Nurse Practitioner, FT Permanent

Sherbourne Health; Toronto; On-site; Full time

Job summary

Sherbourne Health is seeking a Nurse Practitioner to deliver primary care on the Health Bus to underserved communities in Toronto. The role requires collaboration within a multidisciplinary team and adherence to best practices in health care delivery, focusing on client-centered, community-based services. The successful candidate will engage in health promotion and provide comprehensive care that addresses the determinants of health.

Benefits

Membership in Healthcare of Ontario Pension Plan (HOOPP)

Up to four weeks of vacation per year

An extended healthcare and dental package

Up to six fully paid professional development days per year

Life insurance

Employee assistance plan

Qualifications

• Minimum 2 years of clinical experience as a Nurse Practitioner.
• Strong commitment to anti-oppression framework.
• Experience with marginalized populations.

Responsibilities

• Provides primary care with consideration of social determinants of health.
• Collaborates with community partners to enhance service delivery.
• Acts as a health advocate and educates clients on health issues.

Skills

Crisis intervention

Communication

Interpersonal skills

Education

Current registration as a Registered Nurse in the Extended Class

Basic Life Support (BLS) certification

Tools

Electronic Medical Record (EMR)

Microsoft Office suite

Job description

Internal/external posting

job title: Nurse Practitioner

job ID #: IHS HB FTP NP 25-0609

department: Integrated Health Services

reports to: Manager, Mobile Health and System Navigation

salary range: $60.84 – $67.82 per hour

status: Full Time, Permanent

hours: 37.5 hours per week

Vacancy: 1

Who we are:

Sherbourne is a leading provider of quality health care and transformative support to people who face social, economic, and other systemic barriers. Our mission is to be a dynamic provider of integrated health services, community programs and capacity-building initiatives that enable people and diverse communities to achieve wellness.

Sherbourne provides innovative health care and social services to the diverse urban population of southeast Toronto. While our doors are open to everyone, we focus on people experiencing homelessness or who are under-housed; 2SLGBTQ+, and newcomers to Canada. We are funded by the Ministry of Health, Ontario Health, Ministry of Community, Children and Social Services, the City of Toronto and many generous donors and foundations.

Scope of the Mandate:

The Nurse practitioner (NP) will provide a full scope of primary care and liaise as required with other members of the Health Bus team and external health care providers and community partners to ensure the delivery of comprehensive health care to clients on the Health Bus and complete follow up at Sherbourne Health and in the community as required.

The Nurse Practitioner understands the impact of the broad determinants of health on people’s ability to attend to their health care needs and provides care within a health promotion framework. The Nurse Practitioner will work collaboratively within a multidisciplinary team and in keeping with the core objectives and values of Sherbourne Health. This position is responsible for meeting and maintaining the standards of practice prescribed in legislation and regulations that apply to the position as outlined in the practice expectations specific to Registered Nurses in the Extended Class from the College of Nurses of Ontario. In this role, the Nurse Practitioner works to full scope of practice.

Working at Sherbourne

At Sherbourne Health, we care about our staff and recognize that our biggest strength is our people. We have a solid commitment to life-long learning which is demonstrated through our professional development program. We invest in collective work and staff training to improve client care. We supplement this by creating a low-barrier work environment built on equity and respect, while working together in caring, cohesive teams and providing opportunities for advancement.

we believe in work-life balance and offer:

• A competitive salary.
• Membership in Healthcare of Ontario Pension Plan (HOOPP).
• Up to four weeks of vacation per year (to start).
• Up to four personal days per year.
• An extended healthcare and dental package.
• Long-term disability insurance.
• Life insurance.
• An employee assistance plan.
• A generous professional development plan: up to $1,300 to be used towards learning activities.
• Up to six fully paid professional development days per year – related to position/responsibilities.

Responsibilities and Tasks:

CLIENT SERVICE:

• Provides episodic primary care to clients, taking into account environmental, social, psychological and medical risk factors in a manner that can be understood by clients and is appropriate to their individual situation.
• Discusses health concern/diagnosis with the client and together determines an appropriate plan of care.
• Provides ongoing follow-up and evaluation of the plan of care with the client
• Provides supportive counseling to clients with mental health/emotional concerns and refers to internal or external resources as necessary.
• Collaborates with Health Bus team members and refers clients to other services in the community to ensure clients receive comprehensive, competent and appropriate health care.
• Assesses clients for routine health and illness care and to prescribe treatment.
• Coordinates and conducts sexual health visits, cervical screenings and other visits/ clinics as needed.
• Consults and/or refers for further assessment or treatment for the client when appropriate and/or beyond the Nurse Practitioner scope of practice.
• Prescribes medications and orders diagnostic testing in accordance with the scope of practice for Nurse Practitioners.
• Acts as a health advocate for clients
• Uses health care resources effectively to benefit clients. Delivers episodic and primary care services within the Nurse Practitioner (NP) scope of practice as outlined by the College of Nurses of Ontario (CNO) and Bill 179.
• Refers clients to other primary care services as required and provide follow up.
• Provides primary healthcare grounded by the five principles of Primary Healthcare as outlined by the World Health Organization.
• Works from a harm reduction approach that includes the provision of Naloxone and harm reduction supplies as needed
• Identifies barriers to health and facilitates access to resources.
• Demonstrates a commitment to a healthy and safe workplace for self and others (staff, patients, families, etc.) by taking all reasonable precautions and working in compliance with SHC related policies, health and safety legislation and best practices

