Nurse Practitioner – Structural Heart – Residency Opportunity

Fraser Health Authority; New Westminster; On-site; CAD 105,000 - 116,000; Full time

Job summary

Fraser Health Authority in British Columbia is seeking a Structural Heart Nurse Practitioner to join Royal Columbian Hospital’s innovative cardiology program. The NP will work in a team-based model with cardiologists, focusing on TAVI and MitraClip procedures and future TriClip initiatives.

The role involves clinical leadership in a multidisciplinary setting, with a focus on patient-centered care, timely interventions, and high-quality outcomes for complex cardiac patients.

Qualifications

• Current practicing registration as a Nurse Practitioner with the BC College of Nurses and Midwives (BCCNM).
• Recent relevant clinical nursing experience.

Responsibilities

• Diagnoses and treats patients within the Nurse Practitioner scope of practice; writes orders for treatment and medications.
• Collaborates with physicians and other health professionals to assess and diagnose patient status and develop treatment plans.
• Provides patient education, coordinates care and ensures high-quality, evidence-based practice.

Skills

Communication

Collaboration

Clinical decision making

Patient-centered care

Job description

Salary

The salary range for this position is CAD $60.75 - $87.33 / hour

Job Summary

Please note: The salary range displayed above reflects the broader compensation range associated with this position classification. The applicable salary range for this Nurse Practitioner position is CAD $76.31-$83.94 per hour, with placement within the range determined by relevant Nurse Practitioner experience.

Bring your clinical expertise, passion for patient-centered care, and commitment to excellence to a groundbreaking role as a Structural Heart Nurse Practitioner (TAVI, MitraClip, and soon TriClip) at Royal Columbian Hospital (RCH). This is a rare opportunity to join one of British Columbia's most innovative cardiology programs and be part of the first team-based Structural Heart NP model of its kind.

As B.C.'s oldest hospital and one of its busiest tertiary referral centres, Royal Columbian Hospital provides expert care for some of the province's most critically ill and medically complex patients. RCH is home to a wide range of specialized services, including cardiac surgery, interventional cardiology, electrophysiology, tertiary trauma, neurosurgery, and vascular surgery, making it a centre of excellence for advanced cardiovascular care.

We are seeking a Nurse Practitioner to join our Structural Heart Services team, supporting patients requiring specialized interventions such as TAVI and MitraClip procedures. Given the highly specialized nature of this program, the role operates within a collaborative, co-managed model where cardiologists remain the Most Responsible Provider (MRP) or consultant, while the NP serves as an integral member of the multidisciplinary team. In this consultative capacity, you will help coordinate and deliver safe, timely, and high-quality care for patients with complex cardiac conditions.

Working Hours

Working Monday through Friday (7.5 hours/day) excluding weekends and statutory holidays, you'll enjoy a rewarding balance between professional fulfillment and personal well-being while helping shape the future of Structural Heart care. This position has been created in response to growing patient volumes and increasing complexity of care, providing an opportunity to directly enhance patient outcomes and support innovative service delivery.

Inhouse residency experiences may include rotations through:

• Cardiology
• Electrophysiology
• Interventional Cardiology
• Atrial Fibrillation Clinics
• Heart Function Clinics across the Fraser Health region

Our Nurse Practitioner Residency Program offers a unique postgraduate experience that will elevate your skills and strengthen your transition into independent practice.

During your residency, you’ll receive:

1. Advanced Training: Dive deep into a clinical area relevant to your role. Our in-house experts will provide specialized training that sets you up for success.
2. Team Collaboration: Build connections as you work alongside experienced professionals who value teamwork and shared goals.
3. Patient-Centered Care: Develop a model of care that puts patients at the heart of everything you do. Make a real impact on their lives.
4. Mentorship: Benefit from mentorship across multiple clinical areas. Learn from the best and grow exponentially.
5. Clinical Supervision: During your clinical placements, enjoy dedicated supervision that ensures you’re on the right track.
6. Self-Directed Learning: We believe in your growth. You will set aside protected time for self-directed learning tailored to your clinical practice and needs.
7. Experienced Coaching: Get personalized guidance and support with weekly check-ins from an experienced nurse practitioner throughout your residency.

