Health Manager/Community Health Nurse

Health Manager/Community Health Nurse

Internal Employment OpportunitiesHealth Manager/Community Health Nurse

Health Manager/Community Health Nurse

Permanent Full Time

October 20, 2021

North Vancouver - Tsleil-Waututh Nation Health Clinic

Health & Wellness


Based on education & experience


Reporting to the Director of Health & Wellness, this position combines two roles: Health Manager and Community Health Nurse (CHN).

The Health Manager is responsible for the overall clinical and administrative leadership and management of the Community/Public Health and Home and Community Care programs. The Health Manager ensures the Community/Public Health and Home and Community Care teams produce high quality and timely health services and interventions using culturally appropriate practices and best practice standards of care.  The Health Manager works with the clinic Registered Nurses, administrative staff, support workers and other health professionals on professional practice and administrative issues. They will ensure the Community/Public Health and Come and Community Care programs remain financially sustainable and work to expand the programs, while delivering high quality community health and home care services to the community.

The Community Health Nurse, in collaboration with the community and other members of the Health Department, will contribute to the overall health of the TWN community using a population health and community development framework. The CHN promotes traditional and cultural approaches to health practices. The CHN demonstrates knowledge and skills in assessing, planning, implementing and evaluating community health nursing programming based on local knowledge and information; morbidity, mortality and other statistics; population health, and current preferred practice as related to community health nursing practice.  The CHN possesses an understanding of the social determinants of health and demonstrates values of community health promotion, commitment to the creation of health partnerships, community members as equal partners, and community development strategies. The CHN advocates for community members immediate and long-term health needs by working collaboratively with Health staff and external health partners and agencies to improve care offered and to ensure that all CHN programming is being delivered in a culturally safe and respectful manner. The department’s concept is one of Holistic Care within the parameters of the Medicine Wheel Wellness Model.



The Health Manager is responsible for key business decisions, the day-to-day operation of the Community Health and Home and Community Care programs, and provides clinical supervision as needed. They will develop and maintain positive working relationships in collaboration with internal Managers, external agencies and community service providers regarding population health, chronic disease management, and palliative care.  mental health and addictions services. Within an Indigenous worldview, the manager supports/promotes a holistic approach and can work effectively with culturally/economically diverse populations. This position requires strong and effective decision-making, problem-solving, conflict-resolution, organizational, administrative and time management skills.

Other responsibilities will include, but are not limited to:

  • Hire staff in consultation with HR
  • Manage human resource staffing activities, issues, and concerns, including recruitment and retention, and performance management of staff
  • Supervise, train and mentor staff
  • Ensure probationary and annual performance reviews/evaluations are completed for all staff
  • Ensure TWN Policy and Procedures are adhered to at all times
  • Ensure positive communication strategies are used with and among staff and between staff and community members and/or families served
  • Develop and implements program policies and strategies, patient services and evaluation tools that meets the goals, vision, mission of the Tsleil-Waututh Nation and the Health & Wellness Department.
  • Oversee Community Health and Home and Community Care budgets, reporting to the Director on the program budgets and managing all funding obligations, as per the Funding Agreements.
  • Ensure effective case management of all patient files to facilitate implementation and coordination of patient care plans.
  • Ensure professional patient care through interacting with patients and gaining feedback regarding the services.
  • Oversee the production of patient brochures, newsletters and other correspondence to communicate offered services and programs to TWN community members
  • Control the supply of medications, vaccines, and medical equipment applicable to the programs in collaboration with the Community Health Nurse and the Home and Community Care Nurse.
  • Provide staff supervision and coordinates training and education opportunities related to Community Health and Home and Community Care.
  • Liaise and work cooperatively with local pharmacists, laboratories and other diagnostic agencies to provide collaborative care for all patients.
  • Build and maintain effective working relationships and attends meetings with Vancouver Coastal Health, First Nations Health Authority and other Indigenous organizations that affect Community Health and Home and Community Care services.
  • Prepare funder reports regarding program progress in meeting targets as per signed agreements. Compile program statistics, maintain databases, monitor indicators, provide statistical outcome analysis of Community Health and Home and Community Care programs, and submit recommendations regarding improvements to the programs to be reviewed by the Director.
  • Stay current and pursues continuous professional development by attending conferences, caucuses, events and symposia on Indigenous health, Community Health, and Home and Community Care as requested by the Director.
  • Manage special projects/ programs related to Community Health and Home and Community Care; and represent the Director on program developments as needed.
  • Manage staff.
  • Supervise the health and safety of employees and adheres to workplace health & safety policies, safe work practices and procedures.
  • Participate as a member of the Health & Wellness Department.



