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Health Careers Canada

Registered Nurse

Niagara-on-the-Lake, ON, Canada

The starting annual salary is $125,000. · Full-time

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Job details

Pay: The starting annual salary is $125,000.
Job type: Full-time
Apply by: Nov 19, 2026
Posting language: English
Posted: Oct 20, 2026

Original job description

“How do you live in the moment?”

We are passionate about ‘Making Every Moment Matter’™. We are seeking a candidate that shares our values - a person who has a passion to make a difference, who has a strong moral compass and who has a commitment to teamwork. The ideal candidate is a warm and loving person who makes meaningful connections with those they are caring for.

The Nurse Practitioner reports to the Director of Care with accountability to the Medical Director and collaborates with the resident, family/caregiver, and health care team in the development, implementation and evaluation of the residents’ plan of care, as well as provides leadership and mentorship to Nurse Managers and clinical staff that enhances their knowledge, assessment skills, and ability to care for residents. Leads and collaborates in research, education and evidence-based practice initiatives to optimize the resident, LTCH and health system outcomes.

You will work closely with our Senior Director of Clinical Practice, an experienced Nurse Practitioner with expertise in providing care to long-term care residents. This collaborative relationship offers Nurse Practitioners at all stages of their careers the opportunity to strengthen their clinical practice, expand their knowledge of long-term care, and receive ongoing mentorship and support. Whether you are an experienced Nurse Practitioner looking to bring your expertise to a rewarding long-term care environment or a new graduate beginning your Nurse Practitioner career, you will have access to clinical guidance, case discussion, education, and professional development opportunities. We are committed to fostering a supportive environment where every Nurse Practitioner can build confidence, share their expertise, and provide high-quality, person-centred care to our residents.

The Nurse Practitioner (NP) is responsible for providing and leading advanced clinical care for residents while supporting safe, compliant care delivery across the Home. Practising autonomously within the extended class scope and CNO Nurse Practitioner Practice Standard, the NP assesses, diagnoses, treats, and monitors resident health conditions and collaborates with physicians and the care team to implement integrated care plans. The NP contributes to clinical program implementation (e.g., chronic disease management, wound care, antimicrobial stewardship supports), staff coaching/education, and continuous quality improvement to improve outcomes and resident/family experience.

Wage Rate

The starting annual salary is $125,000.

Vacancy

This is an existing vacancy.

Responsibilities

Provides comprehensive primary care services to residents using a person-centred approach, including assessment, diagnosis, treatment, monitoring, and follow-up within NP scope and authority.
Complete admission, annual, and change-in-condition assessments, including medication reconciliation and participation in care conferences and care planning.
Provide consultation, coaching, and clinical decision support to the Director of Care, Assistant Director of Care and clinical teams for complex and high-risk clinical situations.
Prescribe, deprescribe, and manage medications and treatments in accordance with CNO standards and safe medication practice, including monitoring for effectiveness, adverse effects, and drug interactions.
Participates in Care Conferences as needed.
Support medication safety initiatives (e.g., medication review processes, reducing high-risk prescribing, supporting appropriate documentation and follow-up).
Collaborate with the Medical Director and attending physicians to support timely clinical decisions, implementation of medical orders, and continuity of care.
Consult and coordinate with nursing, allied health, and interdisciplinary partners (internal and external) to implement and evaluate resident plans of care.
Initiate and coordinate referrals to specialists, community services, diagnostics, and other providers; ensure results are reviewed and follow-up is completed.
Lead and support a palliative approach to care, including goals-of-care conversations, advance care planning support (as applicable), and coordination with residents/substitute decision-makers and the interdisciplinary team.
Provide clinical leadership for end-of-life symptom management, comfort measures, and timely reassessment; support staff coaching to ensure compassionate, consistent care across shifts.
Collaborate with the Medical Director/physicians, pharmacy, community palliative resources, hospice/palliative consult teams, and other external partners to strengthen palliative supports and reduce avoidable transfers.
Monitor and improve new or worsened pressure injuries/pressure ulcers (Stage 2–4) and ensure timely prevention/treatment actions (risk assessment, repositioning, support surfaces, wound consult pathways, documentation).
Lead medication optimization and deprescribing initiatives (with pharmacy/physicians) and track applicable indicators.
Reduce avoidable ED transfers/hospitalizations by tracking and analyzing.
Lead case reviews for repeat transfers and implement improvement actions (clinical pathways, early intervention triggers, staff education).
Provide ongoing education and coaching to Assistant Directors of Care/Managers and frontline teams on clinical best practices (e.g., wound prevention/treatment, pain and symptom management, deprescribing principles, and transfer avoidance pathways).
Develop and deliver targeted in-services based on quality indicators, audit findings, incident trends, and emerging best practices; evaluate learning uptake through observation, chart audits, and follow-up coaching.
Support onboarding and refresher education by creating/maintaining quick-reference tools (clinical pathways, checklists, SBAR templates, symptom management guides) and ensuring consistent use across shifts.
Reinforce professional documentation standards (accuracy, completeness, timeliness) and coach staff on documentation expectations.
Support mandatory reporting requirements under FLTCA/O. Reg. 246/22 and Home’s processes (including timely documentation, escalation, and follow-through as applicable).
Collaborate on education, quality improvement, and evidence-based practice initiatives to improve resident outcomes and system performance (including CARF-aligned performance improvement where applicable).
Actively support the Home’s IPAC program by reinforcing routine practices, outbreak readiness, and clinical guidance during outbreaks/emerging infectious disease events in alignment with the IPAC Standard for LTC Homes and public health direction.
Participate in recruitment and selection activities as required.
Participates in performance check-ins and appraisals as required.
Maintain confidentiality and protect personal health information in accordance with PHIPA and organizational privacy policies.
Use clinical systems and digital tools (including AI-enabled features where available) to support care, documentation, and quality monitoring, while ensuring outputs are used responsibly and do not replace clinical judgment.
Promote a safe workplace by supporting Occupational Health & Safety practices, hazard and reporting.
Provide responsive, respectful customer service to residents and families/caregivers through timely communication, service recovery, and coordination of follow-up with the care team.
Identifies and implements research-based innovations for improving resident care and collaborates with members of the interdisciplinary team and/or community to identify research opportunities and to conduct and/or support research
Perform other duties as assigned and or indicated in the Job Task Inventory.

