Position title: Palliative Navigator – Hospital Outreach and Registered Nurse

Reports to: Manager of Hospice Residence

Department: Hospice Residence

Location: Hospice Peterborough Residence and Peterborough Regional Health Center (PRHC)

Start date: As soon as possible

Wage rate: $40.61 per hour

Type of employment:

One year contract:

Palliative Navigator – 7 hours per week at PRHC plus additional casual RN shifts at Hospice Residence (12-hour shifts, days, nights, evenings, weekends, holidays)

Pension: HOOPP pension plan optional

Posting date: October 7, 2026

Closing date: October 21, 2026

PALLIATIVE NAVIGATOR – HOSPICE OUTREACH

Job Purpose/Summary:

As a key member of the Peterborough Palliative Community Care Team (PCCT), the Palliative Navigator -hospital outreach will provide support to people living with or affected by a life-threatening illness, including assisting them to navigate health and community services.

As a regulated health professional, the Navigator will act as a conduit between clients, the Peterborough Regional Health Centre (PRHC) and Hospice Peterborough teams, primary care, and the broader healthcare community in supporting queries, concerns and decision making.

Primary Duties and Responsibilities:

· The Navigator will be involved with client care planning as required through the following activities:

o Support the Palliative Nurse Practitioners (NP) at PRHC in triaging palliative referrals from various departments.

o Support the Palliative NP at PRHC in conducting client assessments/reassessments at various PRHC departments and establish/revise the care plan in consultation with the client and circle of care.

o Have Goals of Care (GOC) conversations with clients as needed.

o Set up and link clients with Hospice services as needed.

o Support the PRHC team in coordination with the transfer and admission of the client to Hospice or the palliative care unit at PRHC when needed.

o In case the client wishes to transfer to Hospice, coordinate the referral to a palliative physician for the client.

o Link client with other health and community supports as appropriate.

o Participate in problem-solving with clients and/or circle of care.

o Advocate for clients with respect to access to services.

o Support the Palliative Nurse practitioners at PRHC with “Do not Resuscitate” conversations.

o Provide opportunities for clients to explore, prioritize and plan for meeting needs as they emerge throughout the course of a life-threatening illness and/or in bereavement including future admission to the hospice residence.

- Participate in and facilitate Community Palliative Care Community Team Rounds.
- Participate in PRHC’s unit rounds, as appropriate.
- Refer and consult with health service providers and broader community service partners when appropriate.
- Collaborate with intake services at Hospice through consultation, reviewing new contacts, assessing needs, assisting in determining next steps and maintaining appropriate documentation, where appropriate.
- Maintain appropriate documentation.

Organizational Responsibilities:

- Represent Hospice Peterborough in selected community activities, education opportunities and committees as assigned.
- Complete administrative and quality reports on a timely basis ensuring that all data submitted is accurate, precise, and current.
- Participate with the Manager of Hospice Residence in an annual performance appraisal.
- Fulfill all responsibilities in accordance with the policies and procedures and standards of Hospice Peterborough.
- Willingness to accept other duties as required.

Key Competencies:

- Accountability: Takes ownership of personal workload.
- Adaptability: Adapts and responds to changing conditions, priorities, technologies and requirements.
- Attention to detail: Attends to details and pursues quality in the accomplishment of tasks, regardless of the volume of duties encountered.
- Building Relationships: Establish and maintain positive working relationships with others, both internally and externally, to achieve the goals of the organization.
- Collaborative - Create and foster a work environment where ideas are shared to work together to achieve organizational goals.
- Commitment: Commitment to Hospice Peterborough’s mission, vision, goals, Philosophy of Care and Guiding Principles.
- Communicate Effectively: Speak, listen and write in a clear, thorough and timely manner using appropriate and effective communication tools and techniques.
- Compassion: Demonstrated compassion, diplomacy, discretion, sensitivity, and respect for others.
- Cooperative – Work well with others and have the ability to mitigate conflict.
- Foster teamwork: Creates and fosters a work environment where ideas are shared and departments work together to achieve organizational goals and objectives.
- Judgement - Ability to use sound reasoning when faced with various issues. Has the ability to make quick, effective decisions.
- Knowledge - Working knowledge of Ontario Health at Home and MOHLTC priorities, current healthcare trends, legislation, and programs, especially as applied to palliative care to be able to integrate this into program planning and policy and procedure writing. Knowledge of community resources related to hospice palliative care and supportive/spiritual care and the ability to develop and maintain effective partnerships with other service providers

