Nurse Practitioner, Transitional Care - FTT; J0126-0691

North York General is one of Canada’s leading community academic hospitals with a vision to deliver World-Class Care, 24/7. Affiliated with the University of Toronto, our multi-site campus supports our diverse community through every stage and life-defining moment by providing a wide range of acute care, ambulatory and long-term care services.

What defines North York General goes beyond exceptional quality care. Our superpower is how we deliver that care – the unparalleled compassion we bring to every encounter, during the moments that matter. Through partnerships, collaboration and academic endeavours, we seek to set new standards for People-Centred Care—a cornerstone of our culture and central to our Mission:
People-Centred Care for a healthier community.

North York General is a member of the North York Toronto Health Partners, an Ontario Health Team that integrates local care with patients, primary care and community partners.

We are proud to be a place where the best people come to learn, grow and innovate. Join North York General to accelerate your career!

Position Summary

Nurse Practitioner, Nurse-Led Outreach Team
This Nurse Practitioner role in the Nurse-Led Outreach Team program is primarily responsible for providing clinical care to support residents living in Long-Term Care (LTC) homes, within a specific sub-regional boundary. The NP works in collaboration and consultation with physicians, navigators, coordinators, and other members of the inter-professional health care team to prevent avoidable ED visits and hospitalizations, and to support transitions to and from hospital, when needed.

The NP will act as a link between the hospital and the LTC homes, working with hospital emergency department team and internal medicine physician team, to ensure the most appropriate and efficient clinical care provision. The NP will also support NLOT program development and direction that is agile and iterative, reflective of the dynamic nature of resident care need as well as evolving Ontario Health and Ministry of Long-Term Care priorities.

In collaboration with the Clinical Team Manager and nurses, you will be responsible for supporting and being part of a high-performance team, ensuring the delivery of quality and safe care for patients and families. Educate health care team members in best practice standards as it relates to the management of complex and frail geriatric patients. This role is also key to NYGH’s Ontario Health Team mandate to create a more Compassionate North York, improving population health for our community through more coordinated, integrated care across the continuum.

Great Nurse Practitioners are:

• Leaders – they demonstrate effective mentorship, coaching, knowledge of teaching and learning principles, problem solving and facilitate skills to foster the professional development of others

• Organized – they embrace the challenge of prioritizing duties and multitasking and have the ability to perform their duties in a professional manner and produce high quality work while meeting demands

• Great Communicators – they communicate effectively with colleagues, staff, patients, families and community partners throughout the Central LHIN

• Driven – they are self-directed and motivated to creatively find solutions to patient care and system issues

• Committed – they embrace our learning culture and demonstrate ongoing commitment to professional development to enhance their knowledge and skills

• Technological – they demonstrate competency using enhanced technology and related tools

On a practical level, you will

Practice in accordance with Regulated Health Professions Act, Gerontological Nurses Association (GNA) Standards, The Long-Term Care Homes Act, the Practice Standards set by College of Nurses of Ontario and standards set out for the Nurse Practitioner

• Assist in avoiding hospital admissions for current LTC residents who have new, or increasingly complex medical or specialized equipment needs which cannot currently be accommodated in their LTC home

• Support placement of eligible high-needs designated Alternate Level of Care (ALC) patients from hospitals into LTC

• Enable the admission…