Qualifications

The qualifications needed to join our family are as follows:

Registration: Current registration in good standing with the College of Nurses of Ontario (CNO) as a Nurse Practitioner - RN(EC) (Extended Class).
Candidates registered as an NP in another Canadian jurisdiction who are eligible for Ontario RN(EC) practice are welcome to apply.
Excellent interpersonal and communication skills
Experience in long-term care, preferred,
Ability to embrace various skills from the team to maximize the potential to enhance the well-being of all individuals
To show evidence of being focused on people’s feelings when interacting and knowing how to turn a task into positive social interaction.
To undertake and meet all legal requirements within a context of promoting individuals’ rights and measuring/reducing elements of risk.
Must provide a complete and current (within six months) Vulnerable Sector Check (including a Criminal Background Check) or be willing to obtain one
As a condition of employment, candidates are required to submit documented results of TB testing (within the last six months or within 14 days upon hire) or a chest X-ray (within the last year), as per Public Health requirements
Two supervisory references required
Provide proof of all required vaccines. The Employer strongly recommends to “stay up to date” with the recommended vaccines. Vaccination requirements are subject to changes as determined by the Employer.

What do we offer you?

Competitive wages
Employee benefits
Employee perks
Employee and Family Assistance Program
Support for personal and professional growth

We look forward to speaking with you and Making Every Moment Matter™. Although we appreciate all applicants' interest, only those selected for further consideration will be contacted.

As part of our recruitment process, we may use secure, limited AI tools to assist with administrative tasks such as organizing applications or analyzing role alignment. These tools are used solely to support our recruitment team. All hiring decisions are made by people.

We are committed to ensuring our hiring practices are equitable, inclusive, and privacy conscious. Any personal information collected or processed is handled in accordance with the Personal Information Protection and Electronic Act (PIPEDA) and our internal privacy policies.

We strive to be diverse, inclusive, fair, equitable and accessible by addressing barriers and promoting dignity and respect for all. If you require accommodation at any time during the recruitment process, please contact the hiring manager.

Apply About employer

More about this job

Responsibilities

Provide autonomous, advanced clinical care to long-term care residents, including assessment, diagnosis, treatment, medication management, care planning, and palliative support. Lead clinical quality initiatives, coach and educate staff, collaborate with physicians and interdisciplinary partners, and support safe, compliant care and improved resident outcomes.

Requirements

Current good-standing registration with the College of Nurses of Ontario as an extended-class Nurse Practitioner (RN(EC)) is required; eligible NPs registered in another Canadian jurisdiction may also apply. Long-term care experience is preferred, along with strong interpersonal and communication skills, and candidates must provide required screening, health, vaccine, and supervisory-reference documentation.

Skills

Advanced Clinical Assessment
Diagnosis And Treatment
Medication Management
Long-Term Care
Person-Centred Care
Care Planning
Palliative Care
Wound Care
Clinical Leadership
Staff Coaching And Education
Interdisciplinary Collaboration
Quality Improvement
Evidence-Based Practice
Infection Prevention And Control
Clinical Documentation
Research

Benefits

Employee Benefits
Employee Perks
Employee And Family Assistance Program
Personal And Professional Growth Support

Visa sponsorship

Not detected in the job text

Keywords

Nurse Practitioner
Registered Nurse Extended Class
College Of Nurses Of Ontario
Long-Term Care
Primary Care
Clinical Assessment
Diagnosis
Prescribing
Deprescribing
Medication Reconciliation
Medication Safety
Palliative Care
Advance Care Planning
Wound Care
Pressure Injury Prevention
Chronic Disease Management
Antimicrobial Stewardship
Infection Prevention And Control
Evidence-Based Practice
Quality Improvement
Care Conferences
Interdisciplinary Care
Clinical Education
Clinical Documentation
FLTCHA
Ontario Regulation 246/22
PHIPA
CARF
SBAR
Vulnerable Sector Check

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