Nurse Practitioner, Nurse Led Outreach Team

Humber River Health•Toronto, ON

4d•CA$65 - CA$81•Onsite

About The Position

Humber River Health is seeking a compassionate Nurse Practitioner for their Nurse Led Outreach Team (NLOT). As North America's first fully digital hospital, Humber River Health is dedicated to changing healthcare through technology and clinical expertise. They serve a community of 850,000 residents in North West Toronto, with a focus on equity, inclusivity, and community connection. The Nurse Practitioner role is a leadership position within a multidisciplinary team, primarily responsible for providing clinical care to residents in Long Term Care (LTC) homes or congregate settings. The goal is to facilitate hospital discharge, prevent Emergency Department (ED) visits, and ensure efficient transitions between hospital and LTC settings.

Requirements

Master in Nursing/Nurse Practitioner (MN-NP) or Masters of Science in Nursing with successful completion of a post Master's Acute Care Nurse Practitioner Certificate Program from a recognized school of graduate studies required.
Current College of Nurses of Ontario registration in the Extended Class (EC) as an NP (adult) or NP (primary health care) required.
1-3 years of demonstrated experience as a Nurse Practitioner required.
3-5 years of relevant Acute medicine or Primary Care experience.
BCLS required.
Demonstrated strong communication and interpersonal skills, with the ability to work collaboratively with physicians, inter-professional team members, and other stakeholders.
Possesses highly developed analytical, problem solving and critical thinking skills.
Excellent oral, written, and presentation skills, with demonstrated competency in information and communication technology.
Demonstrated excellent organizational and coordination skills and the ability to prioritize multiple competing workload demands.
Demonstrates an ability to provide leadership, support and critical analysis in stressful, complex clinical and emotional situations.
Embraces a philosophy of patient and family centered care.
Demonstrates leadership in clinical excellence.
Assesses and provides services to clients, families and communities.
Provides comprehensive health services encompassing: Identification and management of chronic stable conditions, Prevention of disease and injuries, Health promotion and education, Continuity of care, Support.
Advanced nursing assessment skills and sound knowledge of clinical therapeutics.
Effective patient/family counseling skills.
Excellent organizational, critical appraisal and analytical skills.
Ability to work independently and as part of a team.
High level of initiative and self-direction.
Excellent attendance and a discipline free record is required (candidates are required to inform HR and the hiring manager of their attendance and discipline status).
Vehicle and valid Ontario driver’s license is required.

Nice To Haves

Previous experience in LTC sector preferred.
CNA Certification in Geriatrics would be an asset.
Additional specialty education in Gerontology preferred.
Demonstrated experience in Adult education an asset.
Clinical specialty organizational membership: RNAO (required), CANO or ONS also preferred.
Experience in Case Management preferred.
An understanding of equity, diversity, and inclusion principles as they relate to health practices is an asset. Humber River Health values lived and learned experiences in addressing systemic barriers and advancing inclusive practices.

Responsibilities

Provision of Nurse Practitioner scope of clinical care for LTC or congregate setting residents in accordance with the College of Nurses (CNO) Practice Standard for Nurse Practitioners and all other applicable legislation, including assessment, ordering and interpreting diagnostics, prescribing pharmacological agents and therapeutic measures, and performing controlled acts.
Collaboration with hospital and LTC teams to assist in identifying potential barriers and supporting with discharge strategies to reduce avoidable ED visits, decrease LOS, and minimize readmissions.
Capacity building for LTC staff to develop and enhance competency for acute treatment protocols.
Integration of best practice guidelines and current evidence-based research into clinical practice for a select patient population.
Evaluation of outcomes for the programs and make recommendations for change in consultation with Program Director and Manager.
Development of linkages with external partners as appropriate to ensure continuity of care.
Enhance communication between hospital and LTC to support the plan of care transitions in care facilities.
Addressing medication reconciliation issues upon discharge from hospital.
In keeping with professional standards of practice, obtains and/or disseminates only that information which is relevant to meeting the client’s identified needs and with appropriate legal authorization, either in the form of signed consents or direct authorization from the client or designated substitute decision-maker.
Utilization of expert communication skills by being a link between the client, consultants, resources and the referral source which may be required to coordinate the provision of service to the client.
Participate in meetings and committees to support the planning and implementation of best practices to support needs of the residents in LTC homes.
Participates in reflective practice as per identified college standards.