Director of Care

Medmatch-Recruitment; Grimsby; On-site; CAD 120,000 - 180,000; Full time

Job summary

Medmatch-Recruitment is seeking a Director of Nursing and Resident Care (DONRC) for a 232-bed not-for-profit long-term-care home in Ontario. The DONRC provides leadership and oversight for all nursing and resident care services, ensuring safe, high-quality, resident-centered care.

Reporting to the CEO, the role ensures compliance with FLTCA, MOHLTC requirements, and College of Nurses of Ontario standards, while guiding staffing, quality, and operational performance to advance resident outcomes.

Qualifications

• BScN and current RN registration with CNO in good standing.
• Minimum five years of progressive leadership experience in long-term care or healthcare.
• Knowledge of Ontario LTC legislation, quality improvement, and infection prevention & control.
• Experience with RAI-MDS, quality improvement frameworks, and BSO programs.

Responsibilities

• Provide clinical leadership for nursing, personal support, and related programs.
• Ensure regulatory compliance and lead quality improvement initiatives.
• Oversee clinical operations including assessments, care planning, and documentation.
• Oversee staffing levels, workforce planning, recruitment, retention and performance management.
• Lead risk management, outbreak preparedness, and safety initiatives.
• Develop and manage nursing/resident care budget and monitor expenditures.
• Collaborate with physicians, NP, allied health, and community partners.

Skills

Clinical leadership

Regulatory compliance

Quality improvement

Staff development

Budgeting & financial stewardship

Communication & relationship mgmt

Critical thinking

Strategic leadership

Education

BScN

CNO registration in good standing

Job description

POSITION SUMMARY

The Director of Nursing and Resident Care (DONRC) provides leadership and oversight for all nursing and resident care services at this 232-bed, not-for-profit, long-term-care home and is accountable for the delivery of safe, high-quality, resident-centered care.

Reporting to the Chief Executive Officer, the DONRC ensures professional practice leadership and reporting to the Administrator, ensures compliance with the Fixing Long-Term Care Act, 2021 (FLTCA), Ministry of Long-Term Care requirements, and College of Nurses of Ontario standards. The DONRC is responsible for clinical operations, quality improvement, infection prevention and control, behavioural supports, workforce planning, and resident outcomes while fostering a culture of safety, accountability, and continuous improvement.

KEY RESPONSIBILITIES

Clinical Leadership

• Provide leadership and oversight for nursing, personal support, behavioural support, quality, and infection prevention and control programs.
• Promote evidence-based, resident-centered care and interdisciplinary collaboration.
• Monitor and improve clinical outcomes, including falls, wounds, medication safety, responsive behaviours, restraints, and infection rates.

Regulatory Compliance and Quality

• Ensure compliance with FLTCA, regulations, professional standards, and organizational policies.
• Lead inspection readiness, corrective action planning, and ongoing quality improvement initiatives.
• Utilize RAI-MDS and quality data to monitor performance and improve resident outcomes.

Clinical Operations

• Oversee resident assessment, care planning, clinical documentation, medication management, and clinical program development.
• Ensure the integrity and effective use of clinical data and reporting systems.
• Support implementation of best practices and innovative models of care.

Staffing and Workforce Management

• Ensure appropriate staffing levels and skills mix to meet resident care needs and legislative requirements.
• Lead recruitment, retention, performance management, staff development, and succession planning.
• Monitor staffing, overtime, absenteeism, and agency utilization.

Risk Management and Safety

• Oversee incident reporting, investigations, and corrective actions.
• Lead outbreak preparedness and response activities.
• Promote resident safety, workplace health and safety, and emergency preparedness.

Financial and Operational Accountability

• Develop and manage the nursing and resident care budget.
• Monitor staffing and operational expenditures.
• Ensure responsible utilization of resources while maintaining quality standards.

Collaboration and Leadership

• Collaborate with physicians, nurse practitioners, allied health professionals, Behavioural Supports Ontario teams, and community partners.
• Participate in organizational leadership and committee work, including Quality, IPAC, Professional Advisory, and Behavioural Supports Committees.
• Support strategic priorities, innovations and organizational initiatives.

QUALIFICATIONS

Required

• Bachelor of Science in Nursing (BScN).
• Current registration in good standing with the College of Nurses of Ontario.
• Minimum five (5) years of progressive leadership experience in long-term care or healthcare.
• Demonstrated knowledge of Ontario long-term care legislation, quality improvement, and infection prevention and control.
• Experience with RAI-MDS, quality improvement frameworks, and Behavioural Supports Ontario (BSO) programs.

Preferred

• Experience leading long-term care inspections and compliance initiatives.

Core Competencies

• Clinical and operational leadership
• Regulatory compliance
• Quality improvement
• Staff development and coaching
• Labour relations
• Financial stewardship
• Communication and relationship management
• Critical thinking and decision-making

ENVIRONMENTAL CONSIDERATIONS

• Exposure to communicable diseases and the long-term care environment.
• Responsibility for resident outcomes, staff performance, and regulatory compliance.
• Occasional requirement to respond to urgent clinical situations outside normal business hours.