
Vancouver Coastal Health (VCH) is proud to be part of the provincial implementation of minimum Nurse to Patient Ratios (mNPRs), an initiative aimed at enhancing nursing practice and strengthening quality of care across the health system. mNPRs set the minimum number of nurses providing care to patients on a given unit. In British Columbia, mNPRs are developed in partnership with the Ministry of Health, the BC Nurses’ Union (BCNU) and health organizations. Guided by our values: We Care for Everyone, We Are Always Learning and We Strive for Better Results, we remain committed to fostering quality practice and learning environments where nurses can grow and thrive.
JOB SUMMARY:Within the context of Patient Medical Homes and Primary Care Networks the Chronic Disease Management Nurse (CDMN) works as a member of an interdisciplinary team supporting the primary care provider (GP or NP) in the provision of Chronic Disease Management (CDM) assistance to a patient/client population. With the Primary Care Network interdisciplinary team, the CDMN facilitates care through assessing patient/clients, implementing clinical interventions, coordinating ongoing care, empowering patients to manage their chronic condition and evaluating patient/client outcomes. Collaboratively participates in the development and implementation of shared care plans that are accessible to the patient/client, family and healthcare providers involved in the patient/client’s care. The CDMN acts as a resource for the interdisciplinary team and primary care provider by providing information based on nursing theory and practice related to patient/clients with chronic conditions as well as cross sector community resources. The CDMN supports the Primary Care Provider in identifying patient/clients who would benefit from Chronic Disease Management support for a full range of chronic conditions. They consult, confer, and collaborate with physicians, nurse practitioners and others involved in the patient/client’s care including the patient, their caregivers and family to achieve excellence in patient-centred education and ongoing management of a patient’s chronic condition. . The Chronic Disease Management Nurse practices in accordance with the British Columbia College of Nursing Professionals (BCCNP) standards of practice for Registered Nurses, and as per VCH policies, guidelines, standards and decision support tools. QUALIFICATIONS:QUALIFICATIONSEducation & Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nursing Professionals (BCCNP). Two (2) years’ recent, related nursing experience in chronic disease/complex illness education or chronic disease management or an equivalent combination of education, training and experience. Valid BC Driver’s License. Local area travel requires the use of a personal vehicle for which mileage will be reimbursed.Knowledge, Skills & AbilitiesBroad knowledge of nursing science theory, and practice within a patient/family centred care model.Comprehensive knowledge of BCCNP standards for nursing practice.Comprehensive knowledge of health care disciplines and their role in chronic disease management and care procedures/processes.Broad knowledge of clinical practice that includes comprehensive and coordinated care for Chronic Disease Management (CDM) and prevention using agreed upon best practice quality improvement measures, guidelines and protocols.Knowledge of policies, procedures, and standards of care.Demonstrated ability to work in multicultural environments.Demonstrated ability to provide culturally competent care to local residentsDemonstrated ability in understanding the stages of change/motivational interviewing techniques.Demonstrated ability to function as an effective team member, leader, and facilitator.Demonstrated ability to teach, demonstrate, facilitate and coach.Demonstrated ability to communicate effectively with co-workers, physicians, other health care staff and patients and their families, either one-on-one and in-groups.Demonstrated ability to promote a creative practice change environment.Demonstrated ability to establish workload priorities in collaboration with others.Demonstrated ability to provide effective consultation.Demonstrated ability to work independently and in collaboration with others.Demonstrated ability to deal with and/or guide others in resolution of conflict issues.Demonstrated skill in CPR techniques.Physical ability to perform the duties of the position.Computer literacy with demonstrated word processing, spreadsheet, and database skills.The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.
At Vancouver Coastal Health, our vision of healthy lives in healthy communities inspires us and our values and pillars guide us. We support equitable practices, diverse teams and inclusive environments, which are vital to creating welcoming spaces where everyone can bring their whole selves to work and feel supported. We encourage applications from equity-deserving communities, including Indigenous Peoples and members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientation.Vancouver Coastal Health is proud to be recognized as one of Canada’s Top 100 Employers, BC’s Top Employers, Canada’s Best Diversity Employers and Canada's Top Employers for Young People in 2026.Unless otherwise noted on the posting, internal job postings close at 8:00 AM Pacific Time on the listed Closing Date. Please submit your digital application via the Internal Career Portal prior to the Closing Date & Time.Nursing & LPN successful applicants will be notified by email.We regret that only short listed candidates will be acknowledged.This is an internal job posting for Vancouver Coastal Health employees only.

Join a team connected by collaboration, support and most importantly, the goal of providing quality patient care. We value career growth with employer-supported training, encourage a culture where everyone’s voice is heard and strive to create a supportive team environment. To learn more, visit vch.ca/careers
Facebook - https://www.facebook.com/VCHhealthcare/
Twitter - https://twitter.com/VCHhealthcare
YouTube - https://www.youtube.com/@VCHhealthcare
Instagram - https://www.instagram.com/vchhealthcare/