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Manager, Clinical Excellence

The Manager, Clinical Excellence leads clinical quality, resident safety, and regulatory compliance initiatives across the long-term care facility. They are responsible for monitoring quality indicators, conducting audits, investigating clinical incidents, and driving sustainable improvements in resident outcomes.

  • On-site
  • Oakville, ON
  • Posted Sep 2, 2026
  • Apply by Sep 17, 2026
  • 1 position

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Job summary

Halton Region is committed to fostering a diverse, inclusive, and equitable workplace that reflects the communities we serve. We value, welcome and respect the unique perspectives and contributions of all individuals. We encourage applications from Indigenous Peoples (First Nation, Métis, Inuit), Black and racialized persons, persons with disabilities, women, and members of the 2SLGBTQ+ community. Accommodations are available at any point upon request for candidates participating in the selection process. We are proud to operate three non-profit long-term care homes where our employees make a meaningful contribution on the lives of the residents by providing quality care in a family-like atmosphere. As an employee, you will be part of a progressive, service-focused and award winning employer with a diverse and inclusive work environment. We are also recognized as a Registered Nurses' Association of Ontario (RNAO) Best Practice Spotlight organization. You make a positive difference in people’s lives because you provide high quality customer centered services. You operate within a highly ethical environment and will be accountable for going the extra mile, listening to your customers, creatively meeting needs and always being respectful to those you serve. As a result, you will be part of a qualified and strategic team recognized widely for caring, excellence, integrity, inclusiveness and flexibility. Posting ID: 5474Department: Social & Community ServicesDivision: Services For SeniorsPay Range: $108,952 - $136,187Job Type: Contract < 1 YearContract Duration: Up to 12 months Hours of Work: 35 hours per weekWork Location: Post Inn Village Long Term Care Facility - 203 Georgian Drive, OakvilleEmployee Group: MMSGVacancy Status: This posting is for an existing vacancy Posting Date: September 2, 2026Application Deadline: September 16, 2026 Please be advised that the results of this competition may be used to fill subsequent vacancies of the same position within the next 18 months. If this position becomes eligible to be filled permanently, the successful candidate from this competition may be appointed to the role. If you’re enthusiastic about the opportunity to work with Halton Region but don’t meet every qualification listed, we still encourage you to apply! This position may be eligible for an underfill opportunity for candidates who do not meet every qualification. We’re always on the lookout for exceptional talent to join our team! Job Summary Reporting to the Administrator, the Manager, Clinical Excellence is responsible for leading clinical quality, resident safety, regulatory compliance, risk management, audit programs, and clinical continuous quality improvement initiatives across the home. Working collaboratively with operational leaders and interdisciplinary teams, the Manager monitors quality indicators, investigates clinical risks, leads audit and compliance activities, supports inspection readiness, and drives sustainable improvements in clinical practice and resident outcomes. Duties & Responsibilities Clinical Quality & Governance Leads clinical governance systems. Monitor quality indicators, resident outcomes, and clinical performance measures. Support evidence-based practice and continuous quality improvement initiatives. Develop accountability frameworks and address quality concerns. Resident Safety, Risk Management & Incident Oversight Review incidents, complaints, critical incidents, and risk reports. Lead investigations and root cause analyses for critical incidents and complaints. Monitor corrective action plans and recurring trends. Promote resident safety and risk reduction. Daily Clinical Monitoring & Follow-Up Review 24-hour nursing and clinical reports daily and identify clinical, safety, medication, infection control, staffing, documentation, and compliance concerns. Collaborate with Manager of Resident Care, Nurses in Charge/charge nurse to ensure timely follow-up and accountability. Audit & Compliance Management Coordinate documentation, care plan, medication, IPAC, falls, skin and wound, environmental and compliance audits. Conduct InterRAI reliability reviews, mock inspections, and readiness assessments. Monitor corrective action implementation and sustainability. Regulatory Compliance & Inspection Readiness Monitor compliance with legislation and organizational standards. Coordinate inspection readiness activities and action plans. Maintain compliance trackers and readiness tools. Quality Analytics & Performance Monitoring Analyze trends in incidents, complaints, resident outcomes, audits, and compliance findings. Present findings and recommendations to leadership and CQI committees. Leadership Support & Capacity Building Coach and support registered staff. Facilitate interdisciplinary collaboration and change initiatives leveraging key change management principles. Promote accountability and continuous learning. Resident & Family Experience Support resident-centred care initiatives. Integrate resident and family feedback into quality improvement activities. Other duties as assigned. Skills & Qualifications Current registration and good standing with the College of Nurses of Ontario. Current Basic Life Support (BLS) certification with Healthcare Provider CPR Level C. Bachelor of Nursing degree; Master of Nursing degree preferred. Long Term Care experience at the nursing management level with a solid knowledge and understanding of applicable legislation, including the Fixing Long Term Care Act, 2021, and InterRAI experience. Minimum 5 years progressive healthcare leadership experience in quality improvement, risk management, compliance, audits, performance monitoring, and clinical coaching experience. Advanced knowledge of MS Word, Excel, PowerPoint, and Outlook. Familiarity with Point Click Care is preferred. Working/ Employment Conditions Working Condition A flexible work schedule is required to respond to the needs of the home, requirement to work every third weekend. Travel will be required; incumbent must provide their own transportation. Employment Condition Current (obtained within the past six (6) months), original and acceptable Criminal Records Check with Vulnerable Sector Screen, by the first day of employment. Current (obtained within the past six (6) months) two-step tuberculosis test or Quanti-FERON-TB Gold plus test by the first day of employment. Important information about your application: In accordance with requirements in Ontario Regulation 191/11 – Integrated Accessibility Standards and the Ontario Human Rights Code, Halton Region will accommodate the needs of individuals with disabilities throughout the recruitment process. If you require accommodation at any stage of the recruitment process, please inform the Talent Acquisition representative of the nature of the accommodation(s) you require. Please submit your application online. We will accommodate individual needs for applicants with disabilities and others who are not able to apply online. If you experience any issues with submitting your application, please contact HR Access at 905-825-6000 extension 7700. Applications will be accepted until 11:59 p.m. on the deadline date specified on the posting. We encourage applications from all qualified individuals; however, only those under consideration will be contacted. Personal information collected through the job application process will only be used for the purpose of determining qualifications for employment. If selected for an interview, you will be contacted by email and/or phone. Please ensure the contact information provided on your resume is up to date and that you check your email and voicemail regularly. Halton Region serves more than 650,000 residents throughout Burlington, Halton Hills, Milton and Oakville. We are committed to delivering high-quality programs and services that make Halton a great place to live and work. We engage great people who contribute to meaningful work that makes a positive difference in our community. At Halton, you are encouraged to grow and succeed in your career and are recognized for your accomplishments and contributions. As an employee, you will be part of a progressive, service-focused, and award-winning employer with a diverse and inclusive work environment.

