Job Title: Nurse Practitioner – Community Health & Care TransitionsLocation: Edmonton, AB (Clinic, Community, and Virtual)Pay Rate: $46–$62/hour (based on experience)Duration: Assignment through March 2027Schedule: Full-Time or Part-Time (Flexible; On-Call Required)SummaryWe are seeking an experienced Nurse Practitioner to support a targeted initiative focused on reducing hospitalizations and improving care transitions for seniors and high-risk patients. This role operates within a collaborative, community-based care model, working closely with social work, transition services, and community providers.You will manage a focused patient roster, delivering proactive, preventative care across clinic, home, and virtual settings. This position offers a unique opportunity to combine direct patient care with care coordination and program development to improve outcomes and reduce strain on acute care systems.What You’ll DoClinical Care- Provide comprehensive assessments, diagnosis, and treatment within scope of practice- Identify high-risk patients and implement proactive care plans to prevent hospitalization- Manage chronic and complex conditions with a focus on stabilization and prevention- Prescribe medications and monitor ongoing therapies- Deliver longitudinal care including follow-ups and care coordination- Provide care across clinic, community, and in-home settings- Support early interventions to reduce emergency visits and hospital admissionsCare Coordination & Transitions- Collaborate with social workers, transition teams,



and hospital discharge teams- Support smooth transitions from hospital to community-based care- Address social determinants of health impacting patient stability- Connect patients with appropriate community resources and services- Act as a key contributor in reducing readmissions and improving continuity of careCollaboration & Program Support- Work closely with interdisciplinary teams, caregivers, and community providers- Participate in team meetings and organizational initiatives- Contribute to program development, evaluation, and quality improvement efforts- Maintain compliance with organizational policies and clinical standardsCommunity Engagement- Build relationships with community partners supporting seniors and vulnerable populations- Support outreach efforts, presentations, and awareness of available services- Collaborate with healthcare providers and external organizations involved in patient careWhat You Bring- Master’s Degree in Nursing with active Nurse Practitioner licensure (Adult or Family All Ages) in Alberta, CA- 5–7 years of experience in primary care or community-based healthcare settings- Solid experience managing complex, high-risk, or vulnerable patient populations- Experience with care transitions, discharge planning, or community care models- Strong clinical judgment with a focus on prevention and risk identification- Excellent communication, organization, and collaboration skills- Ability to work independently in community settings and as part of a multidisciplinary team- Proficiency with electronic health records and digital toolsBonus Points If You Have- Additional certifications in geriatrics, diabetes education, or palliative care- Experience in community outreach and stakeholder engagement- Familiarity with continuous quality improvement (CQI) initiatives- Experience supporting seniors’ health programs or population health initiativesTCWGlobal is an equal opportunity employer. We do not discriminate based on age, ethnicity, gender, nationality, religious belief, or sexual orientation.

📌 Nurse Practitioner – Community Health & Care Transitions - C$46 - C$62 An Hour - Part Time (Edmonton)
🏢 TCWGlobal
📍 Edmonton