Communicable Disease Control (CDC) Programming

  • Assures a comprehensive CDC program, including but not limited to a focus on vaccine preventable diseases, influenza, HIV, Hepatitis A, B & C, sexually transmitted infections (STIs), and tuberculosis (TB).
  • Supports community awareness on immunizations and other communicable diseases (prevention, early detection, transmission and control strategies).
  • Provides programming on prevention, early detection, and CDC response as outlined by Medical Health Officer (MHO), FNHA CDC Team, and BCCDC Guidelines.
  • Plans, implements and evaluates immunization programs for infants, children, adults, elders and members of the community deemed to be at higher risk.
  • Assesses needs/strengths/resources, plans, implements and evaluates the TB Programming for the community as per the BCCDC and FNHA TB Manual
  • Ensures that required training is completed and competency is maintained (including current immunization certification, transportation of dangerous goods (TDG), and CPR (including infant) certification.
  • Ensures that the CDC references are kept up-to-date.
  • Ensures that there is regular maintenance of CDC equipment and that BCCDC recommended CDC supplies are available.
  • Ensures that cold chain principles are adhered to.
  • Ensures that mandatory CDC and immunization coverage reporting is completed in a timely fashion.
  • Maternal and Newborn Health
  • Assesses needs/strengths/resources, plans, implements and evaluates prenatal, postnatal and newborn programming
  • Provides or supports mothers with prenatal programming
  • Provides prenatal, postnatal and newborn education and support programming (i.e. injury prevention, SIDS, nutrition, lifestyle and health practices, growth and development, prenatal care, newborn care, breast feeding, physical & emotional care, and when to seek medical attention).
  • Provides referrals to other health professionals or programs as required.
  • Infant and Child Health
  • Assesses needs/strengths/resources and plans, implements and evaluates child health programming.
  • Provides assessments and screening aimed at early intervention for identified health and development concerns (vision and hearing screening, speech and language development, physical growth).
  • Provides referrals to other health professionals and programming should a delay or health concern be identified.
  • Works in collaboration with other health and education staff in the promotion of child health programming.
  • Provides information and education for parents, other care givers or staff (i.e. injury prevention, growth and development, parenting, anticipatory guidance, nutrition, oral health, environmental risks such as sun exposure, wood ticks and water safety).
  • Works towards ensuring community-based family preservation and the integrity of kinship, while ensuring child safety and following mandatory First Nations child protection protocols.
  • Youth Health
  • In collaboration with community youth, youth coordinator, youth workers, teachers, health staff, and others delivering youth programming, assesses needs/strengths/resources, plans, implements and evaluates youth health programming (i.e. healthy relationships, healthy communication, injury prevention, healthy lifestyle, emotional well-being, puberty, and healthy sexuality).
  • Provides a referral to other health professionals or programs as required.
  • Chronic Disease
  • Assesses needs/strengths/resources, plans, implements and evaluates programming around chronic disease (ie. prevention, early detection of illness, understanding the illness and how to maintain a healthy state with the disease, and when to seek medical attention)
  • Refers to other health professionals or agencies as appropriate
  • Environmental Health and Emergency Preparedness
  • Works in collaboration with the environmental health officer (EHO), health staff, and other staff members in planning prevention awareness programs
  • Is informed about current surveillance programming and supports EHO when addressing any environmental challenges such as mold in home, boil water advisories, rodents, or CDC outbreak that relates to the environment
  • Collaborates with the FNHA Pandemic and CD Emergency nurse specialist around the nursing role within the emergency preparedness plan
  • Addictions and Harm Reduction
  • In collaboration with other health care workers, assures addictions prevention, intervention and treatment service
  • In collaboration with other health care workers, assists with outreach to community members deemed to be at high risk to offer prevention and harm reduction services
  • Injury Prevention
  • Understands the major sources of injury in the community, and predisposing factors
  • Assesses needs/strengths and resources, plans, implements and evaluates injury prevention programming
  • Offers injury prevention education as appropriate
  • Reports, Documents, Data Bases and Client Records
  • Ensures that required month end and annual reports are completed in a timely fashion
  • Ensures data bases are maintained in all core programs, including prenatal, chronic disease and immunization recall systems, for use in annual reporting, programming evaluation/planning and emergency preparedness
  • Ensures all client care is documented in the client record according to agency policy and British Columbia College of Nursing Professionals (BCCNP) standards
  • Ensure that confidential information is securely stored and information released according to agency policy, BCCNP standards and current legislation.
  • Perform other duties as required.



