Transition Services Coordinator (Nursing) (RPT)
Job Description

POSTING NUMBER: 122421-jmc

Number of Positions: 1

Job Title: Transition Services Coordinator (Nursing)
Union Code: (200) Nurses BCNU
Job Pay Grade: L4 ($41.42 – $50.77 per hour)
Status (FTE): Regular Part Time – Baseline (0.8 FTE)
Dept / Work Area: STAT Centre-Day Hospital / Vancouver General Hospital
Work Location: VGH 12th & Oak
Home Site: (01) Vancouver General Hospital
Shift Times: 0830-1630
Days Off: Fri, Sat, Sun, Stats
Start Date: NOV 04, 2019


Within the context of a client and family centred care model and in accordance with the British Columbia College of Nursing Professionals (BCCNP) standards of professional practice and Code of Ethics for registered nurses or registered psychiatric nurses, and the established vision and values of the organization, the Transition Services Coordinator leads and facilitates acute to community transitions by assessing and evaluating clinical and functional need and coordinating community staff/resources in carrying out the care following discharge from an acute site. Responsible and accountable for the development and effectiveness of policies, procedures and standards for the transition services program in community care. Coaches and encourages acute and community colleagues to embrace new and evolving clinical pathways and practice (Home is Best). Plans and facilitates clinical discussions to support safe client discharges with care teams and other health care professionals; advises on the availability and eligibility for community services. Makes community referrals based on client needs, urgency and best practices to determine the appropriate treatment; educates and provides consultation to client/family. Coordinates transition of clients to residential care, utilizing clinical decision support tools (Inter-RAI MDS) as appropriate. Documents and maintains client records and clinical assessments. Participates on committees as directed. Coordinates care given by others in an area or unit by way of assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments. Assists in administrative activities and optimal use of program resources.


Education & Experience

Current practicing registration as a Registered Nurse with the British Columbia College of Nursing Professionals (BCCNP).

Five (5) years’ recent, related experience which includes three (3) years in a community health setting, one (1) year experience in quality improvement, research and evaluation activities, and a clinical decision-support tool for severity assessment and discharge (Acute/Subacute/SNF/Rehabilitation/Behavioural Health), experience in a tertiary health care environment, or an equivalent combination of education, training and experience.

Knowledge, Skills & Abilities

Broad knowledge of nursing theory and practice within a client and family centred model of care.
Broad knowledge of the BCCNP Standards for Nursing Practice.
Broad knowledge of evidence based nursing practice related to patient acuity and bed utilization practices within a tertiary level teaching hospital.
Broad knowledge of other health care disciplines and their role in client care and discharge planning.
Broad knowledge of clinical studies methodology and data presentation.
Demonstrated ability to apply critical thinking within clinical and evaluation activities.
Demonstrated ability to work independently.
Demonstrated ability to work collaboratively as a member of an interdisciplinary team.
Demonstrated ability to demonstrate, facilitate and coach.
Demonstrated ability to communicate orally and in writing.
Demonstrated ability to communicate with, and deal effectively with, co-workers, physicians, other health care staff, clients and their families, and staff of outside agencies.
Demonstrated ability to effectively deal with conflict situations.
Demonstrated ability to adjust to new or unexpected events.
Demonstrated ability to plan, organize and prioritize work.
Demonstrated physical ability to perform the duties of the position.
Demonstrated computerized software skills in word processing, databases, spreadsheets, presentations and internet access and ability to operate a computerized patient care information system.
Ability to operate related equipment.


Nursing & LPN postings close at 0800 AM on the Closing Date. All other postings will close at Midnight. Please submit your internal application form and resume to Recruitment prior to the close date and time.

Nursing & LPN successful applicants will be notified by email.

We regret that only short listed candidates will be acknowledged.

This is an internal job posting for Vancouver Coastal Health employees only.

The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.

Job Category: Nursing Job
Job Type: Full Time
Job Location: Canada

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