Southern Medical Clinic jobs

Status: Full-time or part-time (0.8-1.0 FTE) contract ending December 2027

Schedule: Monday - Friday, evenings and weekends may be required

Location: PCBH providers work within South Calgary family doctors' offices

Reports to: Program Manager, Primary Care Services

• Adheres to organized, evidence-based models of care, and works with the patient’s medical home team to assess, treat, and support patients with emotional and/or physical health concerns by developing goal directed, patient centered, health plans.
• In collaboration with the patient and medical home team, regularly monitors, evaluates, and adjusts the patients’ health plan based on effectiveness of interventions and/or changes in condition or environment
• Identifies patient concerns rapidly and uses appropriate assessment approaches and tools to inform; treatment, clinical consultation, education, and referrals for patients.
• Supports patients in navigating services, while maintaining principles of informational, relational and management continuity.

• Acquires and maintains a comprehensive understanding of community services and referral processes, including diagnostic services, specialists, hospital care, rehabilitation and support programs and educational programs
• Works collaboratively with the medical home team in scheduling appointments and arranging follow-ups and consultations, while continuously striving toward timely access to care for patients.
• Works in collaboration with SCPCN Practice Facilitators and Medical Home Panel manager to develop panel identification strategies to detect patients “at risk” for physical or psychological deterioration.
• Works in collaboration with the medical home team, to provide comprehensive team-based care, through regularly scheduled consultations with physicians
• Collaborates with SCPCN centralized services and community‑based programs to promote smooth, coordinated transitions in care for patients and families

• Bachelor’s degree in Nursing, Registered Psychiatric Nurse, or Bachelor’s degree in Social Work
• Registration with relevant College as recognized by the Health Professions Act
• Current CPR-BLS certification
• Minimum 2-3 years’ experience working as a Registered Nurse or Social Worker in community-based settings
• Previous experience working within a medical home/integrated care model or primary care setting
• Previous experience using Electronic Medical Records (EMR’s)
• Previous experience with group development, facilitation, or instruction an asset
• Experience and training in Primary Care Behavioral health models, Health behavior change methods (eg Motivational Interviewing) and/or Cognitive Behavioural Therapy an asset

• Personable with excellent Interpersonal communication skills (written and verbal)
• Collaborative and resourceful
• Flexible, adaptive and adept at thinking quickly, without preparation
• Interested in learning and educating
• Strong teamwork skills, able to adapt to high productivity environments
• Able to handle stress, chaos, and unpredictability in a calm and effective manner
• Comfortable in fast-paced environments
• Systems oriented

• Able to travel between clinics with valid driver’s license and access to own car in good repair is required
• Ability to work from home may be required
• Evenings and weekends may be required
• Two supervisory references required
• Criminal and vulnerable sector background check required

• 100% employer paid health, vision, and dental benefits
• Health spending/wellness account
• Generous vacation, sick and flex days
• Professional development account and opportunities
• Free parking available at site