Career Profiles

Clinical Roles

Primary Care Nurse

Overview

Primary Care Nurses provide comprehensive nursing services to the patient population in physician members’ 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 health status including physiological, psychosocial, economic, learning, cultural and spiritual factors affecting health and well-being. 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 patients’ electronic 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 within the core business hours of 8 a.m. to 5 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, or eligibility to complete, 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 educators to provide holistic and comprehensive care to the needs of a 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 health and well-being. They initiate and implement management strategies and provide 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 of progress, response to treatment and promotion of 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 physician members’ clinics, and working from the Primary Care Centre, CWC PCN’s appointment-based clinic offering enhanced access to health care on a short-term basis. As travel is part of the role, a reliable vehicle and valid driver’s license are required.

The work environment may be physically demanding during home visits, which can include lifting or supporting a patient and transporting 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 and they are typically co-located at physician members’ clinics. Shifts are scheduled within the core business hours of 8 a.m. to 5 p.m., Monday to Friday.

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 (CNA) 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 ability 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 to provide appropriate care and treatment. Licensed Practical Nurses utilize the EMR (electronic medical record) system in maintaining accurate and timely records 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 they may need to assist with moving patients.

Work Hours

Licensed Practical Nurses 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 core business hours of 8 a.m. to 5 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 ability 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 (electronic medical record) 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 within the core business hours of 8 a.m. to 5 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 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. They 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 General 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 in a full-time or part-time capacity and shifts are scheduled within the core business hours of 8 a.m. to 5 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) practice permit in good standing
  • Canadian Nurses’ Association (CNA) advanced nursing practice certification as a Nurse Practitioner
  • 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 plans and provide an interpretation of assessment findings and treatment recommendations to clients, 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, facilitating caregiver and other supports and acting as a liaison to education or support groups. They identify and implement strategies to improve the client’s 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 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 within the core business hours of 8 a.m. to 5 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

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 preventative 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 tests are available for review with a physician, and referring patients to other relevant programs based on their needs. Patient Care Coordinators assist physicians to effectively manage the patient panel.

Work Environment

Patient Care Coordinators are co-located in one or more 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 or part-time capacity and shifts are scheduled within the core business hours of 8 a.m. to 5 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 guide and assist with quality improvement initiatives that support member physicians to provide a patient-centered medical home model of practice. To do this, Improvement Facilitators are trained to provide technical support with various EMR (electronic medical record) systems and to have confident facilitation skills to guide members through each phase of the panel continuum. Improvement Facilitators support member physicians in meeting Alberta Screening and Prevention guidelines as well as with customized quality improvement projects. These tasks will be tailored to the clinic depending on where the physicians are at in the panel process.

Responsibilities

Improvement Facilitators work closely with physicians and Patient Care Coordinators to maximize the utilization of the EMR system in order to generate, maintain and manage a patient panel. They support team members with the screening and prevention process as well as the standardization of data entry and reporting. 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 office 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 within the core business hours of 8 a.m. to 5 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 core 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 Analysts 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 Analysts 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 Analysts 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 Analysts provide 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 Analysts 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.

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

Work Hours

Measurement and Evaluation Analysts 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
Research and Evaluation Advisor

Overview

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

Responsibilities

Research and Evaluation Advisors 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 Advisors 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 Advisors facilitate the secure exchange of data in compliance with privacy legislation and organizational approval procedures.

Work Environment

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

Work Hours

Research and Evaluation Advisors 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
Clinical Educator

Overview

Clinical Educators provide clinical expertise in the management of chronic disease to the medical home teams that are co-located in physician’s offices and those clinical team members that operate out of the Primary Care Clinic.

Clinical Educators engage with co-located employees including Primary Care Nurses, Social Workers and Patient Care Coordinators and ensure that they are following best practices in chronic disease management. They work closely with the PCN Area Managers to identify those clinicians who may need enhanced training or education. Clinical Educators support the co-located employees with any clinical questions that may arise from their respective practice, provide any necessary guidance and/or consultation regarding a wide range of chronic diseases and help provide clinical mentorship, knowledge and support to newly hired employees.

Responsibilities

Clinical Educators are responsible for coordinating and facilitating the growth and development of clinical knowledge and skills related to chronic disease management within the co-located teams. They work in collaboration with the Learning and Development team to source and/or develop education materials to address gaps in team knowledge and skill, and they deliver education sessions to co-located individuals and groups within the CWC PCN. Clinical Educators remain informed of training and education developments in the field of primary health care and chronic disease management to effectively deliver education to the co-located teams.

Work Environment

Clinical Educators work from various settings including the CWC PCN corporate office; CWC PCN physician members’ clinics, where they provide support to clinical team members; and from the Primary Care Centre, where they deliver group education sessions to clinicians. As travel is a necessary part of the role, a reliable vehicle and valid driver’s license are required.

Clinical Educators may be carrying a laptop and other resources when they travel to clinics.

Work Hours

Clinical Educators work in a full-time capacity and shifts are typically scheduled within the core business hours of 8 a.m. to 5 p.m., Monday to Friday. Occasionally, there may be a requirement to work evenings and weekends to accommodate training schedules.

Education Requirements

  • Bachelor’s degree in Nursing from an approved health care program is required
  • Canadian Diabetes Educator (CDE) certification, or eligibility to complete, is required
  • Certified Respiratory Educator (CRE) certification is desirable

Licensing Requirements

  • College and Association of Registered Nurses of Alberta (CARNA) practice permit in good standing
  • 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.