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 secure 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.

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