Advanced Practice Nursing Clinician

Job Description

CARE AND BE CARED FOR – THIS IS YOUR HOME

Are you an experienced Advanced Practice Nursing Clinician with a track record of success supporting patients with responsive behaviours related to dementia, mental health, substance use and/or other neurological disorders? Are you seeking a rewarding career that cares for others, in an organization that cares for you? You’re looking in the right place.

If so, take a look at this rewarding career opportunity working alongside a supportive and collaborative team of over 9,000 regulated health care and other professionals. ​​​We are amid a momentous time for health care in Ontario as we move to a more connected health care system through the Ontario Health Teams model of care.

Reporting to the Manager, Patient Services, the Advanced Practice Nursing Clinician (Clinical Nurse Specialist) promotes excellence in behavioural support for patients with responsive behaviours related to dementia. In this role, you will use your advanced practice nursing skills to triage referral urgency and priority for patients at risk of adverse outcomes related to responsive behaviours. You will work collaboratively with Care Coordinators, Primary Care, Geriatric Psychiatry and Geriatric Medicine, interdisciplinary teams and community partners to achieve an integrated care plan for Ontario Health atHome area of Toronto Central region patients identified with responsive behaviours living in the community. You will complete comprehensive geriatric assessments with a focus on behavioural challenges (including the completion of a medication reconciliation) for patients transitioning from Emergency Department (ED), acute care and/or living in the community and who may require Long Term Care (LTC) placement.

What will you do?

• Assesses urgency of referral based on objective evaluation of patient/caregiver risk factors and takes appropriate action
• Recognizes and promptly addresses adverse events (including medication issues) or any issue affecting safety or quality of care
• Uses standardized assessment tools, standards of practice and guidelines related to the care of older adults with psychogeriatric conditions
• Provides a comprehensive in-home assessment where indicated, with a focus on utilizing a bio-psychosocial framework to identify factors contributing to responsive behaviors
• Initiates timely consultations and referrals, collaborating with care coordinators, care partners, BSOT clinicians, and community providers to develop individualized behaviour/safety plans and build capacity through coaching and expertise
• Works closely with hospitals, crisis teams and other community teams to develop an integrated care pathway for patients with responsive behaviours
• Identifies gaps in available clinical services; advocates for the addition of or access to services that will improve the patient’s care or support for the caregiver(s)
• Advocates to meet patient needs while ensuring the protection of patient rights
• Acts as a clinical resource by providing knowledge and teaching to interdisciplinary team members as well as to patients and families

What must you have?

• Master’s degree in nursing with registration in good standing, with the College of Nurses of Ontario
• Minimum 3-5 years related experience in geriatrics, community-based seniors care and behavioural management
• Knowledge of the Ontario Health Care delivery system and community resources
• Expertise and knowledge of working with individuals presenting with behaviours related to dementia, delirium, depression, and neurological and other mental health disorders.
• Competence in the use of standardized assessment tools used in geriatric nursing and geriatric mental health practice
• Excellent clinical-reasoning, critical-thinking and problem-solving skills
• Effective assessment, intervention, and collaborative care planning skills
• Experience providing caregiver education, support and counselling related to caring for a person with responsive behaviours
• Experience working collaboratively with primary care and specialists in the care of older adults with responsive behaviours
• Cultural competency working with patients of diverse ethno-cultural backgrounds
• A valid CPR/Basic Cardiac Life Support certificate is required
• Excellent written, interpersonal and communication skills with strong organizational, time-management and problem-solving capabilities
• Demonstrated computer literacy in a Windows environment is required
• As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.

What would give you the edge?

• Experience working with diverse, multicultural patient groups
• Familiarity with the interRAI HC and knowledge of behavioural, cognitive, psychosocial, and environmental assessments relating to responsive behaviours
• Formalized training in or knowledge of Gentle Persuasive Approach (GPA), ., U-First! Montessori Approach
• Experience with program development, evaluation and quality improvement initiatives
• Ability to speak French or another second language

What do we offer?

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer: ​

• Attractive comprehensive compensation packages and benefits​
• Valuable development opportunities​
• Membership in a world class defined benefit pension plan
• Hybrid work environment
• Annual Salary: $104,336.12 to $123,884.28

Who are we?

We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centered care.

Why join us?

If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.

Equity, Inclusion, Diversity and Anti-Racism Commitment

Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants.

Accommodation for persons with disabilities required during the recruitment process are available upon request.