The mission of Covenant Care and Covenant Living is to "continue the healing ministry of Jesus by serving with compassion, upholding the sacredness of life in all stages, and caring for the whole person -body, mind and soul." In fulfillment of this mission, Covenant Care and Covenant Living actively participate in advancing the Covenant Strategic Plan which aspires to:
- Serve - we will strengthen our mission and live our values to meet the needs of those we serve through excellence in care, an engaged team, and wise use of our resources;
- Grow - we will see out and respond to the needs of our communities, especially the vulnerable and marginalized populations;
- Transform - we will create systems of care that enable people and communities to be healthy; and
- Contribute - we will leverage our legacy to maximize the strategic contribution of Catholic health care.
Reporting to the Clinical Lead, the Registered Nurse Care Manager ensures person centered care is provided for residents in an individualized meaningful way and includes family involvement. The main accountabilities of the position are managing day-to-day delivery of care to long term care residents, providing direct care for residents and providing leadership for care staff. The incumbent in the position fosters and maintains effective relationships with care staff, nurse practitioner, family physicians, and professionals from other disciplines, residents and family members. The incumbent also acts as a role model and ambassador for the mission, vision, and values of Covenant Care.
Accountabilities and Responsibilities:
The Registered Nurse Care Manager has the following key accountabilities:
- Manages overall day to day care delivery and the coordination of the care provided to residents:
Makes rounds on the two L TC nursing units at the beginning of each shift and throughout the shift to ensure residents are receiving care as outlined in their care plan.
Ensures residents are engaged in conversation and meaningful moments in all aspects of daily living and care provided by all staff.
Provides supportive care that includes family members and that values spiritual, cultural, cognitive and social aspects that are important to the resident
Operates within the allocated program budget/resources and provides input into budgetary reviews as required.
Seeks ongoing feedback from Clinical Lead, Licensed Practical Nurses (LPNs) and Health Care Aides (HCAs) as well as residents and families.
Oversees and evaluates effectiveness of overall care provided to residents and provides input to Clinical Lead in relation to monitoring trends and improving the care and services provided to residents.
Responds and develops a plan of action related to any sensitive or escalating issues within care operations.
Follows-up any concerns related to possible abuse or neglect as per the Protection of Persons in Care Act.
Follows-up on any reports of concerns related to possible bullying or inappropriate activity/comments amongst peers in the workplace.
Fosters an environment of person-centered care including quality and safety improvements.
Documents on resident electronic charting system in a concise and accurate manner meeting organizational, legislative and legal requirements.
- Coordinates person centered care and provides case management services for residents:
Participates in pre-admission visits with potential residents and families.
Welcomes new residents/families to the facility and nursing unit. (Includes an orientation to the unit, facility, meal times, etc. and introducing resident and family members to other residents and the staff).
Works collaboratively with the LPN to complete and document nursing histories and physical (head to toe) assessments of residents on admission and when there is a change in the resident's condition or as ordered e.g. post-fall.
Collaborates with the care team members on all shifts to develop, implement and review residents' care plans on admission, evaluate the effectiveness of the care being provided, and updates care plans at least quarterly and in conjunction with annual resident care conferences.
Involves resident and family members in planning resident's care.
Ensures that medication reconciliations are completed as required.
Monitors resident medication use and efficacy and provides follow-up if necessary.
Contacts NP and family physicians for orders and to coordinate care for the resident.
Coordinates consults, referrals, appointments and access to other external resources required by residents.
Facilitates annual resident care conferences and arranges for any multi-disciplinary team conferences required to update the resident's care plan and addresses resident and family concerns.
Maintains a high level of confidentiality of personal and medical information of residents, families and staff.
Stays current on industry trends, policy and best practice and oversees clinical change management as required.
Ensures compliance with Occupational Health and Safety Act and Regulations and participates in the Covenant Care OH&S program.
Works collaboratively with union representatives and ensures compliance with active collective agreements.
Performs other duties as required.
Size and Complexity of the Position:
- Assists the Clinical Lead in assessing, planning, organizing, directing and evaluating care for 66 residents on two nursing units (floors).
- Provides support, supervision and direction to LPN and HCA staff.
- Interacts with all members of the care team on behalf of residents including unit clerk, occupational therapist, social worker, recreation therapist, nurse practitioner, family physicians, clinical pharmacist and AHS placement staff.
Identifying and Addressing Challenges:
Dealing effectively with emergent and urgent clinical and operational situations.
Dealing with workplace demands.
Leading changes to the delivery of the Long Term Care programs and services.
Ensuring Clinical Coordinator is aware of any sensitive or escalating issues within care operations.
Involving the resident and family members in planning care.
Providing for compassionate end of life care within the facility.
Working as a team leader and as a team member of the larger facility leadership team.
- Ability to deal with resident and family members day to day issues and concerns.
- Coaching LPNs and HCAs in the delivery of resident care.
Level of Independence:
- Case management and coordination of resident care.
- Resolution of resident/family concerns brought forward to care staff
Knowledge, Skills and Abilities:
Graduate of an approved Nursing Program.
Current and ongoing registration and competency with the College and Association of Registered Nurses of Alberta.
Certificates in Geriatric Care and/or Mental Health are desirable.