At Support House, we open doors, minds, and possibilities. We build opportunities, we inspire change, and we transform health care. We believe everyone deserves support.

Support House is directed by our core values. They guide our agency’s decisions and actions, unite our staff, define our brand, and inspire our culture. We connect by building meaningful relationships. We put people first by supporting them to direct their own path. We focus on holistic wellness. We foster engagement through designing housing, supports and the system together.

Support House offers supportive housing options, primary care, community outreach, peer support and building system capacity.

Diversity, Equity, and Inclusion

Support House is committed to leveraging diverse backgrounds, experiences, and perspectives of our employees in order to provide services to an equally diverse community and encourages applications from all qualified candidates.

The main purpose of this position

The Nurse Practitioner (NP) is a core clinical member of the Interdisciplinary Primary Care Team (IPCT), providing comprehensive, person-centred primary care to individuals experiencing complex barriers to health and wellness, including homelessness, housing instability, mental health concerns, substance use, and chronic health conditions.

Through a combination of clinic-based and community outreach care across Halton, the NP supports access, attachment, and continuity of care using trauma-informed, harm reduction, and equity-focused approaches.

Working within a coordinated interdisciplinary team model, the NP provides advanced clinical assessment, diagnosis, treatment, prescribing, health promotion, and chronic disease management. The NP also contributes to integrated care planning, system navigation, service coordination, and the ongoing development of team-based primary care services.

The NP is responsible for ensuring care is delivered in accordance with College of Nurses of Ontario (CNO) standards, applicable legislation, Support House policies, and evidence-informed best practices.

Responsibilities

Clinical Care

- Deliver primary care services within the Nurse Practitioner scope of practice as outlined by the College ofNurses of Ontario and applicable legislation, including comprehensive health assessments, physical examinations, therapeutic management, consultation, collaboration, and referrals.
- Assess, investigate, diagnose, and treat clients using critical thinking and evidence-informed medicine and nursing practice.
- Provide and evaluate holistic, person-centred care based on advanced nursing and medical knowledge and skills.
- Discuss diagnoses with clients, including relevant clinical information, treatment options, expected outcomes, and prognosis.
- Work with clients and their circle of care to develop individualized plans of care, including Unified Care Plans, based on assessment findings, diagnosis, and evidence-informed practice.
- Establish plans to monitor clients' responses to medication therapy and adjust medications, treatment, and supports based on ongoing assessment and clinical response.
- Prescribe medications and order laboratory and diagnostic investigations within the NP scope of practice.
- Provide assessment and treatment for substance use disorders, including prescribing withdrawal management medications, safe supply and anti-craving medications, where clinically appropriate and within scope.
- Provide supportive counselling and short-term crisis management.
- Conduct essential home visits and community-based visits for clients living within Halton Region.
- Consult with physicians and other health professionals regarding clients with unstable, complex, or higher-acuity health conditions.
- Apply health promotion approaches that recognize and address the social determinants of health.
- Maintain complete and accurate clinical records to support safe, timely, and coordinated communication with other professionals.
- Ensure the quality of client care consistently meets applicable CNO standards, the Regulated Health Professions Act, applicable legislation, and Support House policies.

Care Coordination and Interdisciplinary Collaboration

- Collaborate with interdisciplinary team members to support coordinated, client-centred care planning and service delivery.
- Participate in interdisciplinary case reviews, case conferences, and care coordination meetings.
- Support client attachment to primary care and continuity of care across health, mental health, addictions, housing, and community services.
- Contribute clinical expertise to shared workflows that support access, engagement, follow-up, and continuity of care.
- Promote a "no wrong door" approach to service delivery and client access.
- Provide consultation and clinical leadership to team members in complex or high-acuity situations.
- Establish collaborative relationships with health care providers, community-based services, and other community partners.
- Coordinate service provision with health care partners and community agencies to support community care plans and wrap-around services.
- Refer clients to specialists, hospitals, and community resources as appropriate.




