Telehomecare Clinician

UNAVAILABLE; Port Hope; Hybrid; CAD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Ontario is seeking a Telehomecare Clinician to provide remote monitoring and health coaching for patients with complex chronic diseases. You will develop care plans and work collaboratively with patients and their care teams. Ideal candidates will have a nursing degree and a strong background in chronic disease management. This role offers hybrid work and attractive compensation.

Benefits

Comprehensive compensation packages

Defined benefit pension plan

Valuable development opportunities

Qualifications

• Registered nurse with current unrestricted registration in Ontario.
• Experience with chronic diseases like CHF, COPD, and diabetes.
• Strong critical thinking and resource management skills.

Responsibilities

• Provide remote patient monitoring and health coaching.
• Develop and implement customized care plans.
• Monitor patients and respond to clinical alerts.

Skills

Patient-centered care

Complex chronic disease management

Clinical practice and decision-making

Leadership

Health coaching techniques

Education

University degree in Nursing

Job description

Job Description

Date Posted:October 1, 2025

Closing Date: October 8, 2025

Job Type: Temporary Full-time

Start Date: October 27, 2025

Anticipated end date: April 30, 2026

Program:Clinical Care Programs (Telehomecare)

Branch:Port Hope

Group:ONA

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 Telehomecare Clinician provides remote patient monitoring, health coaching, and disease-specific education to patients. The Telehomecare Clinician will remotely monitor and coach patients with complex chronic diseases. This role is based on a collaborative model of care that focuses on enabling the patient to better manage his/her chronic disease through the support of clinician monitoring and coaching. The Telehomecare Clinician will work in collaboration with the patients’ circle of care.

Please note that the Telehomecare Clinician will be responsible for both remote care and remote surgical monitoring.

Responsibilities

• Conduct eligibility for any referred patients
• Obtain informed patient consent to participate
• Create and implement a customized care plan with patients that best meet the patient needs
• 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
• Remotely monitor and manage an assigned patient case load
• Actively participate in ongoing training/education sessions and Community of Practice offered through the Telehomecare Centre
• Participate as a member of the Telehomecare Team to provide feedback into continuous quality improvement initiatives
• Participate in program evaluation activities when required
• Conduct home visits and face to face assessments where required.
• Participate as a member of a selected number of committees representing Telehomecare issues
• Embody Ontario Health atHome mission, vision and values and apply quadruple aim (enhancing patient experience, enhancing provider/staff experience, improving value and improving populations health) to support continuous quality improvement in daily work
• Exemplify, embrace and intentionally promote an inclusive work environment where all are meant to feel they belong

Qualifications

• University degree preferred in Nursing, and /or equivalent
• Holds current appropriate unrestricted registration as a member of the College of Nurses of Ontario
• Experience in patient centered models of care where patient experience is a priority
• Excellent knowledge and expertise working with complex chronic diseases including, but not limited to: CHF, COPD, palliative care, mental health, chronic kidney disease and diabetes
• Foundational knowledge in clinical practice, decision-making, critical thinking, leadership, research utilization, resource management and problem solving skills
• Proficient with adult health education delivery, health coaching techniques and patient self-management support
• Protect patient confidentiality in accordance with legislation and college requirements

Preferred qualifications

• Completion of Respiratory Therapy program
• Other relevant certifications (i.e. CDE, CRE, CNA designations, TEACH, Choices & Changes, etc.)
• ICU, Cardiology Unit, or ER experience
• Experience with motivational interviewing counseling
• Ability to speak French or another second language

Hours of work

All hours of operation (Initially Monday-Friday 0830-1630; 70 hours per bi-weekly pay period) subject to change as per the Collective Agreement.

Position location and travel

Hybrid work model, subject to change.

Regular travel within the geographical region of Ontario Health atHome Central East may be required. A valid Ontario driver’s license and access to a vehicle are necessary.

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
• Valuable development opportunities
• Membership in a world class defined benefit pension plan
• Salary:$41.92-$51.91/hour

Who we are

We are Ontario Health atHome, ready to serve every person in Ontario. Ontario Health atHomeWe 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.

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.