Registered Nurse I - Ambulatory Care

Health Management Nurse Location Calgary, AB T2N 2V2 : Employment Type: Permanent FTE : 1.0 FTE (40 hours) Work Schedule : Monday - Friday Summary of Position
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 health management 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, Health Management Registered Nurses collaborate with family physicians, Calgary Foothills PCN multidisciplinary teams and community/external partners to provide patient-centered care for those with chronic disease and/or complex health conditions.
Working with patients on self-management by providing coaching and education to help advance their skills, knowledge and self-efficacy in adopting healthy lifestyle behaviours 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
Supporting the navigation of the health care system to connect patients and the medical home to applicable PCN, community and health system resources as needed
Promoting continuity of patient care through effective written and verbal communication with the Patient's Medical Home and those involved in the circle of care
Building relationships and developing the Health Management Nurse role within and outside of the Calgary Foothills PCN team
Identifying clinic/community needs and creating 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 transitionsE
Participating in development, delivery, evaluation and quality improvement of health programs and evidence-based practice
Collecting and maintaining data for service indicators, progress reports and evaluations
Adhering to and performing activities and care within the full scope of practice as defined under the Health Professions Act
Understanding of nursing scope of practice within a community setting
Strong skills in collaborating with team members and physicians
Experience with trauma informed care an asset
Ability to provide evidence-based care
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
Graduate of an accredited degree program in nursing
Licensed with the College of Registered Nurses of Alberta as a practicing member
Experience or certification in Primary Care Behavioral Health considered an asset
Completion of a satisfactory criminal record check and/or Vulnerable Sector Search

Diversity & Inclusion
~ We invite people of all ethnic backgrounds, ancestry, religious beliefs, gender identities and expressions, sexual orientation, ages, family status and disabilities to apply for positions within Calgary Foothills PCN.

If your background matches the qualifications listed above and are looking for an opportunity with a dynamic organization that is making a difference in the community, please submit your resume and cover letter.