Position Title: Registered Nurse (RN)

**Employment Status:**Permanent Full-time

**Position Status:**This is a Bargaining Unit position. All terms and conditions of the collective bargaining agreement apply.
This posting is for an existing vacancy.

**Job Posting Deadline for Internal Candidates:**March 19 at 5:00pm

**Salary Range:**Annualized salary range $71,655.00 - $76,728.00, commensurate on skills and experience, plus participation in HOOPP.

**Hours of Work/Schedule:**35 hours a week

**Position Reports to:**Manager, Integrated Care and Experience

**Primary Location:**Pickering and Oshawa (with flexibility to transition to/work at other DCHC sites as required).

Organization Overview

**Durham Community Health Centre (DCHC)**is a registered, charitable organization that provides integrated, accessible, and equitable community-based primary care, wellness services, and health education to Durham community members who face multiple barriers to their health and well-being.

DCHC also provides equity-based programs and services that focus on priority populations such as Indigenous, Black, the 2SLGBTQI Community, Newcomers to Canada, Seniors, and Unattached patients (i.e., those without a family doctor), to name a few. DCHC ensures Durham community members receive not only sick care but preventive care as well.

At DCHC, we are a team-based interprofessional group of staff including physicians, nurse practitioners, nurses, counselors, dietitians, outreach workers, medical secretaries, and other administrative staff. We always place every client at the center of our approach to care, based on their needs. We address these needs through integrated clinical and wellness care and health education.

It's an exciting time to be joining DCHC, while we are embarking on an energizing path with a focus on making our biggest impact yet on the health of Durham community members by diversifying, expanding, and leveraging our Strategic Plan, Theory of Change, Brand, Client Stories and Resources.

Position Overview

The Registered Nurse (RN) will provide comprehensive, client-centered primary health care that emphasizes accessibility, health promotion, illness- prevention and continuity-of-care for clients – individuals, couples, families – who sometimes experiencing complex physical and mental health needs.  The RN recognizes that the primary factors that shape the health of our clients are not medical treatments or lifestyle choices but rather the living conditions that our clients experience – the social determinants of health.  The RN will practice to their full-scope as set-out in College of Nurses of Ontario (CNO) guidelines and defined as:  the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function.

The RN will be an effective, collaborative member of the Durham CHC’s inter-professional team that includes Family Physicians, Nurse Practitioners (NP), Registered Nurses (RNs) and Therapists (including Registered Social Workers (RSWs) and Registered Psychotherapists (RPs)) who are providing clinical services to marginalized and at-risk members of our community – particularly those clients who are experiencing poverty and discrimination.  The RN will demonstrate advocacy and leadership skills to champion and support goals that align with and achieve Durham CHC’s Strategy, Vision, Mission, and Values, internally and externally, in the context of safe and ethical RN practice.

Key Responsibilities – Primary Health Care

• Provide client-centred primary care to individuals, couples, and families in a non-judgmental manner, recognizing the social determinants of health and associated health risks – taking the stance of a health advocate.
• Actively participate, seek, and provide consultation within an inter-professional model of care which includes – among others – fellow RNs, Nurse Practitioners, and Therapists practicing from both Social Work and Psychotherapy framework across Durham CHC clinic locations.
• Facilitate clinical assessments and health information gathering for clients with complex needs – within full scope of practice as defined by the College of Nurses of Ontario (CNO).
• Provide RN services that address the biopsychosocial needs of clients, including clients with multiple comorbid health conditions, mental health diagnoses and/or concurrent disorders involving substance use/abuse.
• Provide counselling, education, health promotion, internal referrals, and follow-up.
• ·        Perform intake assessment activities for new clients and assist medical secretaries in triage for telephone/walk-in for existing clients that are rostered to Family Physicians or seen by Therapists.
• Actively participate, seek, and provide consultation with external health service providers in the client’s circle-of care.
• Provide case management and follow-up for client treatment regime.
• Complete timely and accurate medical records of client encounters, documentation and third-party correspondence using Durham CHC’s Electronic Medical Record (EMR) system.
• Contribute to activities related to the development, implementation and evaluation of medical directives, policies and procedures, best-practices, and protocols.
• Contribute to the development of service and programs for health promotion for i.e., Trans health is an asset, expanded role for conducting pap smears is an asset.
• Adhere to and promote evidence-based practices and standards of best-practice in keeping with Durham CHC clinic operational guidelines.
• Advocate for at-risk clients and their families.
• Actively participate in case conferences when required.
• Participate in chart reviews, development, and implementation of Quality Improvement Plans (QIP) and accreditation activities with Canadian Centre for Accreditation (CCA).
• Demonstrate active participation in the CNO Quality Assurance (QA) Program to ensure maintenance of continuing competence to practice and with Durham CHC’s performance management requirements.
• Participate in the design, implementation, and evaluation of research studies that Durham CHC may participate in, from time-to-time, during our developing relationships with the universities and/or as providers of clinical student placements.
• Participate in other Durham CHC agency training activities and meetings as requested.
• May be required to conduct home visits from time-to-time.
• May also provide clinical supervision and training for nursing students.
• Ensure client care and caseload is managed to achieve the goals of Durham CHC’s Multi-Sector Service Accountability Agreement (MSAA) indicator targets with the Central-East Local Health Integration Network (CELHIN). Perform other duties as assigned that are reasonable with the scope of practice.