- Make appropriate and timely internal referrals to other Support House programs.
- Advocate for clients and support effective navigation of health, mental health, addictions, housing, and community services.

Community and Population Health

- Provide care in both clinic and community settings to improve access to primary care for individuals who experience barriers to traditional health care services.
- Develop and maintain an understanding of health and social service resources available within the Halton community.
- Contribute to population health initiatives that address health inequities and improve outcomes for priority populations.
- Apply harm reduction, trauma-informed, person-centred, and equity-focused approaches throughout clinical and community practice.
- Support individuals experiencing complex health and social needs, including those affected by mental health concerns, substance use, chronic illness, homelessness, and housing instability.
- Develop and maintain meaningful partnerships with community organizations and service providers.

Leadership, Program Development and Quality Improvement

- Provide clinical leadership and advanced practice expertise to support the development, implementation, and continuous improvement of Interdisciplinary Primary Care services.
- Actively contribute to the ongoing development of team-based primary care processes, workflows, and service integration initiatives.
- Participate in quality improvement initiatives, program evaluation, and outcome measurement.
- Identify trends, service gaps, and opportunities to improve access, quality of care, and health outcomes for priority populations.
- Support the implementation of evidence-informed and innovative models of community-based primary care.
- Collaborate with the IPCT and other stakeholders to design, develop, and implement programs and services aimed at improving client outcomes.
- Conduct needs assessments and gather feedback from clients and community partners to inform program development.
- Assist with the development of program protocols, guidelines, and policies that support best practices.
- Coordinate pilot projects and other innovative initiatives that respond to emerging community needs.
- Participate in grant writing and funding proposals, as required, to support program development and sustainability.
- Monitor and report on program outcomes and effectiveness, as required, to support alignment with organizational goals.

Professional Practice and Development

- Practice in accordance with the applicable professional discipline's code of conduct, standards, and ethical requirements.
- Maintain current knowledge, skills, certifications, and professional competencies relevant to the role.
- Participate in relevant training, learning opportunities, Communities of Practice, supervision, annual reviews, and team debriefs.
- Demonstrate a commitment to applying principles of intersectionality to the work of Support House.
- Maintain awareness of current evidence-informed practices, legislation, regulations, and organizational policies relevant to clinical practice.
- Participate in ongoing reflection and professional growth to strengthen clinical practice and service delivery.

Personal Development and Reflective Practice

- Regularly reflect on personal wellness and use relevant strategies to support ongoing wellbeing.
- Engage in ongoing personal reflection to identify opportunities for growth and to examine biases and assumptions.
- Remain open to seeking and considering current perspectives and solutions.
- Develop an understanding of how one's own positionality and identities may influence the ability to exercise power and privilege, particularly in relation to individuals who experience multiple forms of systemic oppression.
- Communicate work-related needs to appropriate staff to support accommodation, wellbeing, and clarity in the workplace.

Knowledge and skills necessary to be successful in this role

- Master's degree in a Primary Health Nurse Practitioner program.
- Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class.
- Minimum of three years of community health care and/or primary care experience.
- Experience in addiction medicine and harm reduction.
- Demonstrated experience working within interdisciplinary or integrated care teams.
- Valid driver's licence and access to a reliable vehicle.
- Current Vulnerable Sector Check.
- Excellent clinical assessment, decision-making, and problem-solving skills.
- Thorough and current nursing knowledge, including proficiency in comprehensive health history-taking, physical assessment, diagnosis, and development of nursing and treatment plans.
- Demonstrated knowledge and experience in community addictions and mental health care.




