Career Profiles

Clinical Roles

Primary Care Nurse

Overview

Primary Care Nurses provide comprehensive nursing services to the patient population in physician clinics. Primary Care Nurses assess, manage and support patients. They direct patients to the care they need, from the appropriate health professional or program, freeing up physician time to meet the increased medical needs of our community. Primary Care Nurses work to full scope of practice with an emphasis on providing comprehensive care and education and a focus on chronic disease management.

Responsibilities

Primary Care Nurses work closely with physicians to provide chronic disease management and facilitate the comprehensive delivery of chronic disease self-management education with clients and families.

They perform and document a comprehensive history and in-depth assessment of the health status including physiological, psychosocial, economic, learning, cultural and spiritual factors affecting well-being/health. Primary Care Nurses initiate and implement management strategies and provide appropriate evaluation, follow up and modifications to care plans. They maintain up to date and accurate documentation in the patients’ medical records.

Work Environment

Primary Care Nurses are co-located in physician members’ clinics. As travel is necessary between clinics within the CWC PCN area, a reliable vehicle and valid driver’s license are required.

Primary Care Nurses may be carrying a laptop and other resources when they travel to clinics.

Work Hours

Primary Care Nurses work in a full-time or part-time capacity, and shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday.

Education Requirements

  • Bachelor’s degree in Nursing from an approved health care program is required
  • Canadian Diabetes Educator (CDE) certification is required
  • Certified Respiratory Educator (CRE) certification is desirable
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • College and Association of Registered Nurses of Alberta (CARNA) practice permit in good standing
  • Valid driver’s license
Geriatric Nurse Consultant

Overview

Geriatric Nurse Consultants provide an advanced level of nursing practice that maximizes the application of in-depth nursing theory, knowledge and skills to meet the complex health care needs of individuals, families and communities. Geriatric Nurse Consultants function as nursing practice leaders and expert practitioners and educators to provide holistic and comprehensive care to the more complex geriatric population. 

Responsibilities

Geriatric Nurse Consultants perform and document a comprehensive history and in-depth assessment of the patient’s health status including physiological, psychosocial, economic, learning, cultural and spiritual factors affecting well-being/health. They initiate and implement management strategies and provides appropriate evaluation, follow up and modifications to care plans. Geriatric Nurse Consultants provide chronic disease management and mental health services within the context of geriatric care, incorporating monitoring progress, response to treatment, and promoting the preventive aspects of patient care.

Work Environment

Geriatric Nurse Consultants may work in various settings to assess and evaluate the needs of patients. This may include visits to the patient’s home, working at CWC PCN member clinics, and working from the Primary Care Centre which is CWC PCN’s appointment-based clinic offering enhanced access to health care on a short-term basis. A reliable vehicle is required for home visits.

The work environment may be physically demanding during home visits.  This includes being able to lift or support a patient and transport small equipment to carry out an assessment.

Work Hours

Depending on business needs, Geriatric Nurse Consultants may work in a full-time or part-time capacity. Shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday. Geriatric Nurse Consultants may be co-located in multiple member clinics and patient’s homes. 

Education Requirements

  • Bachelor’s degree in Nursing from an approved health care program with training and experience in geriatrics is required. A Master’s degree in Nursing is an asset
  • Canadian Nurses’ Association (CAN) nursing certification in Gerontological Nursing, or willingness to attain
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • College and Association of Registered Nurses of Alberta (CARNA) practice permit in good standing
  • Valid driver’s license 
Licensed Practical Nurse

Overview

Licensed Practical Nurses work with physicians and other health professionals to provide a high quality of evidence-based health care to CWC PCN’s patient population. They have the knowledge, skill, judgment, and abilities to contribute in all phases of the continuum of care from prevention to acute treatment and management, to long term and palliative care.

Responsibilities

Licensed Practical Nurses assess, manage and support patients, providing appropriate documentation and working collaboratively with physicians to develop and implement care plans, evaluate outcomes and provide follow-up to the patients.   They assist in the delivery of disease management and health promotion programs and provide appropriate care and treatment. Licensed Practical Nurses utilize the EMR system in maintaining accurate and timely records, and documenting all phases of client care.

