AVI Health and Community Services
Location
Nanaimo, British Columbia
Salary
CA$41 - CA$56 / HOUR
Provide comprehensive nursing care, assessment, and medication administration for clients with complex health needs, specifically those affected by substance use and bloodborne infections. Deliver harm reduction services, outreach, and systems navigation within an interdisciplinary team to support marginalized populations.
Requires a Registered Nurse designation with BCCNM registration and a minimum of 3 years of experience in substance use and HIV/AIDS care. Must possess a valid BC Driver's license, CPR/BLS certification, and a commitment to trauma-informed, equity-oriented practice.
Provide intake, assessment, access to medication, education, referral, advocacy, follow-up and support for clients requiring OAT, Primary Care, STBBI, PrEP, PEP, and EHR services. Provide care and support to individuals with high levels of poly-substance use, a variety and complexity of acute and chronic conditions, related but not exclusive to conditions of poverty and criminalization. Assist clients with a variety of income, medical, and disability forms/documents including but not limited to PWD, nutritional supplementation, ICBC, etc. Support clients who may be eligible for Hepatitis C treatment and follow-up. Work as part of an interdisciplinary team to provide outreach services and harm reduction supplies to vulnerable/marginalized clients and communities who are at high risk for HIV/AIDS, HCV, blood borne infections. Provide support to clients that includes primary and specialist care, mental health, sexual health, wound management, diagnostic and laboratory services, and medication adherence/management. Provide systems navigation, advocacy and active referral to housing, disability, mental health, and substance use services, nutrition support, and other relevant services. Provide Harm Reduction support through collaborative, risk reduction strategies, education, distribution of harm reduction supplies, overdose prevention education, including Naloxone training and distribution. Work independently and collaboratively with the AVI Nanaimo team to support people contemplating or accessing pharmaceutical alternatives to illegal/toxic substances in a variety of settings, such as parks, drop-in centers, shelters, supported housing units, and overdose prevention sites, etc. Provide education, information, and appropriate referrals, responsive to the self-identified needs of participants to manage their health, enhance the understanding of their health status, and navigate through the diverse services, and community supports related to their care. Identify the health issues, behaviors, needs, barriers and challenges for an at-risk population. Participate in multidisciplinary case coordination for clients living with HIV and/or HCV. Collaborate with participants and the AVI Team to develop and maintain individualized care plans, providing ongoing monitoring and support with clients, in accordance with the care plan. Initiate, administer, and document any publicly funded vaccines provided to eligible clients/participants. Provide screening, assessment and administration of medications as ordered by the program prescribers/physicians. This includes the dispensing and administration of OAT medications and controlled substances. Provide pre- and post-test counseling for the HIV antibody test, test results and ongoing support and referral to meet the needs of clients. Provide harm reduction education, counseling and support from a nursing perspective on issues relating to Sexually Transmitted Infections (STI), HIV, and blood borne infections; in the clinic and non-traditional settings such as bars, drop-ins, on the street and other meeting places. Work with community partners to ensure seamless support for program participants. Liaise with community-based organizations to plan, develop, implement and deliver preventive education as needed to targeted groups. Work collaboratively in a team setting to develop creative strategies to address the challenges and participates in research projects, and surveys as required. Participate in staff meetings, huddles, training, education, and engage in community relationship building, and networking. Performs other duties as assigned by the AVI Nanaimo leadership team (or designate) including transportation of medical specimens, vaccines, medications, clinic supplies, etc.
RN designation from an accredited institution, with current registration with the BCCNM. Certification in reproductive health with BCCNM preferred. Priority given to those with previous reproductive health certification and experience. Minimum of 3 years of nursing experience working with those managing high levels of polysubstance use, mental health challenges, screening, assessment and treatment services to clients at risk and/or living with HIV/AIDS including providing STBBI/HIV testing. Experience working with trans, queer, gender-nonconforming, bi, questioning, and GBMSM identified communities. Experience working with structurally vulnerable clients and communities. Experience in responding to medical emergencies such as toxic drug poisoning (naloxone administration, airway management, etc.). Experience with phlebotomy, vaccines and providing immunizations. Transportation of dangerous goods certification will be required of this position. Valid BC Drivers license required. There will be local area travel, including the occasional transportation of clients and regular transportation of specimens. Requires the use of a personal vehicle. Valid and current CPR/BLS for Healthcare Providers certification. SKILLS AND ABILITIES Demonstrated clinical skills, experience, and knowledge in primary care, substance use disorder care (including opiate agonist treatment options, harm reduction, HIV, HCV, sexual health, mental health, health promotion, and care for those experiencing systemic poverty. Excellent verbal and written communication, including strong listening, information-seeking, conflict resolution, and non-violent crisis intervention skills; practiced with accountability, boundaries, and self-responsibility. Strong commitment to person-centered, equity-oriented healthcare, including advocacy, trauma-informed practice, social justice, anti-racism, decolonization, and harm reduction. Demonstrated understanding of public health policy and equity-oriented models of social support, including the impacts of poverty, trauma, substance use, mental illness, racism, colonialism, heterosexism, and gender discrimination on health and well-being. Commitment to honoring Indigenous communities and Ways of Knowing, with curiosity and humility regarding the ongoing impacts of colonial violence. Demonstrated capacity to work under pressure, manage crisis situations, and recognize subtle changes in participants, including responding effectively to aggressive or suicidal behavior. Proven ability to work independently and collaboratively, make sound clinical decisions, take initiative, prioritize workload, and adapt to changing or unexpected situations in a dynamic work environment. Demonstrated ability to establish and maintain respectful rapport with participants and colleagues within multidisciplinary/interdisciplinary teams, including those colleagues and participants who are experiencing intersecting forms of systemic oppression. Strong analytical, problem-solving, organizational, and prioritization skills, with the ability to facilitate resolution in complex situations. Demonstrated resilience and commitment to self-care practices. Capable independent practitioner and engaged team member, with demonstrated ability to provide consultation, leadership, and work direction as delegated. Proficient in the use of computer systems, electronic medical records, medical equipment, and related technologies for documentation, reporting, and treatment delivery. Demonstrated listening and information seeking skills that promotes communication and lead to a cooperative approach to problem solving within a multidisciplinary setting. Demonstrated ability to prioritize, take initiative, be flexible, and work both independently and collaboratively as a member of an interdisciplinary team. Physical ability to perform the duties of the position and operate related equipment.
Pay: Per BCNU pay grid, RN Level 3 (ranging between $41.42 -$55.91) Hours and Schedule: 0.6 FTE. Tuesdays, Wednesdays and Thursdays 9:00am to 5:00pm Start date: May 15, 2026 Union: AVI is a union environment under the Collective Agreement: HEABC & Nurses’ Bargaining Association 2022-2025 and this role is an Included Position. Location & Departments: This position will be working out of the AVI Nanaimo Community Health Clinic departments. Also, in the community as needed.
This position will be eligible for extended health, life and AD&D coverage in compliance with the BCNU Collective Agreement. AVI pays for the entire cost of the plan on behalf of its staff.
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