- Extensive knowledge and understanding of harm reduction principles and practices, substance use, and overdose response.
- Knowledge of evidence-informed guidelines, legislation, regulations, and organizational policies related to prescribing controlled drugs and substances.
- Understanding of best practices related to controlled drugs and substances and other pharmacological and non-pharmacological therapeutic options.
- Demonstrated ability to work effectively with sensitive and complex issues involving clients and families using trauma-informed and harm reduction approaches.
- Knowledge of health care facilities, community health services, social agencies, and other community resources.
- Knowledge and understanding of clinical theories and practices, pharmacology, and health and social service resources available within the Halton community.
- Demonstrated understanding of the neurobiology of addiction.
- Advanced assessment and intervention skills for a diverse range of clients.
- Advanced health assessment skills, including the ability to identify emotional, cognitive, and behavioural states, levels of anxiety, crisis states, indicators of aggression, self-harm and suicide risk, risk to others, capacity for self-care, and signs of substance use, addiction, and withdrawal.
- Demonstrated ability to develop individual and team-based approaches within a multidisciplinary and complex support environment.
- Demonstrated ability to build meaningful partnerships and strong interpersonal relationships.
- Strong understanding of the Housing First philosophy and experience working with individuals experiencing homelessness and/or housing instability.
- Trauma-informed training and experience.
- Confidence and experience in crisis intervention, mediation, and de-escalation, including non-violent crisis and suicide intervention skills.
- Demonstrated ability to assess risk and respond effectively in crisis-based work.
- Ability to mediate and negotiate complex situations.
- Broad knowledge of community resources and demonstrated ability to advocate for clients and make appropriate professional referrals.
- Understanding of intersectionality and its impact on an individual's experience of systemic oppression and support systems.
- Excellent verbal communication skills and comfort with one-on-one dialogue.
- Excellent written communication and clinical documentation skills.
- Ability to work independently and cooperatively in a busy multidisciplinary workplace.
- Ability to work with minimal oversight while maintaining appropriate communication, consultation, and accountability.
- Experience working with an Electronic Health Record.
- Computer proficiency, including the ability to use automated assessment tools and Microsoft products.
- Strong clinical judgement and advanced practice skills.
- Ability to balance direct clinical care with program development, quality improvement, and system collaboration.
- Strong knowledge of addiction, mental health, primary care, and community health.
- Strong understanding of harm reduction, trauma-informed care, and health equity.
- Ability to manage complex clinical and social situations while maintaining a person-centred approach.
- Solid advocacy, communication, collaboration, and relationship-building skills.
- Ability to navigate complex systems and develop effective partnerships across health and community services.
- Ability to identify service gaps and contribute to practical solutions.
- Strong organizational, documentation, and time-management skills.
- Ability to adapt to changing client and program needs.
- Commitment to continuous learning, reflective practice, and quality improvement.
- Ability to work effectively within a multidisciplinary team while also exercising independent clinical judgement.
- Successful completion of Prescribing Narcotics and Controlled Substances education is an asset.
- Completion of a Suboxone education program is an asset.
- Membership in relevant professional organizations, such as NPAO or RNAO is an asset.
- Non-Violent Crisis Intervention certification is an asset.
- Current First Aid and CPR certification is an asset.
- ASIST certification is an asset.
- Experience with project planning and evaluation is an asset.
- Experience with LOCUS, OCAN, and/or VI-SPDAT assessments.
- Working knowledge of PHIPA.
- Current experience or training related to trauma-informed practice is an asset.

Working conditions

- Full time position (37.5 hours per week), with flexibility required based on program needs
- The position involves a combination of office/clinic-based work and community outreach, including essential home visits.
- The position requires the ability to work independently in community settings while maintaining regular communication and collaboration with the interdisciplinary team.
- Support House prioritizes flexibility and work-life balance.

Pay: From $125,000.00 per year

Benefits:

- Casual dress
- Company events
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Flexible schedule
- Life insurance
- Mileage reimbursement
- On-site parking
- Paid time off
- RRSP match
- Vision care

Work Location: In person

📌 Nurse Practitioner (Oakville)
🏢 Support House
📍 Oakville