Reporting to the Manager, Care Management & System Navigation, the Care Management Leader:

• Practices according to BCCNM standards, professional ethics, and PHC’s client- and family-centered care model.
• Coordinates patient care from admission, collaborating with the interprofessional team to ensure effective care and timely discharge planning.
• Conducts nursing assessments, identifies barriers, and advises on appropriate care levels and resources.
• Secures funding and approvals for required services to support optimal patient outcomes.
• Develops and evaluates policies, procedures, and standards for care management and discharge planning.
• Participates in committees, task groups, education, and corporate initiatives.
• Utilizes data to guide practice, measure progress, and enhance care quality and efficiency.

Education

• Baccalaureate degree in Nursing, Three (3) years recent, related experience including (1) year of experience in community care and discharge planning or an equivalent combination of education, training and experience.
• Current registration with the British Columbia College of Nurses and Midwives.

Skills and Abilities

• Comprehensive knowledge of Nursing theory and practice within a patient/family centred model of care.

• Strong knowledge of nursing theory, practice, and BCCNM standards.

• Proficient in pathophysiology, pharmacology, and discharge planning.

• Skilled in assessing medical appropriateness and resource utilization.

• Familiar with clinical pathways, community resources, and interdisciplinary roles.

• Effective in patient assessment, observation, and monitoring.

• Strong organizational, analytical, and leadership skills.

• Excellent verbal and written communication.

• Proficient in computerized care systems.

• Able to adapt, resolve conflicts, and make decisions.

• Physically capable of performing job duties.

• A competitive salary: $49.20 - $63.47 CAD
• Comprehensive benefits: Eligible employees receive a robust medical and dental benefits package, including unlimited physiotherapy and massage, as well as paid vacation.
• Pension plan: Work towards a comfortable retirement through employer-matched contributions to one of Canada's strongest pension plans! 
• Meaningful impact: Your dedication and expertise will directly impact the lives of patients, including many from marginalized communities.  
• Growth opportunities: We welcome individuals at all stages of their career, offering opportunities for professional development and growth.
• State-of-the-art facilities:  The new St. Paul’s Hospital and health campus will be the most innovative approach to the delivery of integrated care in B.C. and Canada, designed to appropriately address the future health needs of patients, families and our communities. From hospital care to primary and community health solutions, the new St. Paul’s Hospital and health campus will continue to lead innovations in care, research, and teaching. The new St. Paul’s Hospital is expected to open in 2027.
• Inclusive culture: We respect the diversity, dignity and interdependence of all persons. We value the cultural richness that our diverse workforce brings to the care of our equally diverse population of patients and residents.

Your Day to Day: 

• Lead care coordination and discharge planning with the interprofessional team, ensuring timely and safe transitions.
• Monitor patient progress, adjust care plans, and address barriers to optimal outcomes.
• Facilitate daily care rounds and assign tasks to support discharge goals.
• Act as a resource for referrals, post-discharge care, and funding approvals.
• Collaborate with teams, physicians, and external providers to resolve care issues and improve flow.
• Advocate for patients’ rights, dignity, and access to information.
• Maintain accurate patient records and support process improvements.
• Train and mentor staff while staying updated on clinical best practices.
• Participate in initiatives, policy development, and professional growth.
  
  

Advance Your Career at Providence Health Care!

We acknowledge that Providence Health Care and the new St. Paul’s Hospital site is located on the traditional, ancestral, and unceded territory of the Coast Salish Peoples, including the territories of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) Nations.