Case Manager (RN) - Chronic Supportive Team

Vancouver Coastal Health; Vancouver; On-site; CAD 85,000 - 110,000; Full time

Benefits offered by this job

Comprehensive health benefits

Training & leadership development

Wellness supports

Recognition programs

Staff discounts

Job summary

Vancouver Coastal Health is seeking a Supportive Case Manager to work in West Vancouver, BC, within a comprehensive case management model. You will assess clients, arrange care plans, and coordinate with an interdisciplinary team to ensure high-quality, client-centred care across the continuum.

The role requires current RN registration with BCCNM, 3 years of Home Health case management experience, and valid BC driver’s licence for local travel.

Qualifications

• Current practicing RN registration with BC College of Nurses and Midwives (BCCNM).
• Experience in Home Health case management or equivalent.
• Valid BC Driver’s Licence for local travel.

Responsibilities

• Assess client goals and needs and plan care with clients and families.
• Coordinate care with multidisciplinary team and community resources.
• Implement clinical interventions and evaluate client outcomes.
• Provide leadership and education within the interdisciplinary team.
• Maintain client-centred documentation and communication across care transitions.

Skills

Registered Nurse

Case management

Home Health

Education

BC RN license

BCCNM standards knowledge

Job description

Come work as a Case Manager with Vancouver Coastal Health (VCH) at West Vancouver Community Centre in West Vancouver, BC!

Within a comprehensive case management model, in accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of professional practice and Code of Ethics, and the established mission, vision, values and objectives of the organization, the Supportive Case Manager manages a select population of eligible Home Health clients requiring supportive case management skills. Determines client goals and needs, assesses client situations, works effectively with community resources and plans with clients for care and support in accordance with their health needs. Within a multidisciplinary team context, provides continuity of care across the continuum by assessing clients, liaising with team members, coordinating, implementing clinical interventions, evaluating client outcomes based on client goals for care, coordinating ongoing care and supporting transition. Acts as a clinical resource for the interdisciplinary team by providing information based on specialized theory and practice related to clients with complex health care needs. Consults, confers, and collaborates with multidisciplinary team members, physicians, educational resources and other health care professionals to achieve excellence in client-centred education and research.

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 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

At 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 Canada’s Top 100 Employers, BC’s Top Employers, Canada’s Best Diversity Employers and Canada's Top Employers for Young People in 2026.

Thank you for your interest in Vancouver Coastal Health.

Education & Experience

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Three years’ recent clinical nursing experience in Home Health and case management or an equivalent combination of education, training and experience.
• Local area travel requires the use of personal vehicle. Valid BC Driver’s License.

Knowledge & Abilities

• Comprehensive knowledge and demonstrated ability to apply case management principles.
• Broad knowledge of case management and practice within a client and family centred care model for clients with complex health care needs.
• Comprehensive knowledge of BCCNM standards of practice and guidelines for clinical practitioners.
• Comprehensive knowledge related to care of clients needing supportive case management.
• Comprehensive knowledge of evidence based nursing practice related to care of clients needing supportive case management.
• Maintains and adheres to visit standards established for case management.
• Comprehensive knowledge of other health disciplines and their role in client care.
• Comprehensive knowledge of adult education principles, methods and tools.
• Broad knowledge of research process and methodology.
• Demonstrates ability to problem solve using sound judgement in applying critical thinking skills within safe limits of client care.
• Demonstrated ability to provide leadership and work direction.
• Demonstrated ability to teach, demonstrate, coach and facilitate clients and families.
• Demonstrated ability to develop and implement project action plans and accomplish objectives.
• Demonstrated ability to work independently.
• Demonstrated ability to work collaboratively as a member of an interdisciplinary team.
• Demonstrated ability to effectively communicate orally and in writing.
• Demonstrated ability to communicate with, and deal effectively with co-workers, physicians, other health care staff, clients and their families, and staff of outside agencies.
• Demonstrated ability to effectively deal with conflict resolutions.
• Demonstrated ability to adjust to new or unexpected events.
• Demonstrated ability to plan, organize and prioritize work in collaboration with others.
• Demonstrated ability in conducting physical, mental, psychosocial/functional environmental assessments.
• Demonstrated skill in the use of supplies and materials utilized in the provision of community based nursing service.
• Demonstrated physical ability to perform the duties of the position.
• Demonstrated skill in techniques appropriate to the treatment of the client population.
• Basic computer literacy to operate a computerized patient care information system.
• Ability to operate related equipment.