Health Promotion and Education

• Participates in the development, planning and evaluation of the Health Bus program.
• Counsels and educates clients on health related and lifestyle issues.
• Facilitates health promotion programs which promote mental and physical health.
• Acts as resource to staff and the community regarding current trends in health care as well as general health issues.
• Collaborates with community partners to provide education and information regarding improved access to primary health care service
• Participates actively on networks and coalitions dealing with issues affecting primary health care with a focus on homeless under housed populations
• Collaborates and consults with multidisciplinary staff within host organization, partnering organizations and broader community to facilitate comprehensive primary care provision
• Acts as a preceptor to NP and Registered Nursing (RN) students and mentors new staff members and/or students
• Engages in evidenced based practice and ongoing learning
• Collaborates with the multidisciplinary team to assist with quality improvement and development of creative strategies to meet client needs
• Advocates for individual client needs to ensure access to effective care, follow-up and resources from both an individual and systemic level
• Collaborates with colleagues to identify population trends, develop research questions and/or conduct research studies
• Facilitates knowledge translation by educating colleagues on topics related to client care
• Initiates and/or participates in systemic advocacy activities directed at achieving health equity by improving the social determinants of health, eliminating stigma and developing healthy public policy.

Education

• Pursues on-going professional education and development through approved continuing education.
• Completes minimum number of hours continuing education per year as designated by the College of Nurses.
• Participates in the training of other healthcare professional students.

Administrative Duties

• Identifies areas where the development of protocols and procedures are needed to improve client services or to promote more effective staff functioning.
• Participates in meetings with the Health Bus team, the broader organization and partners, as required.
• Maintains accurate records of clients’ visits in the Electronic Medical Record system.
• Records encounters, including telephone conversations, as appropriate for data collection and analysis.
• Assists team in administrative and clinical duties as required.
• Other duties as required.

To thrive in this role, you’ll need

education/experience:

• Current registration as a Registered Nurse in the Extended Class with the College of Nurses of Ontario (CNO) (a generalist Nurse Practitioner holds an Extended Class Certificate of Registration with the College of Nurses of Ontario).
• Current Basic Life Support (BLS) certification.
• Evidence of completion of CNO-approved controlled substances education for Nurse Practitioners.
• A minimum of 2 years of clinical experience as a Nurse Practitioner with a minimum of three years as a Registered Nurse.

• 2-3 years clinical experience in primary care/community settings an asset.
• Clinical experience in providing gender-affirming care for Trans, 2-Spirit and Gender-Diverse clients an asset.

• Demonstrated understanding of working within an anti-oppression framework.
• Experience working with persons marginalized by social location including homelessness, poverty, sexual identity, gender identity, and/or residency status, using trauma-informed, anti-oppressive and harm reduction practices.
• Demonstrated commitment to client-centered, community-based care
• Knowledge and proficiency in current, evidence-based methods and practices in healthcare delivery, with an emphasis on mental health promotion and risk reduction.
• Working knowledge of acts, legislation, and professional standards that govern nursing practice, including the Personal Health Information Protection Act (PHIPA), Regulated health Professions Act (RHPA) and the College of Nurses of Ontario (CNO) Standards and Guidelines.
• Ability to maintain professional practice regarding commitments to colleagues and clients, pertinent legislation, evidence-based standards of care and professional standards of practice.
• Knowledge of the Health Care system, social determinants of health and community resources.
• Ability to work collaboratively within and across teams
• Experience supporting clients to access primary care/community services in Downtown Toronto.
• Experience working with individuals who face mental health and substance use issues
• Knowledge and understanding of primary prevention and health promotion theory and practice.
• Experience and/or strong interest in applying harm reduction principles to reduce negative health consequences associated with drug use among people who use drugs, including opiate agonist therapy (OAT) and safer opioid supply.

skills and abilities:

• Proven ability to work both independently and within a multidisciplinary team.
• Solid interpersonal and crisis intervention skills.
• Effective leadership, organizational, critical-thinking, problem-solving, decision-making and communication skills.
• Experience and comfort working with an electronic medical record (EMR).
• Working knowledge of Microsoft Office suite, including Word, PowerPoint, and Microsoft Teams is an asset.
• Demonstrates an understanding of working within an anti-oppression framework.
• Working knowledge of acts, legislation, and professional standards that govern nursing practice including the Personal Health Information Protection Act (PHIPA), Regulated Health Professions Act (RHPA), and College of Nurses of Ontario (CNO) Standards and Guidelines
• Ability to maintain professional practice regarding commitments to colleagues and clients, pertinent legislation, evidence-based standards of care and professional standards of practice.
• Ability to speak languages in addition to English is an asset.
• Experience delivering culturally safe care to Black and Indigenous populations is an asset.
• Valid G-Class Driver’s License and Driving Record in good standing to operate the Health Bus required.

conditions of employment:

• Employment is contingent upon the successful completion of a Police Records Check and Vulnerable Sector Check.
• Commitment to a healthy and safe workplace for self and others by taking all reasonable precautions and working in compliance with Sherbourne Health policies, health and safety legislation and best practices.
• Understand and maintain compliance with the Occupational Health and Safety Act (OHSA), Personal Health Information Protection Act (PHIPA), Accessibility for Ontarians with Disabilities Act (AODA), the Ontario Human Rights Code and other relevant legislation.

working conditions/environment

• The Nurse Practitioner works primarily on the Sherbourne Mobile Health Bus. Follow-up at Sherbourne Health or other sites in the community when applicable. This role will require work primarily during daytime hours but may require occasional evening and weekends.

to apply: Please forward a cover letter and resume (saved as one document) quoting IHS HB FTP NP 25-0609 to [e-mail]

Sherbourne is dedicated to building an organization that reflects the diversity of our clients and the communities we serve. This includes diversity in languages spoken, culture, race, sexual orientation and gender identity. Requests for accommodation due to disability can be made at any stage in the recruitment process.

We thank all applicants for their interest but only those selected for further consideration will be contacted.

BOLD.KIND. REAL.OPEN.WE CARE.