NURSE PRACTITIONER

City of Toronto; Toronto; On-site; CAD 134,000 - 143,000; Full time

Job summary

The City of Toronto is seeking a Nurse Practitioner within the Seniors Services & Long-Term Care Division to provide autonomous primary health care in long-term care homes, including diagnosing, ordering tests and managing residents’ health within scope.

Registered Nurse in the Extended Class with NP experience in LTC or primary care, BLS certification, geriatric nursing credentials, and strong leadership and communication skills are required.

Qualifications

• Current registration with the College of Nurses of Ontario as an RN in the Extended Class.
• Experience as a Nurse Practitioner in long-term care or primary care.
• Geriatric Nursing Certification from CNA or equivalent experience.
• Valid and current Basic Life Support (BLS) certificate.
• Ability to work with diverse residents and inter-professional teams.

Responsibilities

• Delivers primary health care to residents in the long-term care home.
• Performs focused health assessments and interprets findings.
• Orders diagnostic investigations and interprets results.
• Promotes evidence-based management and risk mitigation.
• Maintains resident health records in compliance with legislation.

Skills

Leadership

Communication

Interprofessional teamwork

Clinical supervision

Education

RN in Extended Class (Ontario)

Geriatric Nursing Certification (CNA)

BLS certificate

Tools

MS Office

Job description

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Job ID: 32628
Job Category: Health Services
Division & Section: Seniors Services & Long Term Care, LTC Regional Services
Job Type & Duration: 2 Permanent Full-time, Vacancies
Hourly Rate: $71.91- $76.51
Shift Information: Monday to Sunday, 35 hours per week
Affiliation: L79 Full-time
Number of Positions Open: 2
Posting Period: 14-July-2026 to 14-Oct-2026Location and Shift Information:

Lakeshore Lodge, 3197 Lakeshore Boulevard West, Etobicoke
Kipling Acres, 2233 Kipling Avenue, Etobicoke

The City's Seniors Services and Long-Term Care Division supports residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services, enabling people to live with support and age with dignity. The Division believes in the values of Compassion, Accountability, Respect, and Excellence. CareTO is our brand for the culture change we are investing in for the City's directly operated long-term care homes ( https://www.toronto.ca/community-people/housing-shelter/rental-housing-tenant-information/finding-housing/long-term-care-homes/careto/ ). Based on evidence-informed research, our goal is to improve the experiences of all those who live, work, volunteer, and visit.

To autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures for residents in the Long-Term Care Homes and Services Division within their legislated scope of practice.

Major Responsibilities:

• Delivers primary health care to residents in the Long-Term Care Home in the management of acute and chronic medical conditions, therapeutic management, health promotion and disease/injury prevention in order to deliver comprehensive health services.
• Conducts focused health assessment using and adapting assessment tools and techniques based on resident needs.
• Completes health history into resident's situation, including physical, psychosocial, emotional, cultural and ethnic dimensions of health.
• Performs physical examination and identifies and interprets normal and abnormal findings.
• Orders diagnostic investigations, and interprets results using evidence-based clinical reasoning.
• Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health/illness.
• Communicates with residents about the health assessment findings and/or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioural sciences and family processes when making diagnoses and providing overall therapeutic management.
• Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain resident functional, physiological and mental stability to achieve optimal health.
• Promotes safe resident care by mitigating harm and addressing immediate risks for residents and others affected by adverse events and near misses.
• Participates with the Medical Director and other senior management staff in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks.
• Collaborates with senior management in the Division and other community health services in initiatives for the development, implementation and evaluation of systems to promote continuity of resident care across the continuum.
• Ensures Accreditation Canada standards are evident in daily practice.
• Ensures resident files and health care records are properly maintained in compliance with applicable legislation and divisional expectations.
• Identifies, and collaborates with the Medical Director on, educational programs for the care team.

Key Qualifications: Your application must describe your qualifications as they relate to:

• Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (Primary Health Care or Adult) and entitled to practise.
• Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care or primary care.
• Experience in long-term care, with providing empathetic/relational care for the elderly and those living in long-term care, and clinical work experience with frail older adults, critical care, and mental health as a Nurse Practitioner.
• Certification in Geriatric Nursing from the Canadian Nursing Association or equivalent experience.
• Possession of valid and current Basic Life Support (B.L.S) certificate.

Must also have:

• Ability to incorporate knowledge of diversity, cultural safety and the determinants of health in the assessment, diagnosis and therapeutic management of residents and the evaluation of outcomes
• Ability to exercise independent judgment and to assess situations and problems efficiently and effectively
• Leadership skills, working well within an inter-professional team and ability to foster effective working relationships
• Ability to provide clinical supervision, education and mentoring for nursing students, medical students, and other learners, including residents/families
• Ability to develop and implement evaluation processes and identify strategies to improve clinical outcomes and manage risks
• Strong and effective verbal and written communication skills
• Ability to use computer software such as MS Office applications, email and web applications
• Ability to build and maintain effective relationships and partnerships with a diverse range of stakeholders as well as work effectively within multidisciplinary teams
• Ability to support the Toronto Public Service Values to ensure a culture that champions equity, diversity and respectful workplaces
• Ability to work shifts, evenings, weekends and holidays, as required
• Knowledge of relevant legislation and statutes, including, but not limited to, the Occupational Health and Safety Act and the Fixing Long-Term Care Act
• Good verbal and written communication skills with strong attention to detail
• Ability and willingness to provide a service that enhances the dignity and reflects the diversity of residents

Note: As a condition of employment with the Senior Services & Long-Term Care Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg. 246/22) as well as the Basic Life Support (B.L.S) certificate.

Equity, Diversity and Inclusion

The City is an equal opportunity employer, dedicated to creating a workplace culture of inclusiveness that reflects the diverse residents that we serve. Learn more about the City’s commitment to employment equity .