Geriatric Assessment Clinician – Registered Nurse or Pharmacist

Reporting to the Program Manager or designate, the Geriatric Assessment Clinician (Registered Nurse or Pharmacist) supports the delivery of Senior Primary Care Services in the central EOPCN office.  The Geriatric Assessment Clinician uses the nursing and/or pharmacological methodologies as a member of, and in collaboration with, the multidisciplinary team, in the delivery of consistent quality care to meet the needs of the patient.

This is a temporary position for an anticipated term of 12–18 months, with a possibility of transitioning to a permanent position based on organizational needs and ongoing program requirements

KEY RESPONSIBILITIES & DUTIES

The Geriatric Assessment Clinician is primarily responsible for conducting comprehensive geriatric assessments and managing patient referrals within the Seniors’ Community Hub program.

The Geriatric Assessment Clinician provides optimal primary care for frail geriatric patients with chronic disease or complex care needs which include:

• Completing comprehensive geriatric assessments addressing medical, functional, cognitive, medication-related, psychosocial and social needs.
• Developing individualized, evidence-informed care plans in collaboration with patients, families/support persons, primary care providers and the interdisciplinary team.
• Providing recommendations related to geriatric syndromes, chronic disease management, medications and functional concerns to the patient’s primary care provider.
• Coordinating care and connecting patients with appropriate healthcare, community and social supports.
• Advocating for older adults with complex needs supporting patients and families in navigating available services.
• Documenting assessments, recommendations and care plans in the electronic medical record and communicating findings to the referring provider.
• Participating in interdisciplinary case reviews & team meetings as well as quality improvement projects and interdisciplinary care team improvement activities.

QUALIFICATIONS:

• Bachelor of Science in Nursing or Pharmacy from an accredited institution, with active registration and good standing with CRNA or ACP.
• Minimum two years of relevant clinical experience, preferably working with older adults in primary care, community, acute care, continuing care or supportive living.
• Strong knowledge of geriatric assessment, common geriatric syndromes, and cognitive and functional assessment.
• Knowledge of medication management and pharmacotherapy considerations in older adults, including polypharmacy and medication-related risks.
• Knowledge of chronic disease management relevant to older adults, including diabetes, hypertension, COPD/asthma and heart failure.
• Excellent clinical judgment and demonstrated ability to develop care plans, coordinate services, and work collaboratively within an interdisciplinary, patient- and family-centred model of care.
• Strong knowledge of healthcare, community and social resources for older adults and caregivers.
• Proficiency with electronic medical records and Microsoft Office applications.
• Current CPR/BLS for Healthcare Providers certification.
• Geriatric certification, case management training, and training in cognitive assessment tools such as MoCA or SLUMS are considered assets.
• Physically capable of performing duties related to position (i.e. assisting clients with physical disabilities such as assisting to a chair, some lifting a variety of clinic equipment or teaching materials.
• Valid driver’s licence and access to a vehicle are required for travel within Edmonton.
• Satisfactory Criminal Record Check and Police Information Check, including Vulnerable Sector Check, is required.