· Leadership:



Proven ability to work collaboratively as a member of an interdisciplinary health care team, and provide leadership, support, coaching, encouragement and direction where required

- Ownership: Takes pride in the work that is accomplished and understands the functions of tasks within the bigger picture of the organization. Ensures deadlines are met and work is completed properly.
- Philosophy of Care – Philosophy of caring consistent with the client-centered, holistic model of Hospice Peterborough.
- Professionalism: Demonstrates professional standards of conduct when governing interactions between individuals in a business environment.
- Research and Learning - Commitment to continuous learning and ability to search out relevant evidence-based standards/guidelines and integrate them into practice
- Teamwork: Works cooperatively and effectively with others to reach a common goal. Participate actively in group activities fostering a team environment.

· Time Management: Proven ability to manage time, organize priorities, and balance an ever-changing workload.

Qualifications:

- Registered nurse with current registration with the College of Nurses Ontario, preferably BScN educated.
- 3-5 years demonstrated experience providing hospice palliative care in community, hospital or appropriate long term care setting.
- Work experience at the Peterborough Regional Health Centre and Hospice Peterborough is an asset.
- Completed palliative education. For example, CNA certification in Hospice Palliative Care, CAPCE, Fundamentals of Palliative Care, LEAP or equivalent educational courses in another jurisdiction.
- Evidence of a demonstrated client-centered approach to care and ability to work with families.
- Evidence of current CPR certification. (It is the responsibility of the RN to maintain their own CPR certification during their employment with Hospice Peterborough)
- Skills in client assessment, planning, communicating with physicians, nurse practitioners and other health professionals.
- Ability to communicate professionally and compassionately with clients and families as well as health care providers
- Valid driver’s license, a reliable vehicle for work related purposes, and current vehicle insurance.
- Outstanding interpersonal, communication and organizational skills.
- Ability to work flexible hours including the possibility of on-call rotation.
- Knowledge of community health and social service resources an asset.

· Robust computer skills (Word, Excel, Outlook, databases and effective internet research).

Multi-site work location

This position is a multi-site position. Hospital outreach palliative navigators will be required to work both at Hospice Peterborough and at the Peterborough Regional Health Centre and both locations are considered as their base work locations.

REGISTERED NURSE

Job Purpose/Summary:

The Registered Nurse (RN) will be responsible for providing professional, evidence-based client-centred care for individuals staying in the Hospice Residence including all aspects of client and family care in accordance with the Regulated Health Professionals Act and College of Nurses Ontario Standards. The RN will be holistic, careful, and ethical in interactions with clients, families and colleagues, and make sound judgememnts based on experience and knowledge.

On any given shift, the RN will assume a lead role with the interdisciplinary team. They will provide care and be part of a care delivery team with the Registered Practical Nurse (RPN), Personal Support Worker (PSW) and any volunteers assigned to the Hospice Residence.

The RN will complete admission assessments and care-planning across the 8 domains of physical and psychosocial/spiritual care, lead and provide evidenced based client care, use critical thinking skills to recognize when to use validated assessment tools. The RN will always be willing to actively participate in the Organization`s accreditation process. The RN will liaise with the Physician/Nurse Practitioner and other Health Care Workers to support the client and family.

Primary Duties and Responsibilities:

Care of Clients Living in the Hospice Residence

· Plans individualized appropriate care for clients through assessment and consultation with the client, and/or substitute decision maker as appropriate regarding needs, wishes and preferences for care.

· Provides competent, evidence-based clinical care that respects client autonomy and uses critical thinking skills.

· Recognizes the importance of maintaining a home-like environment while also following Health and Safety and Infection Prevention and Control principles and practices.

· Serves a lead role for the duration of a shift, including constant collaborative prioritization and division of client care amongst team members to align scope of practice as client needs change.

· Engages in interdisciplinary consultation with external care partners as necessary to provide client centred, evidence-based care.

- Demonstrates expertise with pain and symptom assessment and management in clients receiving palliative care.

