How do you live in the moment?” The Nurse Practitioner reports to the Director of Care with accountability to the Medical Director and collaborates with the resident, family/caregiver, and health care team in the development, implementation and evaluation of the residents’ plan of care, as well as provides leadership and mentorship to Nurse Managers and clinical staff that enhances their knowledge, assessment skills, and ability to care for residents. Leads and collaborates in research, education and evidence-based practice initiatives to optimize the resident, LTCH and health system outcomes.
You will work closely with our Senior Director of Clinical Practice, an experienced Nurse Practitioner with expertise in providing care to long-term care residents. This team-oriented relationship offers Nurse Practitioners at all stages of their careers the opportunity to strengthen their clinical practice, expand their knowledge of long-term care, and receive ongoing mentorship and support. Whether you are an experienced Nurse Practitioner looking to bring your expertise to a rewarding long-term care environment or a new graduate beginning your Nurse Practitioner career, you will have access to clinical guidance, case discussion, education, and professional development opportunities. We are committed to fostering a supportive environment where every Nurse Practitioner can build confidence, share their expertise, and provide high-quality, person-centred care to our residents.
The Nurse Practitioner (NP) is responsible for providing and leading advanced clinical care for residents while supporting safe, compliant care delivery across the Home. Practising autonomously within the extended class scope and CNO Nurse Practitioner Practice Standard, the NP assesses, diagnoses, treats, and monitors resident health conditions and collaborates with physicians and the care team to implement integrated care plans. The NP contributes to clinical program implementation (e.g., chronic disease management, wound care, antimicrobial stewardship supports), staff coaching/education, and continuous quality improvement to improve outcomes and resident/family experience.
Provides comprehensive primary care services to residents using a person-centred approach, including assessment, diagnosis, treatment, monitoring, and follow-up within NP scope and authority.
Complete admission, annual, and change-in-condition assessments, including medication reconciliation and participation in care conferences and care planning.
Provide consultation, coaching, and clinical decision support to the Director of Care, Assistant Director of Care and clinical teams for complex and high-risk clinical situations.
Prescribe, deprescribe,



and manage medications and treatments in accordance with CNO standards and safe medication practice, including monitoring for effectiveness, adverse effects, and drug interactions.
Participates in Care Conferences as needed.
medication review processes, reducing high-risk prescribing, supporting appropriate documentation and follow-up).
Collaborate with the Medical Director and attending physicians to support timely clinical decisions, implementation of medical orders, and continuity of care.
Consult and coordinate with nursing, allied health, and interdisciplinary partners (internal and external) to implement and evaluate resident plans of care.
Initiate and coordinate referrals to specialists, community services, diagnostics, and other providers; Lead and support a palliative approach to care, including goals-of-care conversations, advance care planning support (as applicable), and coordination with residents/substitute decision-makers and the interdisciplinary team.
support staff coaching to ensure compassionate, consistent care across shifts.
Collaborate with the Medical Director/physicians, pharmacy, community palliative resources, hospice/palliative consult teams, and other external partners to strengthen palliative supports and reduce avoidable transfers.
Monitor and improve new or worsened pressure injuries/pressure ulcers (Stage 2–4) and ensure timely prevention/treatment actions (risk assessment, repositioning, support surfaces, wound consult pathways, documentation).
Lead medication optimization and deprescribing initiatives (with pharmacy/physicians) and track applicable indicators.
Provide ongoing education and coaching to Assistant Directors of Care/Managers and frontline teams on clinical best practices (e.g., Develop and deliver targeted in-services based on quality indicators, audit findings, incident trends, and emerging best practices; evaluate learning uptake through observation, chart audits, and follow-up coaching.
Support onboarding and refresher education by creating/maintaining quick-reference tools (clinical pathways, checklists, SBAR templates, symptom management guides) and ensuring consistent use across shifts.
Collaborate on education, quality improvement, and evidence-based practice initiatives to improve resident outcomes and system performance (including CARF-aligned performance improvement where applicable).




Actively support the Home’s IPAC program by reinforcing routine practices, outbreak readiness, and clinical guidance during outbreaks/emerging infectious disease events in alignment with the IPAC Standard for LTC Homes and public health direction.
Participates in performance check-ins and appraisals as required.
Maintain confidentiality and protect personal health information in accordance with PHIPA and organizational privacy policies.
Use clinical systems and digital tools (including AI-enabled features where available) to support care, documentation, and quality monitoring, while ensuring outputs are used responsibly and do not replace clinical judgment.
Promote a safe workplace by supporting Occupational Health & Safety practices, hazard and reporting.
Provide responsive, respectful customer service to residents and families/caregivers through timely communication, service recovery, and coordination of follow-up with the care team.
Identifies and implements research-based innovations for improving resident care and collaborates with members of the interdisciplinary team and/or community to identify research opportunities and to conduct and/or support research
Perform other duties as assigned and or indicated in the Job Task Inventory.
Current registration in good standing with the College of Nurses of Ontario (CNO) as a Nurse Practitioner — RN(EC) (Extended Class).
Candidates registered as an NP in another Canadian jurisdiction who are eligible for Ontario RN(EC) practice are welcome to apply.
Experience in long-term care, preferred,
Ability to embrace various skills from the team to maximize the potential to enhance the well-being of all individuals
To show evidence of being focused on people’s feelings when interacting and knowing how to turn a task into positive social interaction.
To undertake and meet all legal requirements within a context of promoting individuals’ rights and measuring/reducing elements of risk.
As a condition of employment, candidates are required to submit documented results of TB testing (within the last six months or within 14 days upon hire) or a chest X-ray (within the last year), as per Public Health requirements
Vaccination requirements are subject to changes as determined by the Employer.
Competitive wages
Employee and Family Assistance Program
Support for personal and professional growth
As part of our recruitment process, we may use secure, limited AI tools to assist with administrative tasks such as organizing applications or analyzing role alignment. Any personal information collected or processed is handled in accordance with the Personal Information Protection and Electronic Act (PIPEDA) and our internal privacy policies.

📌 Shift Nursing Registered Nurse RN (Niagara-on-the-Lake)
🏢 Health Careers Canada
📍 Niagara-on-the-Lake