Coordinate complex chronic care as a Casual Registered Nurse with Fraser Health in Surrey. Apply assessment, counselling, and transition planning skills.
This Community Health Nurse assignment supports the Newton Wound Care Clinic and its community-based caseload. You will assess clients, identify care needs, create shared plans, and connect clients with primary, acute, and community providers. The position emphasizes chronic disease treatment, self-management, direct client care, and protected transitions across the healthcare continuum.
Key Responsibilities: Screen referrals and assess clients with complex chronic conditions
Develop shared care plans with clients, families, and providers
Facilitate conferences, referrals, transitions, and follow-up services
Teach self-care, self-monitoring,



wellness, and health promotion
Advocate for client choices, privacy, dignity, and autonomy
Requirements: Current practicing Registered Nurse registration with BCCNM
One year recent clinical experience in acute or community care
Recent care and discharge planning experience
Knowledge of gerontology and complex frailty
Effective written, verbal, and problem-solving communication
Bring clinical assessment, chronic care coordination, and client education expertise to Fraser Health's Surrey community nursing services.

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📌 Registered Nurse Chronic Care Coordinator (British Columbia)
🏢 Fraser Health Authority
📍 British Columbia