· Evaluates, reassesses, and revises symptom management goals and plan of care





· Assumes responsibility for residence on evenings, nights and weekends, including making decisions in accordance with Hospice policies and decision-making aids and consultation with the on-call manager if deemed necessary.

· In the absence of the Manager of Resident Care and PCCT, steps into various leadership roles such as facilitating bedside rounds.

· Consults with the client, and /or the substitute decision maker and/or family members as appropriate, regarding needs, wishes and preferences for care including sharing knowledge as appropriate to assist them in determining health care needs and making informed decisions Contributes to the assessment, development and ongoing review of the resident care plan and implementation of this plan.

· Identifies opportunities for resident participation in decisions that affect the residents’ rights and lifestyle and assists staff in encouraging the resident’s participation in the decision-making process.

· Administers medication appropriately including participating in: narcotic control, management of medications, application of treatments and dressings, transcription of Physician/NP orders, and other skills as required.

· Participates in mandatory education/training in-services for skill development and updates on new and/or relevant information on best practices.

· Required to cover at least 4 clinical on-call shifts in a month for our residence.

Organizational Responsibilities:

Supports the team-based culture of Hospice where everyone steps up to support residents, families and the operation of the Hospice Residence including participating in:

· Initiatives to support and improve hospice care in our organization and in the sector. Including but not limited to health and safety, risk management, evaluation and quality assurance

· Health and safety training, including WHIMIS, and applies this knowledge in the workplace.

· Collaboration with volunteers in the workplace.

· Completion of administrative reports.

· Annual performance appraisal.

· Fulfillment of all responsibilities in accordance with the by-laws, policies and procedures and standards of Hospice Peterborough.

· Care with a willingness to accept other duties as required.

Hospice Palliative Care Specific Competencies

· Facilitates empathic and responsive relationships between those experiencing life-limiting conditions and their care teams

· Demonstrates leadership that encourages colleagues to foster a caring environment that supports all staff working in sensitive situations

· Applies a dignity conserving approach to care when providing support

· Practices person-centred palliative care that incorporates the unique contributions of the family and caregivers

· Identifies and addresses beliefs and attitudes of society and health professionals towards palliative care that undermine access to high quality palliative care

· Addresses misperceptions that the person, their family, their caregiver(s) and colleagues have about palliative care

Working Conditions:

· Quick-paced, highly detailed environment.

· Ability to work a variety of 12 hour or 8 hour shifts including nights.

· Work continuously with an interdisciplinary team, clients and families and the general public.

· Physical ability and stamina to provide personal and clinical care to clients throughout a 12 hour shift.

· Ability to carry using appropriate lifting techniques.

· Ability to: grip, walk, sit, stand, reach, stoop, kneel, crouch, push or pull, climb stairs, regularly lift and or move up to 25lbs.; use fine hand movements.

Key Relationships & Interactions:

Internal

· PCCT (Intake Coordinator, Palliative Navigators, Supportive Care Counsellor)

· Residence team (Registered Nurses, Registered Practical Nurses, Personal Support Workers)

· Volunteers and other staff at Hospice Peterborough

External

· Clients, potential clients and families

· Peterborough Regional Health Centre Palliative Care Program

· Peterborough Family Health Team

· Community Palliative On Call Physician Group

· Home and Community Care

· Other health and community services

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as assigned to meet the ongoing needs of the organization.

Applications (cover letter and resume) must be e-mailed, mailed or hand-delivered, and received by October 21, 2026 at 4pm. (Applications will ONLY be accepted if they are complete and received as directed.)

Please address your application to:

Rochelle Bowers

Hospice Peterborough,

325 London Street
Peterborough, ON K9H 2Z5

[email protected]

Thank you for your interest. Please note that only those selected for the next steps of the application process will be contacted.

Hospice Peterborough is an organization that strives to embrace the spirit of inclusion, diversity, equity and accessibility. We are an equal opportunity employer committed to building an inclusive and barrier-free environment in which all individuals have access in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA).

Accommodation will be provided in all parts of the hiring process as required under relevant policies of Hospice Peterborough. Applicants will need to make their needs known in advance.

Pay: $40.61 per hour

Expected hours: No less than 7.0 per week

Benefits:

- Employee assistance program

Work Location: In person

📌 Palliative Navigator Hospital Outreach - Registered Nurse (Peterborough)
🏢 Hospice Peterborough
📍 Peterborough