Nurse Practitioner

Niagara On The Lake Long Term Care Residence

Niagara-on-the-Lake, ON , CAN

“How do you live in the moment?”

We are passionate about ‘Making Every Moment Matter’™. We are seeking a candidate that shares our values - a person who has a passion to make a difference, who has a strong moral compass and who has a commitment to teamwork. The ideal candidate is a warm and loving person who makes meaningful connections with those they are caring for.

Nurse Practitioner reports to the Director of Care with accountability to the Medical Director and collaborates with the resident, family/caregiver, and health care team in the development, implementation and evaluation of the residents’ plan of care, as well as provides leadership and mentorship to Nurse Managers and clinical staff that enhances their knowledge, assessment skills, and ability to care for residents.

Leads and collaborates in research, education and evidence-based practice initiatives to optimize the resident, LTCH and health system outcomes.

The Nurse Practitioner (NP) is responsible for providing and leading advanced clinical care for residents while supporting safe, compliant care delivery across the Home. Practising autonomously within the extended class scope and CNO Nurse Practitioner Practice Standard, the NP assesses, diagnoses, treats, and monitors resident health conditions and collaborates with physicians and the care team to implement integrated care plans. The NP contributes to clinical program implementation (e.g., chronic disease management, wound care, antimicrobial stewardship supports), staff coaching/education, and continuous quality improvement to improve outcomes and resident/family experience.

Wage Rate:

The starting annual salary is $117,000.

Vacancy:

This is an existing vacancy.

• Provides comprehensive primary care services to residents using a person-centred approach, including assessment, diagnosis, treatment, monitoring, and follow‑up within NP scope and authority.
• Complete admission, annual, and change‑in‑condition assessments, including medication reconciliation and participation in care conferences and care planning.
• Provide consultation, coaching, and clinical decision support to the Director of Care, Assistant Director of Care and clinical teams for complex and high‑risk clinical situations.
• Prescribe, deprescribe, and manage medications and treatments in accordance with CNO standards and safe medication practice, including monitoring for effectiveness, adverse effects, and drug interactions.
• Participates in Care Conferences as needed.
• Support medication safety initiatives (e.g., medication review processes, reducing high‑risk prescribing, supporting appropriate documentation and follow‑up).
• Collaborate with the Medical Director and attending physicians to support timely clinical decisions, implementation of medical orders, and continuity of care.
• Consult and coordinate with nursing, allied health, and interdisciplinary partners (internal and external) to implement and evaluate resident plans of care.
• Initiate and coordinate referrals to specialists, community services, diagnostics, and other providers; ensure results are reviewed and follow‑up is completed.
• Lead and support a palliative approach to care, including goals‑of‑care conversations, advance care planning support (as applicable), and coordination with residents/substitute decision‑makers and the interdisciplinary team.
• Provide clinical leadership for end‑of‑life symptom management, comfort measures, and timely reassessment; support staff coaching to ensure compassionate, consistent care across shifts.
• Collaborate with the Medical Director/physicians, pharmacy, community palliative resources, hospice/palliative consult teams, and other external partners to strengthen palliative supports and reduce avoidable transfers.
• Monitor and improve new or worsened pressure injuries/pressure ulcers (Stage 2–4) and ensure timely prevention/treatment actions (risk assessment, repositioning, support surfaces, wound consult pathways, documentation).
• Lead medication optimization and deprescribing initiatives (with pharmacy/physicians) and track applicable…