Nurse Practitioner

internal/external posting

job title: Nurse Practitioner

job ID #: IHS FTC NP 24-0710

department: Integrated Health Services

reports to: Senior Manager, Primary Care

salary range:  $60.84 – $67.82 per hour

status:  Full-Time, Contract through March 31, 2025, with the expectation that it will be extended for several years (dependent on continued funding)

hours:   37.5 hours per week

Vacancy:  1

Who we are:

Sherbourne is a leading provider of quality health care and transformative support to people who face social, economic, and other systemic barriers. Our mission is to be a dynamic provider of integrated health services, community programs and capacity-building initiatives that enable people and diverse communities to achieve wellness.

Sherbourne provides innovative health care and social services to the diverse urban population of southeast Toronto.  While our doors are open to everyone, we focus on people who are homeless or under-housed; 2SLGBTQ, and newcomers to Canada.  We are funded by the Ministry of Health, Ontario Health Toronto, Ministry of Community, children and Social Services, City of Toronto and many generous companies, groups and individuals.

Working at Sherbourne:

At Sherbourne Health, we care about our staff and recognize that our biggest strength is our people. We have a solid commitment to life-long learning which is demonstrated through our professional development program. We invest in collective work and staff training to improve client care. We supplement this by creating a low-barrier work environment built on equity and respect, while working together in caring, cohesive teams and providing opportunities for advancement.

we believe in work-life balance and offer:

  • A competitive salary
  • Membership in Healthcare of Ontario Pension Plan (HOOPP).
  • An employee assistance plan.

 

about the role:

The Interprofessional Primary Care Team (IPCT) is an initiative by the Downtown East Ontario Health Team (DET OHT) that brings together Regent Park CHC, St. Michael’s FHT, Inner City FHT, and Sherbourne Health to enhance access to interdisciplinary primary care for individuals in the downtown east of Toronto, including Moss Park, St. Jamestown, and Regent Park, who face significant financial challenges, housing insecurity, and other forms of marginalization. The DET OHT comprises 43 health and social service organizations deeply rooted in the community, aiming to provide seamless, inclusive, and high-quality care through an integrated system. The DET OHT’s initiatives focus on priority populations, such as people experiencing homelessness and those with mental health and addiction issues, guided by principles of client and family-centered care, health equity, diversity, transparent collaboration, quality improvement, and responsive leadership.

Sherbourne Health is recruiting a Nurse Practitioner to support patient access and attachment to primary care services at Sherbourne Health and the Downtown East Toronto area.  The Nurse Practitioner (NP) will work closely with the DET OHT IPCT central navigation team and the four primary care organizations within the Downtown East Ontario Health Team (DET OHT) to deliver integrated services, with an emphasis on health stabilization and fostering strong, ongoing attachment to primary care.

The NP will provide comprehensive primary care to a diverse population facing significant barriers to healthcare, assisting patients in managing chronic conditions, preventing illnesses, promoting health, and effectively navigating the healthcare system.

The successful Nurse Practitioner (NP) may also support multiple programs within the Integrated Health Services department at Sherbourne Health as required. This includes providing comprehensive primary health care for individuals in an ambulatory setting as part of our NP-Led Clinic at The St. James Town Community Corner (“The Corner”) and Family Health Team (FHT), supporting healthcare needs of homeless and underhoused clients in our short-stay Acute Respite Care (ARC) program, and providing harm reduction services through prescribing as part of our Safer Opioid Supply (SOS) Program. The NP works collaboratively with an interprofessional team and external health care providers to support clients with chronic disease management, health promotion, illness prevention, substance use management and healthcare system navigation. The successful NP will understand the impact of the broad determinants of health on people’s ability to attend to their health care needs and provides care within a health promotion framework.

Sherbourne Health supports diverse populations including those who are homeless or underhoused, have mental health and substance use issues, are newcomers to Canada and are 2SLGBTQ. The NP will have an in-depth understanding of the health issues that are experienced by these populations and other marginalized persons and will work in partnership with care providers, both internally at Sherbourne and externally, in the community to improve the health of clients accessing our programs.

day to day responsibilities:

  • Integrate a broad knowledge base to perform holistic health assessments to obtain the required information to determine diagnoses, client needs and associated interventions
  • Work closely within Sherbourne Health’s multidisciplinary team and the DET OHT IPCT project team to provide primary care
  • Provide primary care in several locations including Sherbourne Health primary care clinic, home visits, satellite clinics, health bus, urban parks and shelters
  • Provide support and coverage to other IPCT’s Nurse Practitioners working out of the partnering primary care organizations
  • Provide comprehensive primary care for clients referred as part of the DET OHT IPCT project with substance use issues, mental health issues, acute medical issues, postoperative care, injuries, cancer treatment, and/or acute exacerbation of chronic issues.
  • Provide independent care within the scope of practice outlined by the College of Nurses.
  • Work within the Nurse Practitioners scope of practice to perform assessments, make diagnoses of disease and disorder, monitor ongoing therapy of patients with stable chronic illnesses, order diagnostic tests and interpret results and prescribe medications
  • Integrate a broad knowledge base to perform holistic health assessments, obtaining the required information to determine diagnoses, client needs, and associated interventions
  • Collaborate with team members, agency partners, clients, and communities to plan, implement, and deliver low-barrier, client-centered and coordinated care.
  • Perform outreach to marginalized individuals and groups, advocating for clients, and supporting community development.
  • Work collaboratively with clients to identify and mitigate health risks, promote understanding of health issues, and support healthy behaviours.

