Community Health Nurse

We are currently hiring for a Relief Part Time Community Health Nurse - Registered Nurse to join our Specialized Community Services Program - Complex Medically Frail team at Langley Memorial Hospital located in Langley, B.C. This position is available until approximately October 2027 or until the return of the incumbent.

Fraser Health offers opportunities for career growth and advancement and competitive benefits, including but not limited to:

• Start earning up to four weeks of vacation in your first year
• Comprehensive 100% employer paid benefits
• Immediate enrollment in a defined municipal pension plan
• Maternity top-up (eligibility requirements to qualify)
• 50% subsidy on TransLink passes (Eligibility based on employment status)

We are committed to planetary health, we value diversity in the workforce and seek to maintain an environment of Respect, Caring and Trust.

In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Community Health Nurse (CHN) - Registered Nurse works independently in the community setting. Works collaboratively and as a member of an interprofessional team in the management of an assigned client caseload including assessments, coaching, interventions, client care services and follow up to enable clients and their families to live confidently and safely at home and/or community; emphasizes the promotion, maintenance and restoration of health such as the treatment of chronic diseases through teaching, counselling and direct client care; facilitates and manages client transitions across the healthcare continuum utilizing the provincial Primary & Community Care model to optimize recovery or adapting to changes in the client's condition to minimize avoidable admission to residential and/or acute care facilities; collaborates and ensures linkages with acute, primary and community care healthcare providers including the client's primary care provider (Nurse Practitioner, Physician, other specialist(s)) and family/supports regarding client care planning; supports clients and families, as client care is transitioned to primary/community care provider including FH and non-FH community services.

Responsibilities include:

• Establishing a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision-making and care planning including the client's right to dignity and privacy.
• Screening referrals, providing individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions; assisting clients to achieve an optimal level of function by facilitating timely and appropriate health services and utilizing a variety of resources and services.
• Collaborating with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services.
• Developing a comprehensive shared patient/client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics; facilitating and supporting the transition of the client care plan to the referring source, primary/community care provider and/or community agencies.
• Providing direct client care and identifying other care services required in accordance with applicable guidelines, policies and evidence-based best practice; providing comprehensive explanations of care to the client and family, as appropriate.
• Facilitating care conferencing to review client care plans, in collaboration with the interprofessional team and primary care provider to determine timing and referral to other services and/or interventions to improve client outcomes.
• Discussing clinical findings with client/family, in collaboration with the interprofessional team to develop action plans and set goals directed at clinical needs, self-management, self-care and improved health-related quality of life.
• Maintaining clinical records such as intake screens, client assessments, clinical interventions, treatment formulations, care plans and progress notes; maintaining statistical information on clients in accordance with established policies, standards, and procedures.
• Participating in department quality improvement and risk management activities by identifying client care issues and collecting data; participating in research opportunities, as required.

Qualifications include:

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• One (1) year recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting including recent experience in care and discharge planning, or an equivalent combination of education, training and experience.
• Valid BC Driver's license and access to a personal vehicle for business-related purposes.

Skills and Abilities:

• Demonstrated knowledge, skills and competence in the areas such as gerontology and adults living with complex frailty and chronic illnesses.
• Demonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions.
• Demonstrated ability to communicate effectively, both verbally and in writing.
• Ability to promote client-focused care including sensitivity to diverse cultures and preferences.
• Ability to work independently and as a member of an interprofessional team.

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. Our hospital and community-based services are delivered by a team of 50,000+ staff, medical staff and volunteers. We strive to maintain an environment of respect, caring and trust.