Language of work may be English and/or French, depending on geographic location.
The required tasks for this occupational group include the following:
assess, organize, evaluate and monitor patient’s health care needs in accordance with the Health Services case management process as directed by the National Program Leadership;
monitor client medical treatment plans and initiate case management action plans based on client needs and goals. These clients have complex, protracted, health care conditions likely to exceed a 3 month period and require care management or are deemed chronic
identify health care and community services supports required in order to meet clients’ specific needs;
participate in multidisciplinary team meetings and working groups, as a member of the primary health care team, to share client’s progress and provide recommendations and suggestions to decision makers such as the client’s primary care provider for the purpose of developing action plans that meet client service standards and achieve health care goals;
refer clients to specialty services as prescribed by their primary care provider such as occupational therapists, physiotherapist and monitor patient follow-ups;
educate clients and families about their health condition(s) and provide them with information and eligibility criteria on benefits and entitlements;
develop and maintain a network of partnerships with internal and external community organizations within the Case Manager’s geographical area to streamline the transfer of patient care, to expand community resources to address service gaps, and provide patient a smooth transition
other associated tasks relevant to this occupational group
Nurse Case Managers must, as a minimum, possess a:
Baccalaureate Degree in Nursing from a recognized university;
Certificate of Basic Life Support (BLS) for Healthcare Provider or equivalent such as Cardio-pulmonary Resuscitation/Automated External Defibrillator (CPR/AED) Level C. Annual recertification is required; and
Current license to practice from a provincial or territorial College of Nurses in the province of practice.
The Nurse Case Manager shall possess, as a minimum, 3 full time equivalent years of experience within the last 4 years in nursing practice:
performing assessments and developing care plans that reflect the client’s individual health care needs and personal goals in the community health or primary health care setting; and
providing adult health education programs in a community health, primary health care or case management setting.
Other Skills and Abilities:
Current N95 mask fit certificate CSA Standards Z94.4 (testing q 2 yrs)
Basic Life Support (BLS) certificate for Healthcare Provider or equivalent, such as Cardio-pulmonary Resuscitation/Automated External Defibrillator (CPR/AED) Level C Annual recertification
Workplace Hazardous Material Information System (WHMIS) Certification (every two (2) years)