0.8 FTE or 31 hours /per week Position Summary: The Primary Care Registered Nurse (PCRN) will work as a part of a multidisciplinary primary care team including allied health professionals and community partners to deliver wholistic patient centered care, with consideration of all social determinants of health. The PCRN provides comprehensive team-based care to patients across the lifespan, in the patients’ medical home and at Calgary Rural PCN central clinic locations. The PCRN may support a variety of programs and services, while exercising a high degree of critical thinking, in an autonomous but collaborative and supportive environment.

Key Responsibilities:

• Assess and screen patients for physical, and psychosocial conditions that impact health outcomes.
• Case management of patients with highly complex needs.
• Empower patients to manage their symptoms of a long-term disease.
• Provide education and guidance to patients with/ or at risk for a wide range of chronic or complex health conditions commonly encountered in primary care settings.
• Assess screening needs, promote and complete screening as per guidelines.
• Establish patient centered SMART goals through motivational interviewing, and coaching.
• Collaborate to enact patient centered care plans to support patients in their health journey, including facilitating goals of care discussions.
• Determine and make appropriate referrals to internal and external providers and services.
• Maintain accurate and timely documentation in the electronic medical record (EMR).
• Communicate essential information in a timely manner to support seamless care.
• Facilitate and evaluate group programs and education sessions.
• Complete daily data entry into CRPCN data collection tool.
• Participate and/or lead CRPCN quality improvement initiatives, evaluations / surveys as required.
• Mentor and orientate new staff to program/service delivery.
• Adhere to all CRPCN policies and procedures.
• Support Goals of Care Discussions
• Commitment to enhance educator competencies and share knowledge to support excellence in specialized care.
• Other duties as required within Registered Nurse scope of practice.
• Comply with all CRNA professional standards of practice including maintaining patient confidentiality

Educational Requirements:

• Baccalaureate degree in nursing preferred or diploma in registered nursing with 5+years.
• Active CRNA Registration in good standing.
• Current BCLS certification for health care providers.
• Criminal background check inclusive of vulnerable sectors check within the last 6 months.
• Health Change Methodology or equivalent motivational interviewing education an asset
• One or more of the following certifications strongly preferred:
• Certified Diabetes Educator (CDE)
• Certified Bariatric Educator (CBE)
• Certified Respiratory Educator (CRE)
• Team Primary Care Nurse- Post Licensure Program certification an asset.

Experience and Skills Required:

• Minimum three years of nursing experience, preferably in a primary care setting.
• Experience working within a multidisciplinary primary care team model.
• Knowledge of current best practice guidelines for conditions frequently seen in a primary care setting.
• Experience educating patients using the principles of motivational interviewing to set patient centered goals.
• Knowledge of evidence-based health promotion, prevention, and management strategies

Core Competencies:

• Demonstrated high level critical thinking and decision-making skills.
• Strong attention to detail.
• Ability to manage a varied caseload.
• Self-motivated and driven for excellence.
• Desire to work to full scope of practice.
• Flexible with a willingness to adapt to meet organizational demands.
• Excellent written and verbal communication skills.
• Ability to recognize and resolve conflict in a timely and professional manner.
• Excellent time management skills.
• Collaborative and team oriented.
• Advocate for diversity and inclusion.
• Accountable and professional.
• Practice culturally sensitive and trauma informed care.

Working Conditions:

• Clinical office environment, in primary care provider or CRPCN centralized locations.
• Highly autonomous and supportive work environment.
• Travel to additional CRPCN work sites as required.
• Valid driver’s license & access to reliable vehicle required.

Reporting Structure:

• Manager, Chronic Disease Management and Prevention

About the Calgary Rural Primary Care Network (CRPCN): The Calgary Rural PCN collaborates with communities, family doctors and other health team members to do whatever we can help you be as healthy as possible. We are working together to change the delivery of health care in our communities from reactive to preventative by providing services to patients that fit their needs through supports we have in our member clinics, such as nurses, dietitians, and other health care professionals. We collaborate to provide the tools and education to empower patients to work on their everyday health needs.

Apply: Please submit your resume and cover letter in confidence online.

Please note that only candidates who are selected for an interview will be contacted. We thank all other candidates for their interest.