As an experienced RN - Registered Nurse you must be sound, knowledgeable and confident in your clinical skills. You will provide exceptional customer service delivery at UHN and community, and must be excellent in building relationships with other clinical partners (physicians, allied healthcare professionals, community agencies). The Clinical RN must have excellent communication skills and be flexible, adaptable in working with technology (OTN) and problem solving ‘in the moment’ during telemedicine conferences.

1 year Contract - Monday to Friday - Day shifts - On-site and community

Responsibilities:

• Facilitates clinical assessments and health information gathering for complex patients of solo primary care providers.
• Consults physicians (family physicians or specialists) IP teams and the CCAC via telemedicine to support the assessment and management of patients requiring team based consultation with the goal of avoiding unnecessary transfers to the emergency room and developing anticipatory care plans.
• Establishes documentation tools and protocols for direct telemedicine access to team-based assessments for participating family physicians
• Supports patients and families to identify their treatment goals and participates in the development of a care plan..
• Supports primary care providers to identify the key issues in managing a complex patient, the resources needed to maintain the patient and family in the community, and the follow-up necessary to implement a coordinated care plan.
• Collaborates with members of the inter-professional teams, acute care facilities and the CCAC regarding care planning and follow-up for individuals at high risk for hospitalization or readmissions.
• Establishes collaborative relationships with EDs, rehabilitation hospitals, acute care, FHT and CHC, and CCAC teams and others to enhance smooth transitions along the continuum of care for identified complex patients.
• Collaborates with community agencies and diagnostic service providers to support the timely provision of comprehensive services to these patients.
• Engages frontline staff at the office practice site in the implementation and evaluation of strategies to enhance patient care plans.
• Utilizes highly developed communication and conflict management skills to assist members of the inter-professional team with the understanding and resolution of ethical and /or difficult situations.
• Participates in the evaluation of the initiative, measurement of outcomes and iterative change management.

Requirements:

• Graduated as an RN from a recognized program
• Minimum 3-5 years of clinical experience in caring for elderly patients and/or providing outreach in the community an asset
• Availability to work days with flexibility to adapt to program needs as they may include occasional weekends and evenings
• Demonstrated in-depth expertise regarding clinical assessment and primary care needs of vulnerable elderly, patients with complex co-morbidities and patients with chronic mental health challenges
• Evidence of sound knowledge and skill with adult education techniques
• Demonstrated ability to work in a self-directed manner using well developed leadership, critical thinking, organizational and problem solving skills
• Demonstrated sound interpersonal, team development and conflict management skills
• Advanced knowledge and skill with regard to patient safety, change leadership, project management and evaluation is an asset
• Sound knowledge of legislation pertaining to acute care in the community
• Fluent in Information technology and computer skills (Microsoft office word, excel, and electronic patient record)
• Experience with telemedicine use is an asset
• Member in good standing with the College of Nurses of Ontario
• Experience in geriatrics or primary care/ community health an asset
• Member of professional organization(s) in nursing such as RNAO
• Current BCLS certificate required
• A valid G driver’s license and vehicle.
• Flexibility to travel to UHN and surrounding communities
• Updated immunization record, clear criminal background check and Vulnerable sector check is required upon hire.

About SE Health

At SE, we love what we do. Every day, we bring hope and happiness to clients, homes, and communities across Canada. We treat each person with dignity and love, like our own family; we build empathy; and we do the right thing. We are always inspired to make a difference. As a not-for-profit social enterprise, we share knowledge, provide the best care, and help each client to realize their most meaningful goals for health and wellbeing. We are an inclusive workplace offering competitive pay, benefits, pension, and work life balance. We’re a great place to work, and we hope you’ll join our team.

Please note that due to the unprecedented circumstance of the Global Pandemic and the resultant public health crisis; and in the interest of the health and safety of our patients/clients, employees, and greater good of public health, SE Health requires those that wish to work for this organization to be fully vaccinated against COVID-19. Fully vaccinated means a person has received both doses of the COVID-19 vaccine and it has been 14 days since the last dose

SE Health is committed to the success of all its employees. If you feel you need accommodations because of illness or disability, please do not hesitate to contact the Talent Acquisition team at careers@sehc.com at your earliest convenience.

Please apply online WincyChong@sehc.com