Nurse Practitioner

JOB SUMMARY :

The Nurse Practitioner (NP) is responsible for the provision of person-centered comprehensive care, as part of an interdisciplinary team.

The NP will practice within the full scope of the Nurse Practitioner role in collaboration with the MDs, which includes completing assessments, ordering diagnostic tests and implementing therapeutic plans of care for patients with rehabilitative, palliative, and / or complex care needs.

Reporting to the Clinical Transition Manager with matrix reporting to the Chief Clinical Executive and working collaboratively with the interdisciplinary team, the NP will demonstrate a high level of autonomy and knowledge of primary care to support high quality care and transition planning for specific patient populations following admission to TCU.

Your focus will be on providing critical capacity to enhance continuity of clinical care coordination across primary care, home care, community supports, acute care, and specialty palliative care sectors.

This will see you working collaboratively across the health care system, providing expert clinical leadership to support seamless, integrated care delivery to now medically stable and / or designated alternate level of care (ALC), awaiting long term discharge planning (i.

e. rehab, convalescent Long Term Care (LTC), and / or clients residing in a community setting).

Join our team and our journey in implementing the care provider empowered H.O.P.E. Model™ of care for impact on life care delivery in home and community and the future of nursing, rehabilitative and personal support care.

JOB RESPONSIBILITIES :

The NP will provide comprehensive primary care to the patients as part of an interdisciplinary / inter professional team through a person and family centered approach to care.

The NP will be required to engage in health promotion and treatment and management of health condition. They will perform other duties as assigned within their legislated scope of practice including but not limited to diagnosing, ordering and interpreting diagnostic test, prescribing pharmaceuticals.

Clinical Care

• Work autonomously to diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals, and perform procedures within the legislative scope of practice and defined collaborative practice agreement
• Collaborate with physicians and members of the inter-professional team to provide care that reflects shared goals that are patient / client centered, demonstrating therapeutic communication, compassion, and continuity of care within the defined health care setting
• Promote wellness and health promotion to provide exemplary quality, safe care through the application of advanced clinical and theoretical knowledge and skills.
• Demonstrate sound clinical reasoning and current evidence in decision making, planning, and implementing care.
• Liaise with patients, families and all health care providers and using clinical assessment, monitoring, and management skills to provide the best possible patient care.
• Help patients to manage pain and other symptoms to avoid unnecessary hospitalization.
• Manage acute and episodic care of complex disease
• Provide palliative and end of life care for patients in the facility and liaise with other primary care providers as needed to facilitate patient’s goals of care
• Utilize skilled communication with patients, families, healthcare providers, and partners, to support coordinated, compassionate care, including Advance Care Planning and goals of care conversations.
• On- call support as needed

Education and Quality Improvement

• Provide support to the rehabilitative, palliative and / or complex patient care in accordance with program’s goals and objectives.
• Support achievement of key performance indicators for the TCU in collaboration with Transitions Care Manager and Transitions Care Lead
• Continuously identifies areas of improvement for quality improvement initiatives.
• Identifies areas of risk and safety concerns and collaborates with the Clinical Transition Manager to determine appropriate interventions.
• Participate in the evaluation of outcomes, in collaboration with the Interprofessional Team, Transition Care Lead and Clinical Transition Mange

QUALIFICATIONS :

• Current College of Nurses of Ontario registration in the Extended Class (EC) as an NP (adult) or NP (primary health care) required
• Master’s degree in Nursing / Nurse Practitioner (MN-NP) or Masters of Science in Nursing with successful completion of a post Master's Nurse Practitioner Diplomafrom a recognized school of graduate studies required
• Minimum 2 years of relevant experience in either home / community care, acute care, chronic disease management, health promotion, palliative care or mental health
• The ability to work independently in an autonomous and self-directed manner within the NP scope of practice
• Demonstrated clinical leadership experience to manage complex patient and family needs in complex settings with need to liaise with an interdisciplinary team and primary care providers
• Superior critical thinking, problem solving and analytical skills to navigate challenging situations
• Enthusiasm and love of rehabilitative care, Transitional Care Units and interest in sharing knowledge
• Excellent assessment skills and a strong clinical background in primary care
• Ability to be flexible and adaptable with excellent organizational skills
• Ability to take initiative and be adaptable to rapidly changing demands
• Exceptional interpersonal and communication skills)
• Excellent oral, written, and presentation skills, with demonstrated competency in information and communication technology
• Demonstrated skills working independently and ability to successfully work in a team environment
• Excellent skills in case management and working with / coordinating interdisciplinary care teams
• Vulnerable sector check (current).
• At SE, we love what we do. Every day, we bring hope and happiness to clients, homes, and communities across Canada. We treat each person with dignity and love, like our own family;

we build empathy; and we do the right thing. We are always inspired to make a difference. As a not-for-profit social enterprise, we share knowledge, provide the best care, and help each client to realize their most meaningful goals for health and wellbeing.

We are an inclusive workplace offering competitive pay, benefits, pension, and work life balance. We’re a great place to work, and we hope you’ll join our team.

In the interest of the health and safety of our patients / clients, employees, and greater good of public health, SE Health requires those that wish to work for this organization to be fully vaccinated against COVID-19.

Fully vaccinated means a person has received both doses of the COVID-19 vaccine and it has been 14 days since the last dose.