Registered Nurse - Transition Coordinator

Alberta Health Services; Edmonton; On-site; CAD 60,000 - 80,000; Full time

Job summary

A leading health services organization in Canada is seeking a Registered Nurse to join their Transition Services Team. The role involves conducting comprehensive needs assessments, coordinating care, and providing support to clients and families. Candidates must have a valid registration with Alberta's nursing college, critical thinking skills, and significant nursing experience. This position offers opportunities for professional development and requires flexible working hours, including days and weekends.

Benefits

Professional development opportunities

Supportive multi-disciplinary team environment

Qualifications

• Active or eligible for registration with the College of Registered Nurses of Alberta.
• 5+ years facility-based nursing experience required.
• Experience in home care or supportive living is necessary.

Responsibilities

• Complete comprehensive electronic needs assessments.
• Develop and implement appropriate service plans.
• Coordinate service delivery across programs/settings.

Skills

Critical thinking

Effective communication

Time management

Conflict resolution

Education

Completion of an accredited nursing education program

Current Basic Cardiac Life Support - Health Care Provider certification

Tools

Microsoft Word

InterRAI Tools

Meditech

Job description

Your Opportunity:
Assisted Living Alberta is dedicated to Enhancing Care in the Community, helping people be healthy, well and independent in their homes and communities. For more information Assisted Living Alberta. Edmonton Zone Continuing Care provides services through five main program areas: Home Living, Supportive Living, Facility Living, Transition Services and Palliative Care. The Transition Coordinator (TC) is a clinical consult-based position. TCs assess patients’ needs in the context of the whole person including their life situation and determinants of health. Critical thinking and accurate interpretation of complex information from a variety of sources are essential to the clinical decision-making required for the determination of appropriate continuing care living options. The role of the TC is highly complex and includes comprehensive assessment, planning and coordination of care, as well as ongoing communication with other health-care providers across the continuum of care. Major responsibilities include: completing comprehensive electronic needs assessments, determining urgency/priority, developing and implementing appropriate service plans, coordinating service delivery across programs/settings, liaising with Continuing Care staff and other community resources, providing information and support to clients, families, and caregivers. The TC works within a multi-disciplinary team of health professionals and is responsible for appropriate referral to other programs/services, appropriate documentation, participation in conferences and team meetings, process, and outcome evaluation and professional development activities. This assignment may be situated in an acute care setting & may involve placements at Westview, Leduc, or Devon facilities. Specific location assignments will be determined based on operational requirements.

Responsibilities

• Complete comprehensive electronic needs assessments.
• Determine urgency/priority and development of service plans.
• Coordinate service delivery across programs/settings.
• Liaise with Continuing Care staff and other community resources.
• Provide information and support to clients, families, and caregivers.
• Participate in conferences and team meetings.
• Process and outcome evaluation and professional development activities.

Description

As a Registered Nurse (RN), you will provide a wide variety of nursing services to patients, families, communities and populations, while taking necessary steps to ensure their safety and well-being. In your role, you will utilize nursing processes, through critical thinking, problem solving and decision making, as well as teach, counsel and advocate on behalf of patients and their families. You will play a leadership role in supporting an integrated and holistic approach to patient care, health promotion and maintenance. You will provide safe, quality patient and family centered care while reflecting the shared vision and values of AHS. PLEASE NOTE: Provisional Permit holders will be paid $39.58 - $54.16 per hour. Upon obtaining a full licence, the rate of pay will be adjusted to the applicable Registered Nurse rate in accordance with UNA Article 25.02(b)(i) or (ii) as applicable.

Position Information

• Cooperative Governance: Assisted Living Alberta
• Classification: Registered Nurse
• Union: United Nurses of Alberta
• Unit and Program: Transition Services Team
• Primary Location: Bonaventure Gates
• FTE: 1.00
• Posting End Date: 29-DEC-2025
• Date Available: 12-JAN-2026
• Shift Pattern: Days, Evenings, Weekends
• Minimum Salary: $43.26
• Maximum Salary: $59.21
• Vehicle Requirement: Driver's License, Vehicle Required

Required Qualifications

Completion of an accredited nursing education program. Active or eligible for registration and practice permit with the College of Registered Nurses of Alberta (CRNA). Current Basic Cardiac Life Support - Health Care Provider (BCLS-HCP) certification. If you have not practiced as a Registered Nurse within the past five (5) years, completion of the following free courses is required prior to employment: CRNA Medication Management (Chapters 1-4): https://connect.nurses.ab.ca/home/learning-and-development/learning-modules NextGenU Health Assessment Resources Certification: https://courses.nextgenu.org/course/view.php?id=271.

Additional Required Qualifications

A minimum of five years facility based nursing experience including geriatric experience (obtained within the last three years) is required. A minimum of two years of experience within the community is required. Experience in home care, supportive living or facility living is required. Must be able to work independently within acute care settings, auxiliary hospitals, mental health facilities, and clients’ homes. Effective time management and prioritization skills are required. Conflict resolution and strong communication skills are required. Must be able to work independently and within a team environment. Ability to problem solve and demonstrate critical thinking skills is required. Demonstrated ability to provide comprehensive assessments to individuals within their physical and social environments is required. Must be able to cope with high levels of stress, fluctuating priorities, and time-sensitive deadlines. Must be able to tolerate long periods of sitting, or standing as well as repetitive movements. Must be able to lift and carry 10-15kg regularly. Must be able to participate in hands on care of patients (ie: transfers, bariatric clients, bending, twisting, walking distances).

Preferred Qualifications

Knowledge of computer applications such as Microsoft Word, Pathways, InterRAI Tools, Connect Care, Meditech and e-People is preferred and an asset.