Clinical Practice Lead - Clinical Nursing Care

Job Description

Clinical Practice Lead – Clinical Nursing Care

Are you an experienced Registered Nurse, seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.

As a Clinical Practice Lead – Clinical Nursing Care, you will work in collaboration with Ontario Health at Home leadership, frontline team members across the Home and Community Care portfolio, Service Provider partners, other internal and external partners, as well as patients and families, to ensure that quality patient-centered care is designed, delivered, measured and improved. The Clinical Practice Lead ensures application of best clinical practices at the point of care, with the goal of greater coordination of services across health, community, social and justice sectors so that every patient with complex health issues receives timely and quality care matched to their need.

As an advocate for quality clinical care, the Clinical Practice Lead facilitates and supports continuous learning, professional development, and consistently excellent evidence-based care delivery through education, coaching, and mentorship of staff.

An excellent communicator, critical thinker, lifelong learner and problem solver, the Clinical Practice Lead competencies include: expertise in the clinical area of focus, ability to apply research and evidence to inform processes and program development and improvement, ethical decision-making, collaboration with a variety of different stakeholders, and demonstrated leadership.

Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centred care – and be supported by our collaborative team that includes over 9,000 regulated health care and other professionals.

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.

What will you do?

Patient Care Delivery

• Provides leadership in the development, evaluation, and improvement of clinical practice as it relates to a specific clinical area of focus.
• Provides relevant clinical practice consultation to front line staff and system partners.
• Works closely with Home and Community Care Managers towards the advancement of clinical practice through program integration and standardization.
• Provides coaching, teaching, and mentorship to care coordinators and community partners engaged within the circle of care to augment “complexity capacity” through adherence to professional practice standards for complex patients.
• Works with Home and Community Care Leadership and Quality & Risk Department to identify clinical practice gaps/trends that, in collaboration with program managers and other relevant stakeholders, supports meaningful program and system improvements.
• Participates in researching, integrating, and promoting evidence-based clinical care models to achieve organizational goals and objectives.
• Supports implementation of best practice methodologies.
• Builds and maintains relationships with internal and external partners, intentionally focusing on building capacity within the specific clinical practice focus area.
• Participates as a leader in change management initiatives; acts as a champion for continuous improvement, and participates in the development of policies, procedures, processes, and tools to improve care delivery.
• Provides education and day-to-day support in the development of staff clinical expertise.
• Supports onboarding and orientation of new staff in specific clinical area.
• Participates in the development, implementation and evaluation of new care delivery initiatives.
• Identifies gaps in policies and procedures, as it relates to the clinical practice focus area, and brings it to the attention of the Manager/Director.
• Supports complex and difficult patient clinical issues and complaints which cannot be handled in a routine manner.
• Attends patient home visits and care conferences as required; supports frontline staff with the development of care plans that are complex as a result of the identified clinical issues.
• Works with Operations Managers to develop and monitor outcome reports as they relate to specific clinical practice areas.
• Runs and reviews reports as specified by the Manager and/or team.
• Reduces avoidable hospital readmission and emergency department use by ensuring the plan of care is executed as designed.
• Coaches and supports staff with planning for complex patients with an explicit intent to build knowledge and skills competencies.

Patient Assessment, Coordinated Care Planning & Engagement

• Responds to inquiries and requests for care in accordance with the patient's needs; identifies risk factors and urgency for care.
• Establishes goals in collaboration with the patient and family/caregiver; ensures goals reflect the patient's desired outcomes.
• Works with system partners, including Service Providers, hospitals, Community Service Sector (CSS), Primary Care, and relevant others to ensure a seamless, coordinated, quality-driven patient and caregiver experience.
• Develops a coordinated care plan that reflects the patient's assessed needs and goals within the resource parameters of the Home and Community Care Support Services Mississauga Halton.
• Collaborates and negotiates transitions of care once the patient's goals and outcomes have been achieved; supports patient and family system navigation to alternate resources, if appropriate.

What must you have?

• A registered health or social work professional including: registered nurse, physiotherapist, occupational therapist, speech language pathologist, or social worker.
• A member in good standing with their applicable regulatory body below:

• College of Nurses of Ontario
• College of Physiotherapists of Ontario
• College of Occupational Therapists of Ontario
• College of Audiologists and Speech Language Pathologists of Ontario
• Ontario College of Social Workers and Social Service Workers

• A University degree preferred (or an equivalent combination of education and experience may be considered).
• Three (3) to five (5) years recent experience in community health/hospital.
• Three (3) to five (5) years of experience in specific clinical practice area.
• Knowledge and experience in Care Coordination, including clinical strength in assessment, care planning, system navigation, health outcomes monitoring, direct support (i.e. self-management principles), collaboration with key system partners.
• A strong critical thinker with demonstrated judgment and ethical decision-making skills.
• Experience in analyzing and interpreting data and ability to translate data using Microsoft office and other tools into useful information.
• Effective communication, collaboration, and facilitation skills to problem solve and resolve conflict.
• Adult teaching experience and/or adult education courses are an asset.
• A valid driver’s license and access to a reliable vehicle.
• Proficient in a Windows environment.
• We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.

What would give you the edge?

• Experience working with diverse patient groups, e.g., multicultural, homeless, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics.
• Case management experience or recent related community experience.
• Ability to speak French or another second language.

What do we offer?

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer:

• Attractive comprehensive compensation packages and benefits.
• Valuable development opportunities.
• Membership in a world class defined benefit pension plan.
• Salary: CUPE Salary Band 5: $47.22 to $55.65 per hour.

Who are we?

We are Ontario Health at Home, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.

Why join us?

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 at Home 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.