The Community and Population Health Services (CPHS) portfolio supports the advancement of integrated health and social services from hospital to community. The Program is responsible for the development and advancement of innovative partnerships with peer, community, academic partners, and provides expert leadership in the area of pre- and post-hospital transitions.

CPHS is accountable for HHS' Population Health, Bundled Care and Alternate Level of Care strategies. The portfolio provides system-wide support through the Site Administrative Managers, Managers of Transitions, Transitional Care Discharge Specialists, ALC Navigators, Centralized Care and Transition Team, Hospital to Home (H2H), Integrated Comprehensive Care (ICC) Program, Medical Psychiatry Consultation Liaison Team, Substance Use Services and in partnership with HNHB Home Community Care Support Services.

The Nurse Practitioner (NP) in the Community Population Health Program will be registered with the College of Nurses of Ontario in the Extended Class - Adult and work within the scope of practice of the RN-EC

As a member of the Centralized Care and Transition Team (CCaTT) , the NP will work within an interdisciplinary team, the Emergency Department team and other team members utilizing a patient and family centered model of care. Additionally, the CCaTT NP will be involved in the Virtual Nursing Care Program supporting COPD and HF patients in accordance with the telepractice standards of the College of Nurses of Ontario, and HHS standards, policies and procedures. CCaTT NPs are responsible for providing direct patient care including: assessment and treatment of patients with multi-morbidity often impacted by social determinants of health and frailty; development of integrated care plans supporting seamless transition from hospital to community, and post-discharge follow-up for a sub-set of patients including those enrolled in the Virtual Nursing Care Program.

As an NP at Hamilton Health Sciences, you will tutor and mentor nursing and other health professionals as well as students as appropriate; participate in continuing education activities to integrate the role of the NP in the program and academic settings; initiate, participate, and/or lead programs, presentations, publications, evaluations and other system changes to continue the enhancement of interdisciplinary care teams. The CCaTT NP will be instrumental in working with program leadership and stakeholders to develop and execute strategic plans, and to advance best practices for operational excellence and sustainability.

The Nurse Practitioner (NP) in the Community Population Health Program will be registered with the College of Nurses of Ontario in the Extended Class - Adult and work within the scope of practice of the RN-EC

As a member of the Centralized Care and Transition Team (CCaTT) , the NP will work within an interdisciplinary team, the Emergency Department team and other team members utilizing a patient and family centered model of care. Additionally, the CCaTT NP will be involved in the Virtual Nursing Care Program supporting COPD and HF patients in accordance with the telepractice standards of the College of Nurses of Ontario, and HHS standards, policies and procedures. CCaTT NPs are responsible for providing direct patient care including: assessment and treatment of patients with multi-morbidity often impacted by social determinants of health and frailty; development of integrated care plans supporting seamless transition from hospital to community, and post-discharge follow-up for a sub-set of patients including those enrolled in the Virtual Nursing Care Program.

As an NP at Hamilton Health Sciences, you will tutor and mentor nursing and other health professionals as well as students as appropriate; participate in continuing education activities to integrate the role of the NP in the program and academic settings; initiate, participate, and/or lead programs, presentations, publications, evaluations and other system changes to continue the enhancement of interdisciplinary care teams. The CCaTT NP will be instrumental in working with program leadership and stakeholders to develop and execute strategic plans, and to advance best practices for operational excellence and sustainability.

Monday to Friday with some weekends and holidays

Monday to Friday with some weekends and holidays

1. Current Certificate of Registration in the College of Nurses of Ontario Extended Class - Adult
2. Completion of a Masters Degree in Nursing
3. Minimum of 5 years recent (within 2 years) clinical experience working with older adults presenting to hospital with multi-morbidity, frailty and social care needs
4. Demonstrated knowledge of the chronic disease management framework
5. Demonstrated knowledge of community resources to support integrated discharge planning with community partners
6. Demonstrated ability to critically appraise the literature, evaluate and implement best practice protocols
7. Demonstrated knowledge in quality improvement and the use of quality improvement methods and tools
8. Proven leadership abilities, including the ability to think strategically, influence decision making, affect culture and behavior
9. Proven effective communication and presentation skills
10. Proven success in implementing innovative, effective, value-added initiatives using change management and project management theory and frameworks
11. Demonstrated ability for independent action, initiative, problem solving, organization and prioritization
12. Demonstrated critical thinking, interpersonal and communication skills, both written and verbal
13. Demonstrated ability to be flexible and adapt positively to constantly changing clinical situations
14. Demonstrated ability to utilize information technology

1. Current Certificate of Registration in the College of Nurses of Ontario Extended Class - Adult
2. Completion of a Masters Degree in Nursing
3. Minimum of 5 years recent (within 2 years) clinical experience working with older adults presenting to hospital with multi-morbidity, frailty and social care needs
4. Demonstrated knowledge of the chronic disease management framework
5. Demonstrated knowledge of community resources to support integrated discharge planning with community partners
6. Demonstrated ability to critically appraise the literature, evaluate and implement best practice protocols
7. Demonstrated knowledge in quality improvement and the use of quality improvement methods and tools
8. Proven leadership abilities, including the ability to think strategically, influence decision making, affect culture and behavior
9. Proven effective communication and presentation skills
10. Proven success in implementing innovative, effective, value-added initiatives using change management and project management theory and frameworks
11. Demonstrated ability for independent action, initiative, problem solving, organization and prioritization
12. Demonstrated critical thinking, interpersonal and communication skills, both written and verbal
13. Demonstrated ability to be flexible and adapt positively to constantly changing clinical situations
14. Demonstrated ability to utilize information technology

Hamilton Health Sciences fosters a culture of patient and staff safety, whereby all employees are guided by our Mission, Vision, Values, and Values Based Code of Conduct. Hamilton Health Sciences is a teaching hospital and all staff and physicians are expected to support students and other learners.

To be considered for this opportunity applicants must apply during the posting period. All internal and external applicants may ONLY apply via the Careers website.

Hamilton Health Sciences is an equal opportunity employer and we will accommodate any needs under the Canadian Charter of Rights and Freedom, Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code. Hiring processes will be modified to remove barriers to accommodate those with disabilities, if requested. Should any applicant require accommodation through the application processes, please contact HR Operations at 905-521-2100, Ext. 46947 for assistance. If the applicant requires a specific accommodation because of a disability during an interview, the applicant will need to advise the hiring manager when scheduling the interview and the appropriate accommodations can be made.

This competition is open to all qualified applicants, however, qualified internal applicants will be considered first. Past performance will be considered as part of the selection process. If you are a previous employee of Hamilton Health Sciences, please note: the circumstances around an employee's exit will be considered prior to an offer of employment

Proficiency in both Official Languages, French and English, is considered an asset

If this position is temporary, selection for this position will be as per the outlined Collective Agreements:

Article 30 (k), CUPE Collective Agreement

Article 10.7 (d), ONA Collective Agreement

Article 13.01 (b) (ii), OPSEU 273 Collective Agreement

Article 14.04, OPSEU 209 Collective Agreement

Article 2.07 and Article 13, PIPSC RT Collective Agreement