The ideal candidate will have:

  • Master’s Degree in Health Care discipline or relevant/related degree from a recognized post-secondary institution. Willing to consider a Science in Nursing Bachelor’s degree plus a minimum of 6-7 years of relevant/related work experience.
  • 4 – 5 years of directly-related experience in the majority of duties listed in the job description including nursing, public health, home and community care, health care management, community health and assessment, etc. Must have a minimum of 3 years previously demonstrated work experience managing a team of five or more.
  • Current Occupational First Aid and Level C CPR Certification, BC Immunization Competency Program Certificate. Foot Care Certification is an asset.
  • Must have a valid BC Driver’s License Class 4 or 5. Class 7N may be considered.
  • Must have a reliable vehicle and current auto insurance.
  • Must pass a Criminal Record Check – vulnerable populations.
  • Commitment to continuing professional development. Willing to participate in job-related workshops, courses or training to further skills, knowledge and competencies as required. As career progresses, incumbent will be required to successfully complete job-required, short-term upgrading, training and courses
  • Advanced experience working with health records databases (i.e. EMRs: Oscar, Panorama)
  • Experience working respectfully with clients and health department staff in a culturally safe, relational and inclusive manner.
  • Previous work experience in Home and Community Care and Community Health Nursing with First Nations is an asset. Respectful of individual, family, community and Nation, and the right to self-determined approaches to health and well-being.
  • Interest in critical self-reflection and continual cultural competency development and training.
  • Must be able to travel.
  • Must be able to work occasional evening and weekend shifts.



  • Demonstrated experience and knowledge in quality improvement processes, change management and working collaboratively in a client-centered approach.
  • Exceptional knowledge in the areas of Public/Community Health, infant, childhood, youth, and adult immunizations, Well Baby Programs, and health promotion.
  • Knowledge of TWN cultural and spiritual practices related to health and palliative care.
  • Experience as an advanced level user of the internet, Microsoft Office Applications i.e. Outlook, Word, Excel, etc.
  • Excellent interpersonal and communication skills to facilitate a connection with community members.
  • Understanding of the current and historical culture of the Tsleil-Waututh Nation an asset.
  • Knowledge of local community resources and agencies.
  • Seeks guidance from First Nations leadership in order to validate and integrate First Nations knowledge into all aspects of health and well-being.
  • Knowledge of strategies for health promotion, disease and injury prevention, social determinants of health
  • Alignment with the ethical obligation of nursing to recognize the primacy of First Nations sovereignty – which includes the recognition that First Nations people control land, water, health and wellness.



Physical Demands

  • Intermittent physical activity including walking, standing, sitting, lifting and supporting clients.
  • May be exposed to occupational hazards such as infectious waste, diseases and chemicals.
  • Manual dexterity required to use desktop computer and peripherals.
  • Mental Focus
  • May deal with individuals who can, from time to time, be demanding and challenging. Must be able to remain patient and calm, and may have to engage in conflict resolution.
  • Environmental Conditions
  • The noise level is generally quiet, but at times noise could escalate.
  • Must be able to work relatively independently and deal with issues of personal safety because this position is outside the controlled environment of a hospital.


If this role interests you, please click the link below to directly apply.

Health Manager/Community Health Nurse

Or send your Resume and Cover Letter to

We appreciate everyone’s interest in the role, however only shortlisted applicants will be contacted.