Primary Care Nurse & Chronic Disease Coach

Calgary Foothills Primary Care Network; Calgary; On-site; CAD 75,000 - 110,000; Full time

Job summary

Calgary Foothills Primary Care Network (PCN) is a group of family physicians and health care professionals in northwest Calgary and Cochrane collaborating with external stakeholders to deliver high-quality primary care.

The Registered Nurse will provide patient-centered care for those with chronic disease and/or complex health conditions, collaborating with physicians and the PCN health team to build care plans, support self-management, and promote seamless transitions across care settings.

Qualifications

• Graduate of an accredited degree program in nursing.
• Licensed with the College of Registered Nurses of Alberta as a practicing member.
• Montreal Cognitive Assessment (MoCA) certification required.
• Experience or certification in Primary Care Behavioral Health considered an asset.
• Must possess a valid driver’s license and have access to a vehicle.

Responsibilities

• Collaborate with family physicians and multidisciplinary teams to provide patient-centered care.
• Support self-management and coaching for patients with chronic conditions.
• Develop and implement care plans and follow-up for patients.
• Coordinate with community resources and health system services as needed.
• Ensure safe transitions of care through effective communication.

Skills

Active listening

Motivational interviewing

Written and verbal communication

Team collaboration

Documentation skills

Critical thinking

Time management

Flexibility

Computer skills

Trauma-informed care

Education

Bachelor of Nursing

MoCA certification

CRNA license (Alberta)

Primary Care Behavioral Health training

Tools

N/A

Job description

Calgary Foothills Primary Care Network (PCN) is a group of family physicians and health care professionals in northwest Calgary and Cochrane collaborating with external stakeholders to deliver high-quality primary care.

The Registered Nurse will provide patient-centered care for those with chronic disease and/or complex health conditions, collaborating with physicians and the PCN health team to build care plans, support self-management, and promote seamless transitions across care settings.