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It’s about providing the highest quality patient care by placing the needs of our patients first. At PHSA, you’ll discover a culture of teamwork, professionalism, mutual respect and, most importantly, a life-changing career. Find yours now.

Patient Care Coordinator, Heartwood, BC Mental Health and Substance Use Services

Patient Care Coordinator, Heartwood, BC Mental Health and Substance Use Services - Casual Status

ADS Programs, Vancouver, $43.09/hr. - $52.82/hr.


What you do


  • Coordinates client care related activities and provides leadership in the planning and implementation of innovative and creative approaches for the delivery of services. Promotes quality of care by consulting and collaborating with interdisciplinary team members to help establish appropriate goals of care and individualized care plans considering the patient’s/client’s physiological, psychological, spiritual and sociocultural needs.
  • Assists staff in operationalizing care standards, client care guidelines, protocols, clinical pathways and organizational policies. Works with patients/clients/families and the team to minimize variances from the standardized elements of care and length of stay as described in the clinical pathway. Facilitates the evaluation of services to ensure program and service needs are met.
  • Attends and participates in initial client care evaluations and admission meetings as a member of an interdisciplinary team by providing input on a variety of care issues, practice effectiveness and administrative decisions according to client care standards. Assesses the patient’s/client’s overall needs, conducts risk assessments, formulates initial diagnostic impressions and determines priority of care requirements.
  • Reviews client progress and client/family needs. Provides formal and informal consultation as needed to health care team members, other health care providers and students. Provides guidance/knowledge in the management of care in a client/group in defined area of clinical expertise. Promotes interdisciplinary collaboration for treatment concerns, continuity of care, crisis management protocols and community resource coordination. Assists with therapeutic interventions and problem solving, provides clinical guidance and information on complex cases, discusses client care issues and develops linkages/partnerships to meet client need.
  • Establishes, maintains and enhances therapeutic relationships based on respect with client. Engages others in treatment planning and evaluation, provides follow-up planning, supports patients/clients to manage self-care, encourages informed decision making and empowers client to improve quality of life. Teaches client about management/treatment of medical conditions.
  • Collaborates with multidisciplinary team to organize and implement group sessions according to the needs of the client population and their identified goals. Provides continuous communication with team members and works collaboratively with staff, management and outside agencies in the identification and resolution of client/family care issues, cultural and language barriers, ethical dilemmas, coordination and integration of care.
  • Facilitates discharge planning by supporting nursing practice and interdisciplinary team in delivery of ongoing care and discharge planning along usual care path. Liaises with care management leaders (CMLs)/transition support coordinators and community care providers as applicable during discharge planning to ensure successful transition to home or other health care facility. Collaborates with interdisciplinary team and other health care providers in the identification and resolution of client care issues, such as defining appropriate lengths of stay, by ensuring care standards are based on clinical practice guidelines, protocols and clinical pathways.

What you bring

  • Graduation from an approved School of Nursing with current practicing registration as a Registered Nurse or Registered Psychiatric Nurse with the British Columbia College of Nursing Professionals (BCCNP).
  • Completion of post basic specialty nursing certificate/program if applicable, and three (3) years' recent, related experience in the designated clinical area, including working with the applicable population group when indicated, and one (1) year's related administrative/supervisory experience or an equivalent combination of education, training and experience. Valid BC Driver's License and access to personal vehicle for local area travel may be required.
  • Valid BC Driver's License and access to personal vehicle for local area travel may be required.
  • Current CPR Certification

What you have


  • Knowledge of mental disorders, addiction and concurrent disorders and treatment, and of the principles of recovery.
  • Psychosocial Rehabilitation methodology, chemical dependency and addictions treatment, psychopharmacology (indications and side-effects) and psychotherapeutic and counseling skills.
  • Trauma-Informed Practice and its application to the defined population of clients
  • Provide effective leadership, supervision, work direction and consultation.
  • Conduct comprehensive mental health and addiction clinical and risk assessments, utilizing relevant tools and rating scales, and formulate a treatment plan, participate in discharge planning and provide crisis intervention.
  • Apply knowledge of theory and practice to a case management process.
  • Communicate (orally and in writing) and collaborate effectively with clients and their families, coworkers, physicians, other health care staff, and staff of external agencies.
  • Primary, secondary and tertiary care programs and relevant, community resources.
  • Health care disciplines and their role in client/family care and service provision.
  • Legislation and government policies and procedures that relate to client, including the BC Mental Health Act.
  • Develop and deliver educational materials for staff/patients/clients and families based on education theories, principles and best practices.
  • Promote a supportive, creative learning environment and lead continuous quality improvement.
  • Ability to perform CPR.
  • Computer literacy to operate a computerized client care information system as well as applicable word processing, spreadsheet and database software applications.


What’s in it for you


Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future.



$43.09/hr. - $52.82/hr.

0600-1630; 1300-2330

Heartwood, 4500 Oak Street, Vancouver

Applications will be accepted until position is filled.

Mon, Tues, wed, Thurs, Fri - 0800-1600hrs

Requisition Number: 103924


What we do


The Heartwood Centre for Women is for women from across British Columbia, including trans women, over 19 who live with severe substance use challenges. The program is designed for those who have experienced several relapses, and whose treatment needs are beyond what local community health resources or health authority can meet.


Provincial Health Services Authority (PHSA) plans, coordinates and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Cultivate partnerships – Serve with purpose. Learn more about PHSA and our programs:


PHSA is committed to employment equity and hires on the basis of merit, encouraging all qualified individuals to apply. We recognize that our ability to provide the best care for our diverse patient populations relies on a rich diversity of skills, knowledge, backgrounds and experiences, and value a safe, inclusive and welcoming environment.


ATTN: PHSA Employees:


To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at    


Please note the internal job posting will no longer be accessible after the expiry date of March 2021. If the internal job posting has expired, please contact the Internal Jobs Help Desk and advise that you would like to be considered as a late internal applicant for this position. Please do not apply for the external job posting.


If you have not registered your internal profile, a password is required to log in for the first time. To obtain your password, please contact the Internal Jobs Help Desk at 604-875-7264 or 1-855-875-7264. Please note regular business hours are Monday – Friday (excluding stats), 8:30am to 4:30pm. For inquiries outside of regular business hours, please email the Internal Jobs Help Desk at and a Help Desk Representative will contact you the next business day.