• Assessment of patient conditions, needs and goals in collaboration with the patient, attending physician and interdisciplinary team
• Identify needs and set priorities in collaboration with the client and other team members
• Provide short term interventions as needed
• Facilitate appropriate referrals to community resources and programs
• Provide relevant patient education to prevent and manage clinical conditions
• Participate in evaluation of the clinic and its services
• Assist in planning, developing, and monitoring for services provided
• To assist in the development of policies and protocols for chronic disease management, geriatric care, maternal/child and mental health
• To develop systems and communications protocols to facilitate patient follow up
• To assist in setting up health promotion programs relevant to the needs of the practice population.
• To assist in developing and implementing patient self-management programs.
• Assist in the implementation of strategies for improving the quality and provision of care for the practice population,
• Any other duties that may be reasonably required for the success of the PCN.

• Baccalaureate degree in Nursing preferred
• Five years or more of related nursing experience, preferred 
• Current CRNA Registration, standard BLS provider certificate
• Initiative, accountability, decision-making, interpersonal, and communication skills, and
• Demonstrated ability and willingness to work in a dynamic environment that requires flexibility and balancing of competing priorities
• Experience in PAP testing
• Experience working in a team setting with other health professionals,
• Advanced skills in caring for patients with chronic, complex, and/or specialized needs
• Experience in establishing protocols for program startups, especially developing plans and priorities when workload varies

• Expert knowledge of nursing processes and practices including intervention strategies and therapy
• Strong, effective written and oral communication skills, high level of perceptiveness,
• Critical thinking skills
• Ability to build a good working relationship with healthcare professionals, clients and other members of the community
• Ability to prioritize, manage time effectively and be flexible in a very active work environment.
• Respect and understanding of confidentiality,
• A strong knowledge base in medications and is able to conduct medication reviews with patients
• Customer service orientation,
• Thrives in a complex changing environment,
• High levels of integrity and professional behavior
• At least basic computer skills in word processing and email.
• Knowledge of, and ability to use, electronic medical records

• Enthusiastic and positive, can-do attitude
• Able and willing, in an unstructured environment, to be flexible, creative and juggle numerous competing priorities
• Ability to act ethically, responsibly and be accountable for actions
• Ability to respect other views/opinions
• Ability to have difficult conversations and be comfortable asking questions.
• Exceptional understanding of and appreciation for confidentiality and privacy
• Ability to identify sensitive information

• A current and clear Criminal record check with Vulnerable record check is required
• A valid driver’s licence and access to a vehicle for travel to various stakeholder locations

DISCLAIMER
This job description indicates representative responsibilities and specifications of the position only and should not be considered to necessarily represent all responsibilities and specifications of the position. The incumbent may perform other duties as assigned, which are not specified in this description. A review and update of this job description will take place at the yearly performance review.