To thrive in this role, you’ll need

education/experience:

  • Current registration as a Registered Nurse in the Extended Class with the College of Nurses of Ontario (CNO)
  • Current Basic Life Support (BLS) certification
  • Evidence of completion of CNO-approved controlled substances education for Nurse Practitioners
  • Minimum of 2-3 years clinical experience as a Nurse Practitioner (especially in primary care/community settings) an asset
  • A generalist Nurse Practitioner holds and Extended Class Certificate of Registration with the College of Nurses of Ontario.
  • A minimum of 2 years of clinical experience as a Nurse Practitioner with a minimum of three years as a Registered Nurse.
  • Demonstrated understanding of working within an anti-oppression framework
  • Experience working with persons marginalized by social location including homelessness, poverty, sexual identity, gender identity, and/or residency status, using trauma-informed, anti-oppressive and harm reduction practices
  • Demonstrated commitment to client-centered, community-based care
  • Experience working in community-based primary care
  • Knowledge and proficiency in current, evidence-based methods and practices in healthcare delivery, with an emphasis on mental health promotion and risk reduction
  • Working knowledge of acts, legislation, and professional standards that govern nursing practice, including the Personal Health Information Protection Act (PHIPA), Regulated health Professions Act (RHPA) and the College of Nurses of Ontario (CNO) Standards and Guidelines
  • Ability to maintain professional practice regarding commitments to colleagues and clients, pertinent legislation, evidence-based standards of care and professional standards of practice.
  • Knowledge of the Health Care system, social determinants of health and community resources
  • Ability to work collaboratively within and across teams
  • Lived experience accessing primary care services in Downtown East Toronto an asset.
  • Experience working with individuals who face mental health and substance use issues
  • Knowledge and understanding of primary prevention and health promotion theory and practice
  • Experience and/or strong interest in applying harm reduction principles to reduce negative health consequences associated with drug use among people who use drugs, including opiate agonist therapy (OAT) and safer opioid supply
  • Clinical teaching experience an asset

skills and abilities:

  • Proven ability to work both independently and within a multidisciplinary team
  • Solid interpersonal and crisis intervention skills
  • Effective leadership, organizational, critical-thinking, problem-solving, decision-making and communication skills.
  • Experience and comfort working with an electronic medical record (EMR)
  • Working knowledge of Microsoft Office suite, including Word, PowerPoint, and Microsoft Teams is an asset.
  • Demonstrates an understanding of working within an anti-oppression framework
  • Working knowledge of acts, legislation, and professional standards that govern nursing practice including the Personal Health Information Protection Act (PHIPA), Regulated Health Professions Act (RHPA), and College of Nurses of Ontario (CNO) Standards and Guidelines
  • Ability to maintain professional practice regarding commitments to colleagues and clients, pertinent legislation, evidence-based standards of care and professional standards of practice
  • Ability to speak languages in addition to English is an asset
  • Experience delivering culturally safe care to Black and Indigenous populations is an asset

conditions of employment:

  • Employment is contingent upon the successful completion of a Police Records Check and Vulnerable Sector Check.
  • Commitment to a healthy and safe workplace for self and others by taking all reasonable precautions and working in compliance with Sherbourne Health policies, health and safety legislation and best practices.
  • Understand and maintain compliance with the Occupational Health and Safety Act (OHSA), Personal Health Information Protection Act (PHIPA), Accessibility for Ontarians with Disabilities Act (AODA), the Ontario Human Rights Code and other relevant legislation.

working conditions/environment

  • The NP will work onsite at Sherbourne Health (333 Sherbourne Street) and/or the Nurse Practitioner-Led Clinic at The St. James Town Community Corner (The Corner) (200 Wellesley Street East) and satellite clinics in the Downtown East Toronto community
  • Based on operational requirements, the position may require you to work days, evenings and weekends. The usual hours of work are Monday to Friday, 7.5-hour shifts.
  • Occasional weekends when necessary.

to apply:  Please forward a cover letter and resume (saved as one document) quoting IHS FTC NP 24-0710 to myjob@sherbourne.on.ca by Friday, August 9, 2024, at 5:00 pm.

Sherbourne is dedicated to building an organization that reflects the diversity of our clients and the communities we serve. This includes diversity in languages spoken, culture, race, sexual orientation and gender identity. Requests for accommodation due to disability can be made at any stage in the recruitment process.

We thank all applicants for their interest but only those selected for further consideration will be contacted.

BOLD.                  KIND.                   REAL.                   OPEN.                   WE CARE.