About this role
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
Position Summary
PCBH Providers work within family physicians’ offices as integrated members of the primary care team, delivering evidence‑based behavioural health services to diverse patient populations. Working independently, they support SCPCN’s mission through meaningful, patient‑centered care.
In collaboration with the medical home team, the PCBH Provider contributes to a coordinated system of support by offering high‑quality, population‑focused behavioural health care to individuals, families, and communities. They identify, triage, assess, and support patients with a wide range of physical and mental health concerns, meeting with patients over several sessions to develop behavioural change plans using psychoeducation, motivational interviewing, and cognitive‑behavioural strategies.
PCBH Providers work as guests within busy, co‑located family practice environments, adapting to each clinic’s pace and culture. They serve as key communicators of SCPCN initiatives and collaborate closely with Practice Facilitators, health‑care partners, and community resources to ensure effective, coordinated care.
What Does the Role Do?
Patient Care
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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.
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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
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Identifies patient concerns rapidly and uses appropriate assessment approaches and tools to inform; treatment, clinical consultation, education, and referrals for patients.
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Supports patients in navigating services, while maintaining principles of informational, relational and management continuity.
Referrals and Collaboration
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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
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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.
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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.
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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
Who Should Apply?
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Bachelor’s degree in Nursing, Registered Psychiatric Nurse, or Bachelor’s degree in Social Work
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Registration with relevant College as recognized by the Health Professions Act
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Current CPR-BLS certification
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Minimum 2-3 years’ experience working as a Registered Nurse or Social Worker in community-based settings
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Previous experience working within a medical home/integrated care model or primary care setting
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Previous experience using Electronic Medical Records (EMR’s)
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Previous experience with group development, facilitation, or instruction an asset
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Experience and training in Primary Care Behavioral health models, Health behavior change methods (eg Motivational Interviewing) and/or Cognitive Behavioural Therapy an asset
What Will Help You Succeed?
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Personable with excellent Interpersonal communication skills (written and verbal)
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Collaborative and resourceful
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Flexible, adaptive and adept at thinking quickly, without preparation
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Interested in learning and educating
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Strong teamwork skills, able to adapt to high productivity environments
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Able to handle stress, chaos, and unpredictability in a calm and effective manner
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Comfortable in fast-paced environments
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Systems oriented
Working Conditions
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Able to travel between clinics with valid driver’s license and access to own car in good repair is required
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Ability to work from home may be required
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Evenings and weekends may be required
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Two supervisory references required
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Criminal and vulnerable sector background check required
Why Work At SCPCN?
At South Calgary Primary Care Network (SCPCN), culture is defined by 5 core values: Innovation, accountability, integrity, collaboration and wellness. Our mission is to build healthier communities in South Calgary through the evolution and transformation of primary care in collaboration with our wellness partners.
SCPCN fosters a strong team environment that has a high level of trust, is committed to doing great work, and is respectful to each other.
Established in February 2006, the South Calgary Primary Care Network (SCPCN) includes the areas south of Anderson Road to the southern, western, and eastern city limits.
Employees of the SCPCN enjoy a comprehensive total compensation package that includes:
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100% employer paid health, vision, and dental benefits
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Health spending/wellness account
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Generous vacation, sick and flex days
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Professional development account and opportunities
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Free parking available at site
Are you ready to join us lead optimal personal and community wellness now and into the future?
If this sounds like the perfect opportunity for you, simply apply online with your resume and cover letter.
We thank all candidates for applying, however only short-listed candidates will be contacted for an interview.