proof of vaccination status will be required.

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 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
• Access to exclusive discount offers and deals for VCH staff

Equity, diversity, and inclusion are essential to our goals of creating a great place to work and delivering exceptional care.

We acknowledge and accommodate unique differences and ensure special measures are in place so that all prospective and current employees are given an opportunity to succeed.