RN - Contract - Chronic Disease Management

RN - Contract - Chronic Disease Management

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Direct message the job poster from Couchiching Family Health Team

Maternity Leave / Parental Leave Contract – No Benefits (12 – 18 months)

Position : Registered Nurse – Chronic Disease Management

1.0 FTE 12-18 month Contract

Reports To : Chronic Disease Manager

Position Summary :

As a key member of the Couchiching Family Health Team (CFHT), and an integral part of an interdisciplinary health care team, The Chronic Disease Management Registered Nurse serves as practitioner, educator, consultant, and collaborator to provide advanced clinical and analytical skills in the care / management of our patient population. Conducts nursing research and performance improvement initiatives as assigned. The Registered Nurse will apply an anti-oppressive lens in supporting diverse patients, including those facing systemic barriers.

Your primary role is to work in partnership with the Family Health Team to help educate patients on chronic disease management with an emphasis on Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD). You will assess the condition of patients and participate in treatment plans and provide education to patients and their families and help them make lifestyle changes to treat their conditions.

You will deliver services to a variety of patient populations including high-risk groups suffering from chronic diseases and / or complex multi-system diseases. You will also provide health education to our patients with a focus on health promotion, disease prevention, and chronic disease management.

Roles and Responsibilities :

• Communicate to Specialists in the evaluation of patients when working in that program
• Communicate with specialists, Primary Care Providers (PCP’s), and Chronic Disease Manager
• Take direction and be accountable to specialists regarding individual patient care
• Communicate with the Chronic Disease Manager with issues relating to development of patient materials, scheduling and program development and setting standards for the program
• Develop a comprehensive individualized plan of care for patients, which includes teaching, discharge planning, and necessary referral to other members of the health care team
• Demonstrate critical thinking skills in clinical decision making by the identification, evaluation, and management of the individual needs of patients / families
• Determine the appropriate service or treatment with the appropriate provider
• Involve patients in decisions about their own health
• Collaborate with members of an interdisciplinary health team
• Handle patient phone calls, provide telephone advice and arrange for follow up
• Prepare monthly reports for Ontario Health as required
• Work in compliance with Health and Safety laws adhering to safe work practices and procedures established by the CFHT
• Maintain current knowledge of policies and procedures
• Maintain confidentiality in accordance with the Municipal Freedom of Information and Protection of Privacy Act
• Other duties as required

Organizational Nursing Support :

Skills / Knowledge Requirements :

Education / Specific Job Requirements :

Experience :

Please submit cover letter and resume including position title in subject line to : careers@cfht.ca

The Couchiching Family Health Team supports diversity, equity and a workplace free from harassment and discrimination. The CFHT is committed to an inclusive, barrier-free recruitment and selection process and workplace. If you are contacted to participate in our recruitment process, please advise the interview coordinator of any accommodations. The CFHT has an Accommodation Policy and Procedure to ensure you have access to a fair and equitable process. While we thank all applicants, only those contacted for an interview will be acknowledged.

Seniority level : Entry level

Employment type : Full-time

Job function : Health Care Provider

Jacksons Point, Ontario, Canada CA$79,607.92-CA$97,505.86 1 week ago

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