Work Environment

Licensed Practical Nurses work from the Primary Care Centre, CWC PCN’s appointment-based clinic offering enhanced access to health care on a short-term basis. They also work in conjunction with the Tsuut’ina Health Centre, a walk-in and appointment-based clinic, to provide health care to patients living within the Tsuut’ina Nation. As the Tsuut’ina Health Centre is not accessible by public transit at this time, a reliable vehicle and valid driver’s license are required.

In both clinics, Licensed Practical Nurses are walking and standing on their feet for long periods of time and may need to assist with moving patients.

Work Hours

Licensed Practical Nurses may work in a full-time, part-time, casual, permanent, or temporary capacity depending on the needs of the business. Various shift schedules could be available including those that fall within the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday, as well as evening, weekend and holiday coverage.

Education Requirements

  • Completion of an accredited Licensed Practical Nursing program
  • Immunization certification
  • BLS for Health Care Providers (HCP) or CPR for HCP
  • Phlebotomy certification is an asset

Licensing Requirements

  • College of Licensed Practical Nurses of Alberta (CLPNA) practice permit in good standing
  • Valid driver’s license
Licensed Practical Nurse – Geriatric Assessment & Support (GAS) Team

Overview

Licensed Practical Nurses work with physicians and other health professionals to provide a high quality of evidence-based health care to CWC PCN’s geriatric patient population. They have the knowledge, skill, judgment, and abilities to contribute in all phases of the continuum of care from prevention to acute treatment and management, to long term and palliative care.

Responsibilities

Licensed Practical Nurses assess, manage and support patients, providing appropriate documentation and working collaboratively with the GAS team to develop and implement care plans, evaluate outcomes and provide follow-up to geriatric patients. Clinical duties may include, but are not limited to, urinalysis, EKGs, blood pressure monitoring and O2 saturation monitoring.

Licensed Practical Nurses assist in the delivery of disease management and health promotion programs and provide appropriate care and treatment. Licensed Practical Nurses utilize the EMR system in maintaining accurate and timely records, and documenting all phases of client care.

Work Environment

Licensed Practical Nurses in the GAS team work from the Primary Care Centre, CWC PCN’s appointment-based clinic offering enhanced access to health care on a short-term basis. They may also conduct home visits where necessary. 

Work Hours

Licensed Practical Nurses in the GAS team work in a full-time capacity, and shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday.

Education Requirements

  • Completion of an accredited Licensed Practical Nursing program
  • Immunization certification is desirable
  • BLS for Health Care Providers (HCP) or CPR for HCP
  • Phlebotomy certification is an asset

Licensing Requirements

  • College of Licensed Practical Nurses of Alberta (CLPNA) practice permit in good standing
Nurse Practitioner

Overview

Nurse Practitioners provide support to postpartum patients of the CWC PCN. Nurse Practitioners must demonstrate leadership skills and are responsible and accountable for the provision of evidence-based maternal and infant or newborn care. Nurse Practitioners function as nursing practice leaders, consultants, expert practitioners, educators and researchers within the In-Hospital Obstetrics Program.

Responsibilities

Nurse Practitioners assess, diagnose, manage and support patients, providing appropriate documentation and working collaboratively with the physician to develop and implement care plans and evaluate outcomes to enhance the delivery of obstetrical care services. Nurse Practitioners perform and document a comprehensive history and in-depth assessment (including ordering and interpreting tests, diagnosis, etc.,) of the health status including physiological, psychosocial, economic, learning, cultural and spiritual factors affecting health and well-being. They initiate and implement management strategies and provide appropriate evaluation, follow-up, referrals and modifications to care plans. 

Nurse Practitioners assist in the delivery of disease management and health promotion programs and provide appropriate care and treatment, according to practice policy and protocols.

Nurse Practitioners make professionally autonomous decisions in managing patients and offering a complementary source of care to that offered by medical practitioners.

