Manager, Clinical Excellence

Halton Region; Oakville; On-site; CAD 109,000 - 136,000; Full time

Job summary

Halton Region is seeking a Manager, Clinical Excellence to lead clinical quality, resident safety, and regulatory compliance across its long-term care home in Oakville. The role focuses on continuous quality improvement, audits, and performance monitoring in collaboration with operations and interdisciplinary teams.

The position requires current RN licensure in Ontario, BLS/CPR, and a strong background in governance and InterRAI.

Qualifications

• Registered with the College of Nurses of Ontario in good standing.
• Bachelor of Nursing with leadership experience in long-term care preferred.
• Experience leading quality improvement, risk management and audits in healthcare.

Responsibilities

• Lead clinical governance systems and monitor quality indicators.
• Manage resident safety, risk reporting, and corrective actions.
• Coordinate audits, documentation, IPAC and compliance activities.
• Ensure inspection readiness and regulatory compliance across the home.
• Coach and support registered staff and foster interdisciplinary collaboration.

Skills

Healthcare leadership

Quality improvement

Risk management

Clinical coaching

InterRAI knowledge

MS Office

Education

Bachelor of Nursing degree

Master of Nursing degree preferred

Tools

Point Click Care

MS Word

MS Excel

MS PowerPoint

MS Outlook

Job description

Halton Region is committed to fostering a diverse, inclusive, and equitable workplace that reflects the communities we serve. We value, welcome and respect the unique perspectives and contributions of all individuals. We encourage applications from Indigenous Peoples (First Nation, Métis, Inuit), Black and racialized persons, persons with disabilities, women, and members of the 2SLGBTQ+ community. Accommodations are available at any point upon request for candidates participating in the selection process.

We are proud to operate three non-profit long-term care homes where our employees make a meaningful contribution on the lives of the residents by providing quality care in a family-like atmosphere. As an employee, you will be part of a progressive, service-focused and award winning employer with a diverse and inclusive work environment. We are also recognized as a Registered Nurses' Association of Ontario (RNAO) Best Practice Spotlight organization.

You make a positive difference in people’s lives because you provide high quality customer centered services. You operate within a highly ethical environment and will be accountable for going the extra mile, listening to your customers, creatively meeting needs and always being respectful to those you serve. As a result, you will be part of a qualified and strategic team recognized widely for caring, excellence, integrity, inclusiveness and flexibility.

Posting ID: 5474

Department: Social & Community Services

Division: Services For Seniors

Pay Range: $108,952 - $136,187

Job Type: Contract < 1 Year

Contract Duration: Up to 12 months

Hours of Work: 35 hours per week

Work Location: Post Inn Village Long Term Care Facility - 203 Georgian Drive, Oakville

Employee Group: MMSG

Vacancy Status: This posting is for an existing vacancy

Posting Date: September 2, 2026

Application Deadline: September 16, 2026

Please be advised that the results of this competition may be used to fill subsequent vacancies of the same position within the next 18 months.

If this position becomes eligible to be filled permanently, the successful candidate from this competition may be appointed to the role.

If you’re enthusiastic about the opportunity to work with Halton Region but don’t meet every qualification listed, we still encourage you to apply! This position may be eligible for an underfill opportunity for candidates who do not meet every qualification. We’re always on the lookout for exceptional talent to join our team!

Job Summary

Reporting to the Administrator, the Manager, Clinical Excellence is responsible for leading clinical quality, resident safety, regulatory compliance, risk management, audit programs, and clinical continuous quality improvement initiatives across the home. Working collaboratively with operational leaders and interdisciplinary teams, the Manager monitors quality indicators, investigates clinical risks, leads audit and compliance activities, supports inspection readiness, and drives sustainable improvements in clinical practice and resident outcomes.

Duties & Responsibilities

Clinical Quality & Governance

• Leads clinical governance systems.
• Monitor quality indicators, resident outcomes, and clinical performance measures.
• Support evidence-based practice and continuous quality improvement initiatives.
• Develop accountability frameworks and address quality concerns.

Resident Safety, Risk Management & Incident Oversight

• Review incidents, complaints, critical incidents, and risk reports.
• Lead investigations and root cause analyses for critical incidents and complaints.
• Monitor corrective action plans and recurring trends.
• Promote resident safety and risk reduction.

Daily Clinical Monitoring & Follow-Up

• Review 24-hour nursing and clinical reports daily and identify clinical, safety, medication, infection control, staffing, documentation, and compliance concerns. Collaborate with Manager of Resident Care, Nurses in Charge/charge nurse to ensure timely follow-up and accountability.

Audit & Compliance Management

• Coordinate documentation, care plan, medication, IPAC, falls, skin and wound, environmental and compliance audits.
• Conduct InterRAI reliability reviews, mock inspections, and readiness assessments.
• Monitor corrective action implementation and sustainability.

Regulatory Compliance & Inspection Readiness

• Monitor compliance with legislation and organizational standards.
• Coordinate inspection readiness activities and action plans.
• Maintain compliance trackers and readiness tools.

Quality Analytics & Performance Monitoring

• Analyze trends in incidents, complaints, resident outcomes, audits, and compliance findings. Present findings and recommendations to leadership and CQI committees.

Leadership Support & Capacity Building

• Coach and support registered staff.
• Facilitate interdisciplinary collaboration and change initiatives leveraging key change management principles.
• Promote accountability and continuous learning.

Resident & Family Experience

• Support resident-centred care initiatives.
• Integrate resident and family feedback into quality improvement activities.
• Other duties as assigned.

Skills & Qualifications

• Current registration and good standing with the College of Nurses of Ontario.
• Current Basic Life Support (BLS) certification with Healthcare Provider CPR Level C.
• Bachelor of Nursing degree; Master of Nursing degree preferred.
• Long Term Care experience at the nursing management level with a solid knowledge and understanding of applicable legislation, including the Fixing Long Term Care Act, 2021, and InterRAI experience.
• Minimum 5 years progressive healthcare leadership experience in quality improvement, risk management, compliance, audits, performance monitoring, and clinical coaching experience.
• Advanced knowledge of MS Word, Excel, PowerPoint, and Outlook.
• Familiarity with Point Click Care is preferred.

Working/ Employment Conditions

Working Condition

• A flexible work schedule is required to respond to the needs of the home, requirement to work every third weekend.
• Travel will be required; incumbent must provide their own transportation.

Employment Condition

• Current (obtained within the past six (6) months), original and acceptable Criminal Records Check with Vulnerable Sector Screen, by the first day of employment.
• Current (obtained within the past six (6) months) two-step tuberculosis test or Quanti-FERON-TB Gold plus test by the first day of employment.

Important Information About Your Application

• In accordance with requirements in Ontario Regulation 191/11 – Integrated Accessibility Standards and the Ontario Human Rights Code, Halton Region will accommodate the