Key Responsibilities for Telemedicine via OTN

• The candidate will already have or will actively attend and participate in OTN training and certification to provide client care via telemedicine.
• Receives and facilitates OTN referrals through email, faxes, and telephone inquiries.
• Contacts physicians’ offices to obtain client information.
• Communicates with referred clients and service providers to schedule clinical appointments via OTN scheduling network and onsite for in-person consultations.
• Attending OTN consultations with clients and providers when required to conduct physical assessments or other nursing duties as required by the consulting physician during the consultation.
• Facilitate weekly indirect care telepsychiatry meetings between providers and our partners at CAMH.
• Coordinate quarterly reports to be completed for the LHIN/Ontario Health East

Qualifications

• Nursing Degree - Bachelor of Science in Nursing (BScN).
• Certification and member in good standing with theCollege of Nurses of Ontario(CNO).
• Member of the Registered Nurses Association of Ontario is an asset.
• Phlebotomy certification required.
• Minimum of three years’ experience working as a primary care RN with clients having complex needs.
• Experience working in a CHC setting, or other community health nursing practice is an asset.
• Experience working with telemedicine is an asset.
• Experience working with communities and individuals who face barriers accessing traditional health care services.
• Demonstrated excellent problem-solving, organizational, and interpersonal skills with an ability to work effectively and respectfully in a collaborative, inter-professional team environment.
• Demonstrated ability to communicate with clients in a manner that can be effectively understood – practicing active listening skills to understand client needs and coaching of clients as collaborative partners in their health care.
• Demonstrated excellent written skills and report writing for a clinical setting.
• Basic CPR certification required.
• Experience using EMRs and OTN (Ontario Telemedicine Network)
• Proficiency with Microsoft Office applications (e.g., Word) is an asset.
• Demonstrated competency in facilitating client group activities.
• Must show evidence of valid current vulnerable sector police check – required upon hiring.
• Valid Ontario Driver's license.

Full vaccination against COVID-19 is mandatory for this position (DCHC will however adhere to its duty to accommodate those who are unable to be fully vaccinated for a reason related to a human right protected ground).

Application Process:

1. While we thank all applicants for their interest in applying, only those qualified and considered for an interview will be contacted. All applicant submissions will be kept on file for six months, for future consideration.
2. All applicants are encouraged to provide a valid email address for communication purposes. Applicants may receive written correspondence regarding this job posting directly to the email address provided on their resume. As an applicant, it is your responsibility to ensure that you check your email regularly.
3. All positions are subject to the successful completion of the following pre-employment conditions for all external hires: Reference Checks; and Criminal Background checks (including Vulnerable Sector Screening).
4. Please be advised that AI Technology supports the screening process of applications. All final hiring decisions are made by our recruitment team.

Durham Community Health Centre (DCHC) is committed to creating an inclusive environment that welcomes and celebrates diversity so that all employees have the opportunity to thrive.  DCHC will comply with all applicable standards as set out in the Accessibility for Ontarians with Disabilities Act, 2005 (AODA), the provisions of the Ontario Human Rights Code, and any other applicable legislation.  Accessibility: If you have accessibility needs and require alternate formats or other accommodation, please contact our Talent and Culture team at 905-723-0036, or by email torecruiting@durhamchc.ca.