Work Environment

Nurse Practitioners work from the Rockyview Hospital postpartum unit. Nurse Practitioners are walking and standing on their feet for long periods of time and often lifting up to 13 lbs.

Work Hours

Nurse Practitioners work shiftwork in a full-time or part-time capacity, with shifts scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., including weekends and statutory holidays.

Education Requirements

  • Master’s degree in Nursing from an approved health care program is required
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • College and Association of Registered Nurses of Alberta (CARNA) Nurse Practitioner practice permit in good standing
  • Valid driver’s license
Social Worker

Overview

Social Workers are involved in the provision of services to clients and families including psychosocial assessment, crisis intervention, education, treatment, advocacy, finding resources, consulting, making appropriate referrals and liaising with community agencies/programs.

Responsibilities

Social Workers complete formal and informal assessments of patient needs under the direction of the physician of record and in collaboration with members of the patient care team.  They lead and participate in the preparation, implementation, and modification of care/treatment plans and provide an interpretation of assessment findings and treatment recommendations to client, family members, other caregivers and educators as appropriate.

Social Workers function as the primary case manager for identified clients by providing short-term counselling and crisis intervention, by facilitating caregiver and other supports and acting as a liaison to education or support groups.  They identify and implement strategies to improve the clients and/or family member’s medical, emotional, mental and physical health, and they guide and encourage the family to move forward with recommendations. Social Workers liaise with community resources, agencies, and stakeholders to improve health outcomes.

Work Environment

Social Workers work mainly from the Primary Care Centre, CWC PCN’s appointment-based clinic offering enhanced access to health care on a short-term basis. They may also conduct home visits where necessary.

The work environment may be physically demanding during home visits, which can include lifting or supporting a client. Social Workers may be carrying a laptop and other resources when they conduct home visits.

Work Hours

Social Workers work in a full-time or part-time capacity and shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday.

Education Requirements

  • Bachelor’s degree in Social Work from an accredited program
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • Alberta College of Social Workers (ACSW) practice permit in good standing
  • Valid driver’s license

Clinical Support Roles

Patient Care Coordinator

Overview

Patient Care Coordinators support physician members in the coordination of planned care aimed at improving disease screening and treatment. They work within an integrated and coordinated care delivery team to positively impact the health of clinic patients, including those patients who are not actively seeking care, through evidence based preventative health promotion strategies. The objective of this increased focus is to enhance the patient’s quality of healthcare while supporting the day to day function of the clinic.

Responsibilities

Under the direction of a physician, Patient Care Coordinators screen for preventable diseases, establish and maintain a system for recalling patients for preventive health screening maneuvers, and identify opportunities to engage patients and provide support and encouragement for positive action across the continuum of health care services.

Patient Care Coordinators ensure accuracy within the EMR (electronic medical record) system including an up-to-date problem list, current medications and standardized charting. They support the healthcare team by identifying at-risk patients, contacting patients with instructions prior to a visit, ensuring results of test are available for review with a physician, and referring patients to other relevant programs based on their needs.  Patient Care Coordinators assist physicians effectively manage the patient panel, including those not actively seeking care.

Work Environment

Patient Care Coordinators are co-located in physician members’ clinics. As travel will be required for Patient Care Coordinators placed in more than one clinic per day, a reliable vehicle and valid driver’s license may be required.

Work Hours

Patient Care Coordinators work in a full-time, part-time or casual capacity and shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday.

Education Requirements

  • Completion of an accredited Medical Office Assistant program.
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • Valid driver’s license
Improvement Facilitator

Overview

Improvement Facilitators deliver the activities related to improving clinical outcomes and process improvement activities in our member clinics. They deliver presentations to staff and physicians regarding the patient-centered medical home, creating disease registries, and areas of interest identified by the physician members. These tasks will be tailored to the clinic depending on where the physicians are at in the panel process.

Responsibilities

Improvement Facilitators work close with physicians and Patient Care Coordinators to develop and manage the patient panel and to facilitate the standardization of data entered into an EMR (electronic medical record) system so that the physician can use the information to enhance clinical decisions. Improvement Facilitators proactively identify, report, and reduce clinic panel care gaps with the ultimate goal of improving the effectiveness of practice.

