Registered Nurse - Transitions

SE Health

Midland

On-site

CAD 70,000 - 90,000

Full time

14 days+

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Benefits offered by this job

Competitive pay

Health benefits

Pension plan

Work-life balance

Job summary

SE Health is seeking dynamic and passionate Nurses (RPN/RN) to join their Acute Care Transitions Program. This full-time position offers a collaborative environment where nurses take the lead in client-centered care, ensuring seamless transitions from hospital to home. The role involves comprehensive responsibilities including client assessments, interdisciplinary teamwork, and care planning within a community setting, emphasizing the importance of a holistic approach to health.

Qualifications

Registered in good standing with the College of Nurses of Ontario.
Minimum two years of nursing experience.
Experience in community care or acute care preferred.

Responsibilities

Provision of comprehensive care as part of an interdisciplinary team.
Conduct client assessments and develop care plans.
Lead discharge and transition care planning discussions.

Skills

Excellent interpersonal skills

Critical thinking

Assessment skills

Communication (oral and written)

Organizational skills

Education

Registered Nurse license

Job description

2 days ago Be among the first 25 applicants

The Acute Care Transitions Program ensures seamless, compassionate care as patients move from hospital to home. Designed to support both patients and their families, the program connects individuals with community-based healthcare providers, social support services, primary care and acute care teams. Together, they create personalized plans that improve outcomes and ease the transition to home.

Position Summary

We are seeking a dynamic and passionate Nurses (RPN/RN) who wants to be part of the transformational change in home and community care by providing care in a truly client-centered approach. You are excited about working in an environment that puts the care team in the driving seat; being part of a self-directed team that offers a high level of professional autonomy and responsibility. You will be part of a diverse care team that will provide services to a roster of clients in the community. You be part of a collaborative team that will conduct joint care planning with a focus on client-centered goals addressing client’s physical, cognitive, social, emotional, and spiritual domains, creating a holistic care plan. Each client is assigned a primary care clinician, a member of the interdisciplinary team who will lead care planning for that client and facilitate interdisciplinary team to reach client’s care goals. As part of the SE Transitions team, you will be a part of the team that will be accountable for the care and services you provide and the outcomes your clients achieve.

Full time permanent role - guaranteed 37.5 hours a week with 12 hours shifts

Responsibilities

Provision of comprehensive care in an interdisciplinary team
Primary contact for a client when designated as the primary care provider/clinician for the client’s interdisciplinary team
Provide continuous and comprehensive support to your team in the delivery of care for your client’s
Complete a client assessment and develop an interdisciplinary care plan based on best evidence/practices and on client’s unique needs.
Lead the care planning process and work with other disciplines to complete and implement interdisciplinary client care plans
Facilitate regular interdisciplinary team communication (e.g. huddle, rounds, status updates) when designated as the primary care provider/clinician
Lead discharge and transition care planning discussions during regular integrated team meetings with their front-line staff when designated as the primary care provider/clinician
Facilitate and organize family and caregiver meetings
Support the client through care transitions by collaborating and connecting the client with community support services in their local community.
Support clients, families and caregivers to develop strong self-care strategies, anticipate and address health issues, as well as optimize their health through effective health promotion strategies

Requirements

Registered in good standing with the College of Nurses of Ontario
Minimum of two years of nursing experience
Experience in one of the following areas: home/community care, acute care, chronic disease management, health promotion, palliative care and mental health
Having diverse nursing experiences with different client groups will be an asset
Community experience is an asset.
Demonstrated clinical leadership experience
Enthusiasm and love of community rehabilitative care and interest in sharing knowledge
Excellent assessment skills and a strong clinical background
Ability to be flexible and adaptable with excellent organizational skills
Ability to take initiative and adaptable to rapidly changing demands
Excellent interpersonal, communication (oral and written) and critical thinking skills
Demonstrated skills working independently and in a team environment
Excellent skills in case management and working with/coordinating interdisciplinary care teams
Vulnerable sector check (current).
A vehicle and valid driver’s license and the ability to travel.

About SE Health

At SE, we love what we do. Every day, we bring hope and happiness to clients, homes, and communities across Canada. We treat each person with dignity and love, like our own family; we build empathy; and we do the right thing. We are always inspired to make a difference. As a not-for-profit social enterprise, we share knowledge, provide the best care, and help each client to realize their most meaningful goals for health and wellbeing. We are an inclusive workplace offering competitive pay, benefits, pension, and work life balance. We’re a great place to work, and we hope you’ll join our team.

In the interest of the health and safety of our patients/clients, employees, and greater good of public health, SE Health requires those that wish to work for this organization to be fully vaccinated against COVID-19. Fully vaccinated means a person has received both doses of the COVID-19 vaccine and it has been 14 days since the last dose.

SE Health is committed to the success of all its employees. If you feel you need accommodations because of illness or disability, please do not hesitate to contact the Talent Acquisition team at careers@sehc.com at your earliest convenience

Seniority level