Registered Nurse, Health Team

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 various external stakeholders to deliver the best possible primary care. Calgary Foothills PCN has established a team environment where individuals are encouraged to take initiative, be creative and contribute to ongoing decision-making

The PCN Health Team is comprised of registered nurses, clinical pharmacists, social workers, dietitians and behavioral health consultants. Team Members are co-located in member Patient Medical Home locations, centralized in clinic sites and deliver care in individual and group formats.

Reporting to the Program Manager, the Registered Nurse collaborates with the family physician, Calgary Foothills PCN multidisciplinary teams and community/external partners to provide patient-centered care for those with chronic disease and/or complex health conditions.

Key Responsibilities

Key aspects of the position may include, but are not limited to:

• Working with patients on self-management by providing coaching and education to help advance their skills, knowledge, and self-efficacy in adopting healthy lifestyle behaviors that are meaningful to them.
• Helping to build care plans with patients who have, or are at risk of, chronic health conditions through biopsychosocial health assessment, collaborative goal setting, applicable interventions based on patient readiness, regular follow-up, and evaluation of progress.
• Supports the navigation of the health care system to connect patients and the medical home to applicable PCN, community and health system resources as needed.
• Promotes continuity of patient care through effective written and verbal communication with the Medical Home and those involved in the circle of care.
• Building relationships and developing the Registered Nurse role within and outside of the Calgary Foothills PCN team.
• Identify clinic/community needs and create individual or group-based programs in collaboration with those partners.
• Providing care through individual and facilitated group appointments.
• Consulting with hospital, community, and other Calgary Foothills PCN health care providers to ensure seamless care transitions.
• Participating in development, delivery, evaluation and quality improvement of health programs and evidence-based practice
• Collects and maintain data for service indicators, progress reports and evaluations
• Adheres to and performs activities and care within the full scope of practice as defined under the Health Professions Act.

Knowledge, Skills & Abilities

• Understanding regarding nursing scope of practice within community setting
• Expertise in active listening and motivational interviewing
• Excellent communication (written and verbal), organization & critical thinking skills
• Strong skills in collaborating with team members and physicians
• Maintains an individual’s dignity and self-worth during all interactions
• Experience with trauma informed care an asset
• Ability to provide evidence-based care
• Ability to work well in a team setting and independently
• Excellent computer skills are required
• Strong health assessment and documentation skills
• Ability to prioritize, manage time effectively, and be flexible in a very dynamic work environment
• Ability to work flexible hours, including evenings/weekends, when required
• Accepts, implements, and evaluates change with a positive attitude

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

Employment Requirements:

• Completion of a satisfactory criminal record check and/or Vulnerable Sector Search.

Diversity & Inclusion

• Our PCN strongly believes in sustaining an inclusive, respectful and equitable working environment that represents the communities we serve. We are committed to a merit-based selection process that ensures all candidates are considered. We invite people of all ethnic backgrounds, ancestry, religious beliefs, sex, gender identities and expressions, sexual orientation, ages, marital status, family status, genetic characteristics and disabilities to apply for positions within our PCN.

Commitment to Truth and Reconciliation

• As part of our ongoing commitment to advancing reconciliation and supporting Indigenous communities, we actively uphold Call to Action 23 of the Truth and Reconciliation Commission of Canada. We are dedicated to increasing the recruitment and retention of Indigenous professionals across all levels of our organization, particularly in health and wellness roles and encourage individuals of Indigenous ancestry to apply.

Please note that only candidates considered for an interview will be contacted.

In the spirit of reconciliation, we acknowledge that we live, work and play on the traditional territories of the Blackfoot Confederacy (Siksika, Kainai, Piikani), the Tsuut’ina, the Îyâxe Nakoda Nations, as well as districts 4, 5 and 6 of the Otipemisiwak Métis Government and all people who make their homes in the Treaty 7 region of Southern Alberta.