Primary Care Nurse (Full-time, Permanent)

Reporting to the Manager of the Patient Care Team, the Primary Care Nurse (PCRN) is a regulated member of the inter-professional healthcare team utilizing collaboration, innovation and teamwork in the provision of primary care services that will help build and sustain a community of Patient Medical Homes (PMHs) within the Calgary West Central Primary Care Network (CWC PCN). The PCRN provides comprehensive, quality nursing services to the patient population in member clinics within the CWC PCN.



Clinical expertise

  • In collaboration with the PMH team, the PCRN facilitates the comprehensive delivery of chronic disease self-management education, screening and healthy lifestyle support (e.g., diabetes, obesity, COPD, asthma, chronic pain, influenza vaccines) with clients and families. The PCRN uses all aspects of the nursing process to support patients to satisfactory health outcomes.
  • Counsels and guides patients on symptom management, health maintenance and rehabilitation strategies, as well as risk factors and lifestyle changes and involves them in decision-making and self-management.
  • Provides and coordinates screening for (but not limited to) health issues, such as diabetes, hypertension, cholesterol, cardiovascular health, mental health, and cognitive function.
  • Implements and facilitates groups for chronic disease conditions and health promotion where relevant.
  • Employs educational strategies and motivational interviewing skills to support behaviour changes to enhance health (e.g., smoking cessation, physical activity, healthy eating); and assesses patient’s current knowledge, education and literacy levels, social supports, learning preferences and other factors that may affect the education approach and plan. The PCRN also evaluates and documents readiness of the patient.

Patient-centred care

  • Completes comprehensive and person-centred assessments, develops care plans synthesizing health assessment information and uses critical thinking and clinical reasoning skills to identify health concerns and sustainable, realistic interventions in partnership with the patient. The PCRN provides appropriate patient education and followup in collaboration with the PMH team. The PCRN views all patient interactions from a holistic perspective, including the patient’s understanding of their health/illness experience.

Quality improvement

  • Collaborates with the PMH team to identify patient groups and target goals to improve patient care. This includes working with the PMH team to create care plans for chronic disease patients, working with the PMH team to coordinate comprehensive screening for health issues (e.g., ASaP Maneuvers, CPG recommendations), monitoring changes over time as a result of improvement goals, documenting improvement goals and expected outcomes,  and collecting relevant information to inform change. The PCRN is as an active participant in measuring patient outcomes as well as providing ongoing feedback to and collaboration with the PMH team.
  • Participates in the identification of new service requirements and addresses deficiencies in current services for the benefit of patients.
  • Supports the patient population and the PMH team by staying informed of current trends in primary care nursing and sharing that information where relevant.
  • The PCRN participates in program evaluation initiatives and submits data as required into CREDIT and utilization tracking tools.


The ideal candidate is a Registered Nurse with a proven track record working within a primary care team. This nurse will have extensive experience in managing patients with chronic diseases.

Education: Bachelor’s degree in Nursing and current College and Association of Registered Nurses of Alberta registration and membership in good standing is required. Canadian Diabetes Educator certification is required or the willingness and eligibility to complete (minimum 800 hours of practice in diabetes education). Additional certifications in chronic disease management (e.g., Certified Respiratory Educator) are desirable. Professional education related to quality improvement (QI) in the workplace and on teams is an asset.

Experience: Broad clinical practice, including specific experience in chronic disease such as diabetes, hypertension, weight management/fitness, and respiratory (asthma, COPD) management is required. Clinical experience in a primary care setting is desirable. Previous experience in group facilitation and patient teaching is desirable.   Experience with successful QI initiatives in the workplace and on teams is preferred. Familiar with or willing to learn HealthChange® Methodology is an asset. In the interview, candidate must be able to provide concrete examples of clinical experience as well as discuss all topics mentioned here to demonstrate knowledge in these areas.

Organizational and problem-solving skills: Ability to multi-task and prioritize. Strong organizational skills. Proven ability to work under pressure and meet deadlines in a highly challenging environment.

Communications and customer-relations skills: Strong communication, interpersonal and relationship-building skills; able to handle requests and complaints in a professional, non-confrontational manner. Excellent followup and problem-solving skills with ability to make intuitive decisions. Discretion and ability to handle sensitive information and material appropriately.

Attention to Detail: Precision, accuracy and high attention to detail in all aspects of work.

Team-Oriented: Ability to work effectively independently as well as with a team.

Technical Proficiency in computers, Microsoft Office Suite and Electronic Medical Records systems. Experience in and/or willingness to learn platforms such as Basecamp, Dayforce and digital health is required.

Additional Requirements

  • Fully valid driver’s licence and reliable vehicle required.
  • A clear Criminal Background check, inclusive of a vulnerable sector search, is required to start. If you have resided outside of Calgary in the past 12 months, you will need to contact the local police or RCMP detachment in your previous residential municipality to be able to obtain a full report.
  • Current Basic Life Support for Health Care Provider (C) or Health Care Provider CPR and First Aid (Standard or Emergency).

Why Work for Us?

Employees of the CWC PCN enjoy a competitive salary and benefits package that includes employer-paid premiums for health and dental benefits, healthcare spending or wellness account, learning account, eligibility to contribute to our group RRSP plan and receive an employer match, flexible working options, generous vacation and personal time off allowances, and education days, as well as professional development opportunities.

The CWC PCN is a leader in the provision of primary care through collaboration, innovation and teamwork, creating healthy patients and satisfied providers.


Due to the high volume of applications we receive, only those who apply through the CWC PCN website will be moved forward in the recruitment process. This is a necessary step as we require some important information from our online application form. Please include your cover letter and resume when submitting your application.

We thank all applicants for their interest; however, only shortlisted candidates will be contacted.

Posting will remain open until a suitable candidate is found.



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.