Project Leader Patient Transitions

Work Area: 
Shared Care Project
Base Site: 
Hornby Street
Temporary Full Time
End Date: 
Nov 9, 2018
Job Category: 
Management/Non Union

The Project Leader Patient Transitions position will be working in the Shared Care Department under the umbrella of Chronic Disease Management. Shared Care, in partnership with Vancouver Coastal Health, works to identify gaps in the care process for patients with chronic diseases and developas and test prototypes for improvement which are transferable and scalable. The Project Patient Leader will be working on a number of projects that could include systems changes, improving communications, streamlining processes and updating policies.


Reporting to and taking work direction from the Director, Chronic Disease Management, or designate, the Project Leader is responsible for coordinating and implementing project activities related to the chronic disease management continuity of care shared care work to ensure project deliverables are completed on time and on budget and meet the established goals and objectives.

Projects may involve process and communication improvement, work redesign, production, staff redeployment and the provision of strategic information to support those processes and ensure the safe and seamless navigation of patient transitions to other areas of care.

The incumbent will works collaboratively with stakeholders at all levels and inspire others to achieve goals and deliverables through facilitation, effective communication and addressing potential barriers to success. They will Communicate with all levels of staff and management to facilitate consensus, consult, negotiate and share information. As well, they will liaises with staff, consultants, other health care entities and other external agencies, as needed. They will develops sustainable education and operational plans and evaluate outcomes and act as a resource for staff.


-Comprehensive knowledge of project management principles and methodologies and ability to coach staff on these skills.
-Comprehensive knowledge of nursing regulations and their impact on clinical practice with a view to maximizing resource capacity.
-Demonstrated ability to identify, analyse and resolve complex problems.
-Ability to organize work of self, identifying and managing multiple and complex priorities, meet deadlines and work under pressure with minimal supervision.
-Ability to provide leadership and advice to others.
-Ability to work effectively independently as well as in collaboration with others and on teams.
-Ability to utilize initiative, vision, independent thinking and creative problem-solving abilities to implement project plans and realize project completion.
-Broad knowledge of patient care delivery systems in primary, acute and residential settings.
-Demonstrated, effective verbal and written communication skills to function within a complex interdisciplinary environment involving physician and inter-professional communities.
-Effective collaboration, facilitation, persuasion and negotiation skills to achieve consensus, resolve conflict and achieve desired outcomes.
-Ability to work effectively under time pressure to meet deadlines, balance work priorities and resolve problems in a timely manner.
-Ability to operate related equipment and proficiency in word-processing, spreadsheet, presentation, project management and database applications.
-Ability to analyze and report statistical data.
-Physical ability to perform the duties of the job.


Master’s Degree in Nursing, Health Administration or related field and three (3) to five (5) years’ recent, related experience in a complex health care environment that includes managing large-scale projects, facilitating and managing consultation processes with a wide range of stakeholder groups.


Develops project plans, goals, objectives, timelines and deliverables with input from the steering committee and in consultation with Director or designate.
Identifies and evaluates relevant new initiatives, opportunities, developments and trends through literature reviews. Utilizes the literature to ensure evidence based decision making when implementing change. Ensures implementation of best practice based on literature and practice at other national organizations.
Develops and executes a plan for sustainability of the project and for scaling up the different initiatives and prototypes to various areas across PHC.
Executes project plan according to project methodologies, ensures successful and coordinated completion of project components, facilitates consensus with stakeholders as needed, and ensures readiness for project implementation.
Tracks and evaluates project progress according to project plan, monitors and reports to stakeholders on the status of the project and major issues/obstacles encountered. Implements and monitors performance metrics to ensure standards. In collaboration with the Director, makes recommendations regarding project scope changes, rationale for change, seeks consensus and proceeds as needed. Acts as a resource to project team and staff, provides support and maintains project timelines.
Contributes to the implementation of effective processes to ensure project success and to assess project risks, by identifying risk mitigation strategies and monitoring risk throughout the life cycle of the project.
Monitors expenditures, identifies financial issues, seeks to adhere to budget and communicates budget status to Director or designate.
Communicates with stakeholders, project sponsors and the organization on the scope and status of the project, benefits to patients and staff, obligations, responsibilities and changes in processes. Ensures questions and concerns are addressed. 
Meets with stakeholders, explains parameters of project and seeks input from the interdisciplinary team. Establishes project team, roles, responsibilities and structure based on input from stakeholders and identifies team skills and supports required. 
Develops a process of evaluation for project outcomes, data collection and analysis. 
Provides leadership and direction to staff to meet target dates. Conveys policies and priorities and ensures issues are resolved or escalated to ensure project deliverables are met. 
Collaborates with team to develop and promote flexible and sustainable education and training strategies and works with project team to gain commitment to implemented processes. 
Utilizes the “Triple Aim Framework” for quality improvement 
Liaises and engages with the PHC Research and Development team as necessary. 
Participates on a variety of committees and establishes positive working relationships in order to ensure successful outcomes and cooperation from others on the project. 
Integrates the mandate of the project plan with existing services and programs where possible, in order to strengthen the project and ensure responsible use of human and fiscal resources. 
Performs other related duties as assigned.