Our clinical enhancement program features ongoing in-house skills development, including:

• 12-Lead ECG Interpretation
• Point-of-Care Ultrasound (POCUS)
• Suturing
• X-ray Interpretation
• Centralized Nurse Practitioner Orientation

You will also become part of a supportive New Graduate NP Community of Practice, connecting you with peers, mentors, and experienced practitioners dedicated to helping you thrive.

Detailed Overview

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:

The Nurse Practitioner is responsible and accountable for the comprehensive assessment of patients/clients/residents including diagnosing diseases, disorders, and conditions. The Nurse Practitioner initiates treatment including health care management, therapeutic interventions and prescribes medications in accordance with the statutory and regulatory standards, limits, and conditions, and employer policies and procedures. The Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary health care team, making referrals to specialist physicians and others as appropriate.

The position collaborates with patients/clients/residents and other health professionals to identify and assess trends and patterns that have implications for patients/clients/residents, families and communities; develops and implements population and evidence based strategies to improve health and participates in policy-making activities that influence health services and practices. The position participates in peer review and self review to evaluate the outcome of services at the patient/client/resident, community and population level.

Responsibilities

1. Diagnoses and treats previously undiagnosed patients/clients/residents for undifferentiated diseases, disorders, and conditions within the Nurse Practitioner's scope of practice; writes orders for treatment and medications; provides first line care in emergencies.
2. Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
3. Establishes priorities for management of health, diseases, disorders, and conditions; provides follow-up treatment; communicates with patients/clients/residents and families about health findings, diagnoses and priorities, outcomes and prognoses; supports and counsels patients/clients/residents in their responses to diseases, disorders and conditions.
4. Collaborates and consults with physicians or other health care and social service providers as appropriate to assess and diagnose patient/client/resident status. Develops and implements treatment plans. May admit and discharge patients/clients/residents to facilities according to organizational policies.
5. Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures.
6. Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.
7. Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.
8. Maintains population health focus by implementing screening and health promotion activities for populations at risk.
9. Participates in interdisciplinary staff and nursing education through case presentations, mentoring, role modeling and facilitating the exchange of knowledge in the classroom, the clinical setting and the community; fosters health care partnerships.
10. Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.
11. Performs other duties as required.

Qualifications

Education and Experience

Current practicing registration as a Nurse Practitioner with the British Columbia College of Nurses and Midwives (BCCNM).

Recent relevant clinical nursing experience.

Competencies

Professional/Technical Capabilities

• Ability to communicate and collaborate with patients/clients/residents and families about health findings, diagnosis, treatment, self care and prognosis.
• Ability to collaborate, consult with and formally refer patients/clients/residents to physicians and other health professionals when appropriate.
• Ability to critically assess and evaluate health research literature to determine best practices; ability to introduce education and evidence based research.
• Ability to assess and recognise population health trends; ability to plan and implement strategies for population based prevention and health promotion.
• Ability to implement and evaluate planned change.
• Ability to supervise others and evaluate the care they deliver.
• Ability to lead a team and work within a team.
• Ability to self-direct, interact and adapt effectively with other professionals in complex, dynamic situations.
• Ability to transfer knowledge, teach, coach and mentor others.
• Ability to identify and respond appropriately to legal and ethical issues that may arise in patient/resident/client care.
• Ability to self-assess performance and assume responsibility and accountability for own professional development, educational or consultative assistance when appropriate.

About Fraser Health

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka'pamux Nations and is home to 32 First Nations within the Fraser Salish region.

People - those we care for and those who care for them - are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 50,000+ staff, medical staff and volunteers.

We are committed to planetary health and value diversity in the work force.

We strive to maintain an environment of respect, caring and trust.

Fraser Health's hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner.

Together, we are the heart of health care.