Primary Care Nurse Practitioner

Job Types: Full-time, Fixed term contract

Contract length: 15 months

Pay: $62.59-$66.84 per hour

Expected hours: 37.5 per week

Job Details
:

Program:
Primary Care and Medical Specialties

Position type:
Full-Time, Contract (Contract End date: May 2027)

Region:
East

Work Location:

Hybrid remote in Toronto, ON M5A 1E3

Inner City Health Associates (ICHA) is a group of approximately 200 physicians, nurses and administrative staff with a vision of a ‘healthy end to homelessness’ and committed to improving the health and well-being of the homeless and precariously housed communities of Toronto. ICHA staff work in shelters, drop-ins, community service agencies, encampments and clinical hub sites. Beyond direct care provision, ICHA trains future healthcare providers, conducts and facilitates research, promotes improvements in health and social service delivery, and advocates for healthy public policies and system changes locally, provincially, and nationally.

ICHA continues to make significant contributions to the redesign of our local system of health care for people experiencing homelessness, including those with complex support needs. We aim to ensure that our clients can have meaningful and effective access to the highest quality health care possible.

The Primary Care Nurse Practitioners (NP) will provide care via a fixed clinic and or mobile service care to individuals experiencing homelessness using a comprehensive, client-centered model of care with an emphasis on harm reduction, psychosocial support and crisis de-escalation. The NP will use their advanced knowledge, skill and judgement to treat clients who may present with complex health conditions such as unmanaged chronic diseases, infectious diseases, skin conditions and wounds, and mental illness and substance use issues.

The ICHA NP works collaboratively with ICHA nurses and physicians, as well as the shelter agency case managers, community workers and staff to provide episodic, transitional, primary care to clients experiencing homelessness respecting PHIPA and client consent. The NP will provide comprehensive and advanced health assessment of clients’ physical and mental health through transitional, episodic and fixed primary care clinics to address urgent and chronic health concerns, escalating issues whenever necessary to the ICHA physicians or Emergency Services, as appropriate.

The NP will collaborate with city/shelter staff and others to provide social and emotional supports including crisis mitigation and case management. An ICHA Nurse Manager will provide indirect supervision and ongoing support.

• Conducts comprehensive health assessments of individuals experiencing homelessness throughout their lifespan. Conducts assessments primarily within a fixed clinic model as well as outreach or virtual when clinically indicated and/or required for client-centered care.
• Assesses and manages episodic and chronic conditions commonly seen in primary health care.
• Provides supportive and lifestyle counselling which may include preventative counselling, brief supportive counselling or short-term crisis management when indicated.
• Assesses the need for and writes orders for prescriptions, laboratory and diagnostic tests within the RN(EC) scope of practice.
• Makes referrals to specialists, hospital or community resources as appropriate.
• Collaborates with partners to minimize barriers to accessing services and care.
• Ensures that standards of client care are maintained according to accepted College of Nurses standards of practice, the Regulated Health Professions Act, and ICHA policies.
• Participates in the development of, and gives support to, policies/strategies which are in the interest of public health, and which support the recognition of the determinants of health.
• Utilizes the Health navigator to improve access to care and connection services or resources.
• Perform other nursing duties as required by Nurse Managers.

• Current registration as a Registered Nurse/Nurse Practitioner (NP) (EC) with the College of Nurses of Ontario in good standing with no restrictions to practice;
  Master’s degree…