Work Environment

Improvement Facilitators work from various locations including physician members’ clinics, the CWC PCN corporate office, and from their own home if a teleworking agreement is in place. As travel is necessary between clinics within the CWC PCN area, a reliable vehicle and valid driver’s license are required.

Improvement Facilitators may be carrying a laptop and other resources when they travel between clinics, the corporate office and their home office.

Work Hours

Improvement Facilitators work in a full-time or part-time capacity and shifts are scheduled during the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday. Some flexibility is required for after-hours activities including training and special events.

Education Requirements

  • Completion of an accredited Medical Office Assistant program is desired. Other programs such as Licensed Practical Nurse or Unit Clerk will also be considered.

Licensing Requirements

  • Valid driver’s license
Medical Office Assistant

Overview

Medical Office Assistants provide administrative support to the CWC PCN clinical team and play a key role in the organization and flow of clinic operations. 

Responsibilities

Medical Office Assistants book patient appointments, process referrals, assist with attaching patients to physicians, and enter information into the EMR (electronic medical record) system including new patient data, referrals, and vitals.  They handle all front-desk reception activities and follow-up with patients. Medical Office Assistants handle general office administration responsibilities including receiving and distributing mail, keeping the waiting room tidy, ordering supplies, and faxing/scanning/photocopying documents.

Work Environment

Medical Office Assistants work from the Primary Care Centre, CWC PCN’s appointment-based clinic, offering enhanced access to health care on a short-term basis. They also work in conjunction with the Tsuut’ina Health Centre, a walk-in and appointment-based clinic, to provide health care to patients living within the Tsuut’ina Nation. As the Tsuut’ina Health Centre is not accessible by public transit at this time, a reliable vehicle and valid driver’s license are required.

Work Hours

Medical Office Assistants may work in a full-time, part-time or casual capacity depending on the needs of the business. Various shift schedules could be available including those that fall within the coare business hours of 8 a.m. to 5 p.m., Monday to Friday, as well as evening, weekend, and statutory holiday coverage.

Education Requirements

  • Completion of an accredited Medical Office Assistant program
  • BLS for Health Care Providers (HCP) or CPR for HCP

Licensing Requirements

  • Valid driver’s license
Measurement and Evaluation Analyst

Overview

Measurement and Evaluation Associates work with CWC PCN physician members and their teams, including Medical Office Assistants, Patient Care Coordinators, Improvement Facilitators, Behavioural Health Consultants, and Primary Care Nurses, to identify and monitor patients who would benefit from screening and chronic disease management by analyzing primary health care data in the EMR. They are also responsible for assisting with the design and implementation of an evaluation strategy to assess the impact of all Patient Centered Medical Home activities.

Responsibilities

Measurement and Evaluation Associates work with physician members and their medical home teams in their use of the EMR to monitor screening activities and manage chronic disease. They monitor data quality and provide hands on support to CWC PCN medical home teams in order to resolve identified or emerging data quality issues. Measurement and Evaluation Associates assess the quality of the EMR information captured within CWC PCN medical homes and develop data analysis strategies. They report results of data captured by CWC PCN medical homes and present the results to CWC PCN physician members, leadership, and other key stakeholder audiences.

Measurement and Evaluation Associates provides measurement and evaluation education and coaching to CWC PCN physicians and their teams and work in a proactive manner to develop measurement capacity within CWC PCN medical homes.

Work Environment

Measurement and Evaluation Associates are based out of the CWC PCN corporate office; however, they are required to travel to various clinics with CWC PCN employees and physician members. As travel is part of the role, a reliable vehicle and valid driver’s license are required.

Measurement and Evaluation Associates may be carrying a laptop or other resources when they travel to clinics.

Work Hours

Measurement and Evaluation Associates work in a full-time capacity and shifts are typically scheduled within the core business hours of 8:00 a.m. to 5:00 p.m., Monday to Friday.