What you’ll do

The Manager, Clinical Excellence leads clinical quality, resident safety, and regulatory compliance initiatives across the long-term care facility. They are responsible for monitoring quality indicators, conducting audits, investigating clinical incidents, and driving sustainable improvements in resident outcomes.

Requirements

Candidates must have a Bachelor of Nursing degree and current registration with the College of Nurses of Ontario. A minimum of 5 years of progressive healthcare leadership experience in quality improvement and risk management is required.

Listed skills

  • Change ManagementPreferred
  • Regulatory CompliancePreferred
  • Quality ImprovementPreferred
  • Risk ManagementPreferred
  • DocumentationPreferred
  • Root Cause AnalysisPreferred
  • Performance MonitoringPreferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

  • Clinical governance
  • Quality improvement
  • Risk management
  • Regulatory compliance
  • Audit management
  • Incident investigation
  • Root cause analysis
  • InterRAI
  • Clinical coaching
  • Performance monitoring
  • Change management
  • Resident safety
  • Healthcare leadership
  • Documentation
  • Point Click Care
  • Compliance Management
  • Compliance Auditing
  • Voicemail
  • Sustainability Regulatory Anticipation
  • Continuous Development
  • Workplace Inclusivity
  • Bachelor Of Science in Nursing (BSN)
  • Accountability
  • Quality Monitoring
  • Ethical Standards And Conduct
  • Interdisciplinary Collaboration
  • Quality Improvement
  • Microsoft Access
  • Microsoft Word
  • Microsoft Excel
  • Auditing
  • Basic Life Support (BLS) Certification
  • Cardiopulmonary Resuscitation (CPR)
  • Change Management
  • Clinical Governance
  • Clinical Monitoring
  • Clinical Practices
  • Regulatory Compliance
  • Continuous Quality Improvement (CQI)
  • Evidence-Based Practice
  • Governance
  • Leadership
  • Infection Control
  • Long-Term Care
  • Risk Management
  • Microsoft Outlook
  • Nursing Management
  • Nursing
  • Microsoft PowerPoint
  • Tuberculosis Management

Job areas

  • Healthcare
  • Management & Leadership
  • Government & Public Sector
  • Social Services
  • Operational Excellence Manager
  • Clinical Supervisor / Manager
  • Health Service Managers
  • Medical and Health Services Managers

Additional details

Minimum education
Bachelor’s degree
Minimum experience
5+ years
Apply by
Sep 17, 2026
Posting language
English
Working hours
35 hours per week