Job DescriptionCARE AND BE CARED FOR – THIS IS YOUR HOMEAre 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 chance 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, theAdvanced 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 actionRecognizes and promptly addresses adverse events (including medication issues) or any issue affecting safety or quality of careUses standardized assessment tools, standards of practice and guidelines related to the care of older adults with psychogeriatric conditionsProvides a comprehensive in-home assessment where indicated,



with a focus on utilizing a bio-psychosocial framework to identify factors contributing to responsive behaviorsInitiates 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 expertiseWorks closely with hospitals, crisis teams and other community teams to develop an integrated care pathway for patients with responsive behavioursIdentifies gaps in available clinical services; advocates for theaddition 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 rightsActs as a clinical resource by providing knowledge and teaching to interdisciplinary team members as well as to patients and familiesWhat must you have?Master’s degree in nursing with registration in good standing, with the College of Nurses of OntarioMinimum 3-5 years related experience in geriatrics, community-based seniors care and behavioural managementKnowledge of the Ontario Health Care delivery system and community resourcesExpertise 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 practiceExcellent clinical-reasoning, critical-thinking and problem-solving skillsEffective assessment, intervention, and team-oriented care planning skillsExperience providing caregiver education,



support and counselling related to caring for a person with responsive behavioursExperience working collaboratively with primary care and specialists in the care of older adults with responsive behavioursCultural competency working with patients of diverse ethno-cultural backgroundsA valid CPR/Basic Cardiac Life Support certificate is requiredExcellent written, interpersonal and communication skills with strong organizational, time-management and problem-solving capabilitiesDemonstrated computer literacy in a Windows environment is requiredAs 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 groupsFamiliarity with the interRAI HC and knowledge of behavioural, cognitive, psychosocial, and environmental assessments relating to responsive behavioursFormalized training in or knowledge of Gentle Persuasive Approach (GPA), P.I.E.C.E.S., U-First! Montessori ApproachExperience with program development, evaluation and quality improvement initiativesAbility to speak French or another second languageWhat do we offer?We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuouslearning, growth and innovation, we offer:Attractive comprehensive compensation packages and benefitsValuable development opportunitiesMembership in a world class defined benefit pension planHybrid work environmentAnnual Salary: $104,336.12 to $123,884.28Who 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 chance to lead and learn, partner and connect, care and be cared for, this is your home.Equity, Inclusion, Diversity and Anti-Racism CommitmentOntario 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.#J-18808-Ljbffr

📌 Advanced Practice Nursing Clinician - C$104,336.1 - C$123,884.3 A Year (Winnipeg)
🏢 Ontario Health atHome
📍 Winnipeg