Education Requirements

  • Bachelor’s degree in Epidemiology, Biostatistics, Health Informatics, Public Health, Psychology, Economics, Computer Science or a comparable discipline with equivalent experience is required.
  • Master’s degree in Epidemiology, Biostatistics, Health Informatics, Public Health, Psychology, Economics, Computer Science or a comparable discipline is an asset.

Licensing Requirements

  • Valid driver’s license
Physician Liaison

Overview

Physician Liaisons work with CWC PCN member physicians through the promotion, facilitation and enhancement of CWC PCN programs and services. To do this, Physician Liaisons develop strong working relationships and must ensure regular contact with physicians and clinic staff. They must be familiar with the needs of the primary care physicians, as well as knowledge of current provincial initiatives, the political environment and primary care landscape. Physician Liaisons support member physicians by having a strong understanding of the programs and services that are offered by CWC PCN, and provide relevant and timely information. The Physician Liaisons are the point of contact that all member physicians and potential member physicians will have for any concerns or inquiries.

Responsibilities

Physician Liaisons work closely with physicians and their teams, including Medical Office Assistants, Patient Care Coordinators, Improvement Facilitators, Behavioural Health Consultants, and Primary Care nurses, to build strong relationships and generate awareness and enhance knowledge of PCN programs in order to promote the implementation of the Patient’s Medical Home Model. They identify prospective physician members and provide initial overview of CWC PCN programs and services for interested physicians, assist with the physician onboarding and orientation process, and regularly capture physician feedback in an effort to improve the membership experience. They seek and create opportunities to engage physicians and clinic staff in program/service planning and improvement. Physician Liaisons facilitate the gathering of program evaluation data, keep accurate and up-to-date records of physician interactions and regularly research current provincial initiatives and priorities of physician organizations to maintain knowledge of the political environment and primary care landscape.

Work Environment

Physician Liaisons work from various locations including physician members’ clinics, the CWC PCN corporate office, and from their own home office if a teleworking agreement is in place. As travel is necessary between clinics within the CWC PCN area, a reliable and valid driver’s license are required.

Physician Liaisons may be carrying a laptop and other resources when they travel between clinics, the corporate office and their home office.

Work Hours

Physician Liaisons work in a full-time capacity and shifts are scheduled within the core business hours of 8 a.m. to 5 p.m., Monday to Friday. Flexibility is required after-hours to meet the needs of the physicians and to attend training activities and special events.

Education Requirements

  • Bachelor’s degree in a healthcare field, social science, or related field.

Licensing Requirements

  • Valid driver’s license 
Research and Evaluation Advisor

Overview

Research and Evaluation Associates assist in designing and implementing an organizational and clinic evaluation framework to support the current and future business plans for the CWC PCN.

Responsibilities

Research and Evaluation Associates contribute to the implementation and completion of various evaluation projects. This includes evaluation design considerations such as methods, sampling, tool design, and ethical considerations and engaging stakeholders for the purpose of project development and data collection.

Research and Evaluation Associates collect and analyze quantitative and qualitative data and provide support with reporting, visualizing, and disseminating results to maintain improvement activities; they follow up with quality assurance and availability of data, including data testing and cleaning. Research and Evaluation Associates facilitate the secure exchange of data in compliance with privacy legislation and organizational approval procedures.

Work Environment

Research and Evaluation Associates are based out of the CWC PCN corporate office; however, they are required to travel to various clinics to meet with CWC PCN employees and physician members. As travel is part of the role, a reliable vehicle and valid driver’s license are required.

Research and Evaluation Associates may be carrying a laptop and other resources when they travel to clinics. 

Work Hours

Research and Evaluation Associates work in a full-time capacity and shifts are typically scheduled during the core business hours of 8 a.m. to 5 p.m., Monday to Friday. 

Education Requirements

  • Bachelor’s degree in Health Sciences, Social Sciences or a comparable discipline.

Licensing Requirements

  • Valid driver’s license
CWC PCN Physicians
If you are a CWC PCN member physician and you have questions about any of the services provided to our membership, or require access to our physician-only website, please email us at memberservices [at] cwcpcn [dot] com.