CARE AND BE CARED FOR – THIS IS YOUR HOME
About the Role
Are you an experienced registered nurse (RN) seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.
Reporting to the Senior Manager, the Mobile Emergency Diversion Nurse is responsible to ensure that improved transitions from hospital to home are optimized and that linkages to primary care teams are established. This position will provide acute clinical care treatments to patients discharged from the hospital and / or community requiring nursing intervention to support discharge to home and / or prevent avoidable emergency department visits.Additionally, this position focuses on the remote monitoring of adults and seniors following acute post-surgical procedures and chronic diseases, ensuring that transitions from hospital to home are optimized and appropriate linkages to primary care teams are established. This role is based on a collaborative model of care that focuses on enabling the patient to better manage their chronic disease through the support of clinical monitoring and coaching as well as post-acute surgical procedures. This will assist in prevention of post-operative complications and chronic disease management.
What will you do?
- Work with the interdisciplinary Point of Access team to triage patients requiring acute nursing treatments to facilitate discharge from hospital and / or assist community patients with such treatments to avoid admission to acute care / ED when contracted Service Provider Organizations are unable to provide the necessary treatment.
- Confirm patients’ hospital discharge care plans, complete nursing physical assessments and administer the treatment required including but not limited to : peripheral intravenous care, wound care, subcutaneous / intramuscular injections, medication reconciliation / medication management; chronic disease management education, assist with connections to primary care, and provide the clinical care and health education required to safely transition the patients through this high-risk period of ED return.
- Practicing safe and competent care based on the RN scope of practice.
- Provide support to patients and carecoordinators by providing comprehensive system navigation, ensuring that available Ontario Health atHome services and community services are reviewed and ensuring linkage to community Care Coordinators.
- Inform and support the community Care Coordinators in developing the patient’s care plan and ensuring a smooth transfer of the primary care physician and pharmacist to the ongoing care team.
- Work with contracted Service Provider Organizations to transfer accountability of care when required.
- Assess and promote a safe environment for patients, caregivers, family members, and staff.
- Ensure contact with primary care provider, providing an update on the patient’s acute care event and post-discharge regime.
- Participate in and demonstrate an understanding of quality, risk and patient safety principles and practices.
- Assist with the orientation of new staff / students and carry out preceptor responsibilities as required.
- Assist patients in establishing and implementing self-management goals.
- Support patients in medication awareness and management.
- Monitor patients and respond to alerts using established clinical protocols and guidelines.
- Respond to patient phone / email inquiries and determine clinical next steps.
- Deliver patient education using validated educational tools and resources.
- Conduct regular and just-in-time health coaching sessions with patients.
- Work collaboratively with team members to provide timely triage of referred patients using standardized tools and processes.
- May be required to perform other duties as assigned.
What must you have?
- University degree in Registered Nursing.
- Registered Nurse in good standing with the College of Nurses of Ontario.
- Hold current CPR-Level C & AED certification.
- Minimum of 5 years of relevant experience as a Registered Nurse, with recent clinical / acute experience preferred.
- Demonstrated knowledge, experience and ability to care for patients with the following : initiation and maintenance of IV therapy, intermate / CADD pump, vascular access device management, palliative pain and symptom management, wound management skills.
- Working knowledge of community resources andthe nursing process, consultation process, program planning and crisis management.
- Experience executing infection control practices.
- Proficiency with computerized information systems.
- Excellent knowledge of health care related legislation and practices.
What would give you the edge?
- Emergency / critical care experience is an asset.
- Completion of Critical Care Course in an area of specialty is an asset.
- Fluency in a second language is an asset.
Hours of work
- Staff will work extended hour shifts : 08 : 00 – 19 : 00
- 7 shifts in a two-week period including weekends (70 hours per bi-weekly pay period)
- Candidates must be flexible to adjust to shifts within the hours of operation.
Position location and travel
- Hybrid work model, subject to change.
- The position involves travel throughoutthe geographical region of Ontario Health atHome Central East.
- This includes extensive travel within and around the Haliburton area.
- A valid Ontario driver’s license and access to a reliable vehicle are required.
What do we offer?
We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuouslearning, growth and innovation, we offer :
- Attractive comprehensive compensation packages and benefits.
- Membership in a world-class defined benefit pension plan.
- 41.92-$51.91 / hour
Who are we?
We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.
How to Apply
If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
We thank all applicants for their interest; however, only those selected for an interview will be contacted.
Posted : June 9, 2025 / Expires : July 9, 2025
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