Care Transitions Liaison Nurse (RN/RPN)

Vancouver Island Health Authority; Victoria; On-site; Full time

Job summary

A leading healthcare provider in Victoria is seeking a Care Transitions Liaison Nurse (RN/RPN) to join their interdisciplinary team. This role focuses on providing patient-centered care during transitions between healthcare settings, emphasizing safety, quality improvement, and cultural competence. The ideal candidate will have strong teamwork, communication, and critical thinking skills, along with a commitment to Indigenous health principles. Registration with the BC College of Nurses and Midwives is essential.

Qualifications

• Registration as RN or RPN required.
• Knowledge of medical/surgical/gerontological nursing necessary.

Responsibilities

• Assess, plan, implement, and evaluate care for clients transitioning between settings.
• Coordinate information with clients, families, and care services.

Skills

Teamwork

Critical Thinking

Communication

Discharge Planning

Cultural Competence

Education

Registration with BC College of Nurses and Midwives

Tools

MS Office

Telehealth

Job description

Care Transitions Liaison Nurse (RN/RPN) - (214399)

Location: Victoria General Hospital - Victoria, BC V8Z 6R5 CA (Primary)

Work Area (FBA Only): Multi-Site

Shift Start Time/End Time: 07:30-16:57

Vacancy Type: Casual

Salary Range (Hourly Rate): $41.42 - $59.52

Planned Start Date: Jun. 2 2025

Approximate End Date (For Temporary Assignments ONLY): Pending Return of Incumbent

CRC required? Required for Professional Registration

Job Description

In accordance with the Vision, Purpose, and Values, and strategic direction of Vancouver Island Health Authority (Island Health), patient and staff safety is a priority and shared responsibility. The position involves continuous quality and safety improvements.

Under the direction of the Manager, this role functions within an interdisciplinary team, providing care based on a Patient/Client centered approach, aligned with Island Health's vision and values, and in accordance with BCCNM standards of practice, including Indigenous Cultural Safety, Cultural Humility, and Anti-Racism principles. The Care Transitions Liaison Nurse assesses, plans, implements, and evaluates care for clients with various health needs transitioning between care settings. Responsibilities include assessments, creating care transition plans, coordinating and sharing information with clients, families, community, and other care services outside the region, along with health teaching, support, consultation, and referrals, all while functioning as part of a multidisciplinary team. The role emphasizes maintaining client independence and self-care, complying with nursing regulations.

For Indigenous Health roles, approximately 80% of activities are hospital-based; for Child, Youth, and Family roles, 100% are hospital-based.

Qualifications

Education, Training, and Experience

Registration with BC College of Nurses and Midwives as a practicing RN or RPN. Knowledge of medical/surgical/gerontological nursing and familiarity with Island Health's services is required.

• Indigenous Health roles require: at least two years working with Indigenous populations in acute or community settings, knowledge of Indigenous health protocols, and a valid BC driver's license.
• Child, Youth, and Family roles require: extensive knowledge of Pediatric/Neonatal populations, including NICU or PICU experience, and at least two years nursing in acute pediatric/neonatal care.

Skills and Abilities

• Effective teamwork skills and knowledge of community resources.
• Sound judgment, empathy, tact, and integrity.
• Critical thinking, decision-making, and problem-solving skills.
• Adaptability to evolving healthcare systems.
• Effective verbal and written communication skills; ability to build relationships with staff, the public, and Indigenous communities.
• Discharge planning and care coordination expertise.
• Proficiency in using the nursing process and maintaining accurate records.
• Culturally appropriate service delivery to Indigenous populations.
• Competence in operating related equipment and computer programs including MS Office, telehealth, and database management.
• Physical ability to perform job duties.