Reporting to the Manager, Continuing Care Access, the Registered Nurse - Transition Coordinator is part of the Community Support Team and will provide direct service to the community of Athabasca. The Transition Coordinator has a key role in facilitating positive discharge outcomes from acute care to home care, designated living options or other service providers, such as community programs. Through the use of advanced discharge planning & collaborative practice, the Transition Coordinator will work with the client, family, & their healthcare team to proactively plan for discharge and address any delays in services. The Transition Coordinator will assist to navigate the healthcare system, community services, and make appropriate referrals to other healthcare providers to meet the client’s care needs. This coordination of services may include providing education to clients, families or healthcare providers on resources, services or relevant AHS policies. The Transition Coordinator will maintain reports as required and identify opportunities to improve service delivery related to client transition through the continuum of care. The Community Support Team is centralized in the North Zone and operates as a virtual team. The Transition Coordinator will provide direct support to clients/families & the operations team in their assigned community. The position will also support tasks, projects and coverage assignments as part of the Community Support Team. The Transition Coordinator will demonstrate case management skills, critical thinking, and collaborative practice to support and advocate for clients, families, and healthcare providers. The position will work to improve client experience, decrease emergency department visits, acute care admission, and address delays in accessing services or transitioning clients through the continuum of care.
As a Registered Nurse (RN), you will provide a wide variety of nursing services to patients, families, communities and populations, while taking necessary steps to ensure their safety and well-being. In your role, you will utilize nursing processes, through critical thinking, problem solving and decision making, as well as teach, counsel and advocate on behalf of patients and their families. You will play a leadership role in supporting an integrated and holistic approach to patient care, health promotion and maintenance. You will provide safe, quality patient and family centered care while reflecting the shared vision and values of AHS.
Classification: Registered Nurse
Union: United Nurses of Alberta
Department: Case Management Support Team
Primary Location: Athabasca Healthcare Centre
Multi-Site: At (UNA only)
Posting End Date: 30-DEC-2019
Employee Class: Regular Part Time
Date Available: 09-JAN-2020
Hours per Shift: 6.5
Length of Shift in weeks: 4
Shifts per cycle: 16
Shift Pattern: Days, Evenings
Days Off: As Per Rotation
Minimum Salary: $36.86
Maximum Salary: $48.37
Vehicle Requirement: Driver's License, Vehicle Provided
Completion of an accredited nursing education program. Active or eligible for registration and practice permit with the College and Association of Registered Nurses of Alberta (CARNA). Current Basic Cardiac Life Support - Health Care Provider (BCLS-HCP).
Additional Required Qualifications:
3 to 5 years professional experience that includes both home care and acute care nursing. Experience navigating the healthcare system/community resources. Negotiation & conflict resolution skills. Knowledge of Advanced Care Planning & legal decision making.
Home Care, Acute Care, discharge planning, & transition services experience. Knowledge of computer applications (Netcare, Meditech, MS Office). Experience with RAICA & RAIHC. AHS McMaster Case Management. Knowledge of Collaborative Care & experience working with interdisciplinary teams. Ability to advocate for clients/families. Baccalaureate degree in nursing preferred; however, skills and experience relevant to nursing practice in community sector will be considered.