Geriatric Outreach Team jobs

Muskoka Algonquin Healthcare (MAHC) is a multi-site organization that includes the Huntsville District Memorial Hospital Site and the South Muskoka Memorial Hospital Site, and together we provide outstanding, integrated care to support people in living their healthiest lives.

OVERVIEW

The Nurse Led Outreach Team (NLOT) Nurse Practitioner supports provides Mobile Nursing Services to the residents of Long-Term Care Homes (LTCHs), contributes to LTCH capacity building and optimizes access to services. The Nurse Practitioner (NP) having a specialty-based focus functions in an expanded role demonstrating a high level of autonomy and expert skill to formulate clinical decisions and appropriately manage acute/chronic illness and promote wellness. As a member of the Interprofessional Practice team the NP will work in partnership with the Geriatric Program to utilize clinical expertise and an in-depth knowledge of senior’s patients in Long Term Care Homes within North Simcoe area.

The Nurse Practitioner will network to establish relationships with partner Long Term Care (LTC) Homes and staff, community organizations, physicians and local hospital staff to enhance the circle of care for complex residents and their families. In addition, the NP will provide clinical leadership and promote a culture of excellence within the assigned program and across the organization. The NP will do this by providing expert clinical practice, education, consultation, treatment, research within a family centered nursing approach.

ROLE

• Provides advanced clinical consultation, comprehensive geriatric assessment, and evidence-informed recommendations for residents of Long-Term Care Homes with complex medical, cognitive, behavioural, and functional needs
• Supports LTC home staff through coaching, mentoring, case reviews, and knowledge translation to improve the management of frailty, dementia, responsive behaviours, falls, delirium, palliative care needs, and chronic disease management
• Collaborates with LTC teams to identify residents at risk of clinical deterioration and develops proactive management plans aimed at supporting residents within their home whenever safe and appropriate.
• Acts as a liaison between LTC homes, hospital services, primary care providers, Specialized Geriatric Services, community agencies, and Ontario Health partners to improve continuity of care across the continuum.
• Develops and delivers education to LTC staff on evidence-based geriatric practices, clinical assessment, chronic disease management, delirium prevention, falls prevention, palliative approaches to care, and quality improvement initiatives.
• Participates in planning, implementation, monitoring, and evaluation of the NLOT program, including collection and reporting of required indicators, outcomes, and quality improvement initiatives.
• Supports implementation of Ontario Health, PGLO, Ministry of Health, and local strategic priorities related to seniors' care, LTC quality improvement, and integrated care models.
• Maintains accurate and timely documentation, prepares reports, tracks activity metrics, and contributes to program evaluation and funding accountability requirements.
• Contributes to staff orientation, student learning experiences, and professional development activities.
• Demonstrates responsible stewardship of healthcare resources through evidence-informed clinical decision-making.
• Supports efficient utilization of diagnostics, medications, community services, and hospital resources.
• Contributes to quality improvement initiatives, program planning, and resource recommendations.
• Responsible for the appropriate use and care of assigned equipment and organizational resources.

QUALIFICATIONS

• Master's Degree in Nursing
• Completion of an approved Nurse Practitioner Program
• Current registration in the Extended Class (RN-EC) with the College of Nurses of Ontario
• Current professional liability protection
• Current Basic Cardiac Life Support (BCLS)
• Advanced knowledge of geriatric medicine, chronic disease management, dementia care, and health system navigation
• PGLO: Provincial Common Orientation to the Care of Older Adults, or equivalent, or willingness to obtain
• Minimum three (3) of Nurse Practitioner experience
• Valid Ontario Driver's Licence
• Access to reliable transportation
• Ability to travel across the service area
• Canadian Nurses Association Certification in Gerontology (CGN(C)) (desired)
• Gentle Persuasive Approaches (GPA) (desired)
• Experience leading interprofessional collaborative care planning
• Experience in education, quality improvement, and change management initiatives
• Experience working independently and managing a geographically dispersed caseload

ADDITIONAL PERKS AT MAHC

• Staff referral program $1000 (for each successful permanent part-time and permanent full-time new hire you refer to MAHC)
• Extended health benefits (permanent full-time)
• Enrolment in the Healthcare of Ontario Pension Plan (HOOPP)

ADDITIONAL INFORMATION

Location: Multi-Site, working on site at both the South Muskoka Memorial Hospital (SMMH) located in Bracebridge and Huntsville District Memorial Hospital (HDMH) located in Huntsville. Applicants must reside within 125km of one of our hospital campuses or be willing to relocate prior to starting. *Exceptions will be considered on a case-by-case basis

Hours of Work: Monday-Friday. Shifts and hours may change according to departmental requirements per the collective agreement.

Recruitment Process

• Submit your cover letter and resume together as either a PDF or Word document(s) to this posting by 11:59 pm on the closing date. Please Note: Applicants must submit their application through this posting listed to be considered. Email and paper submissions will not be accepted unless otherwise indicated.
• If you are viewing this job posting on a website other than mahc.ca/careers, you may not be viewing the most up-to-date information. To see other opportunities or to view the most up-to-date version of this job posting, including rate of pay, please visit mahc.ca/careers.
• We thank all applicants for their interest in this opportunity. As much as we would like to reach out to every applicant, please note that only those selected for an interview will be contacted. Selection will be based on skills, abilities, experiences, and qualifications. MAHC reserves the right to conduct interview(s) or other applicable testing where required.
• Please note, AI (Artificial Intelligence) is not being used to screen, assess, or select applicants in our recruitment process.

Conditions of employment for external hires includes;

• Proof of immunization and vaccination records to the Hospital’s Occupational Health and Safety department
• Legal entitlement to work in Canada
• Satisfactory Criminal Record & Vulnerable Sector Check

Our organization: MAHC is committed to a selection process and work environment that is inclusive and barrier-free. We encourage applicants from all equity-deserving groups, including but not limited to, individuals who identify as Indigenous, racialized, seniors, persons living with disabilities, women, and those who identify as 2SLGBTQ+.

Accommodation will be provided in accordance with the Ontario Human Rights Code. If you have accommodation needs for attendance at the interview, please advise us at time of the interview being scheduled

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