Nurse Practitioner - Crossroads Clinic

We are hiring for two (2) new Regular Part-Time positions (up to 0.6 FTE each).

The Crossroads Refugee Clinic provides clinical care to newly arrived refugees and their families. As a member of health care team you will provide clinical expertise as the Nurse Practitioner for the clinic. This role is integral to ensuring that all refugees and their families have equitable access to the care and services of the Crossroads Clinic. As part of an innovative model of care, this position will support refugee-focused primary care services delivered at both Women's College Hospital and at a clinic site located within COSTI Reception Centre. The COSTI Reception Centre provides short-term housing for refugees arriving in Toronto. The Centre provides newly arrived refugees with settlement services, housing navigation, and specialized programs to help newcomers transition into the community. Working collaboratively with health care providers, settlement services, and community partners, the successful candidate will help improve access to coordinated, patient-centred care for newcomers and refugees.

Other duties require the incumbent to provide leadership, teaching and functional guidance to professional staff and other learners from the interprofessional group, including Family Medicine Residents RNs and Nurse Practitioners; participate in the development, implementation and evaluation of policies, procedures and protocols; develop and administer a health care plan appropriate to client needs, including advocacy and referral to healthcare and/or social agencies, among others.

This position requires a solid communicator with excellent conflict management, negotiation, and computer skills; proven ability to maintain confidentiality and ethics and to interpret and evaluate information to make appropriate clinical decisions. The successful candidate will possess sound knowledge of health promotion and disease prevention strategies, clinical therapeutics, community health care programs, services, agencies and referral physicians; as well as knowledge and experience in applying clinical assessment skills to lead to improved health outcomes, preferably in a hospital, community or public health setting.

Summary of duties, but not limited to

• Works collaboratively with nursing colleagues, physicians, allied health professionals, COSTI Reception Centre staff, community partners, patients and families to provide coordinated, patient-centred care to refugees and their families accessing services through the Crossroads Refugee Clinic and at a clinic site located within COSTI Reception Centre
• Determines patient health care needs (in consultation with physician when required) through advanced history taking, physical examinations/interval assessments, and interpretation of diagnostic tests
• Maintains accurate, complete electronic patient demographics and charts
• Tracks clinic statistics
• In collaboration with the health care team, facilitates patient flow and access to primary health
• Uses ongoing evaluation of needs assessment to develop/initiate/modify the health care plan
• Determines and implements required diagnostic testing and initiates (adjust and/or discontinue) pharmacological and non-pharmacological therapies as defined by the College of Nurses of Ontario RN (EC)
• Effectively develop therapeutic relationships to assist in the assessment and management of mental health conditions in newly arrived refugees
• Conducts critical analysis of current research focusing on patient care and women’s health as it relates to the refugee population
• Develops and/or utilizes appropriate assessment instruments to measure clinical outcomes and/or other components of the Crossroads Clinic
• Acts as a consultant and resource to nursing administration, medicine, members of the health care team and external groups in the process of decision‑making, strategic planning and problem solving
• Implements and monitors clinical guidelines, educates staff regarding clinical guidelines and acts as a resource for related issues and problem solving. Recommends clinical guideline revisions as required
• Acts as a change agent by advocating for and implementing new initiatives
• Supports the strategic direction of the hospital and the strategic plan of nursing by being actively involved in hospital program committees
• As a role model and champion you will work to identify and integrate safe, best practices into daily activities to foster the delivery of safe and exemplary care.

The responsibilities described above are representative and are not to be construed as all-inclusive. This position is responsible for cross‑site coverage at two locations: 76 Grenville Street and 110 Lippencott Street

Qualifications/Skills

• Master’s Degree in Nursing
• Registered Nurse with current Nurse Practitioner Certification
• Must demonstrate an in‑depth understanding of health issues for refugees and newcomers
• One year experience working as a Nurse Practitioner in a hospital or community health care setting
• Experience working with local or overseas high needs communities would be an asset
• Experience working with a diverse patient population including refugees and newcomers to Canada
• The ability to speak one or more of the following languages is strongly preferred (Spanish, Arabic, Farsi, Amharic, Sudanese, and Trigrinian)
• One year experience in reproductive and sexual health care, an asset
• Demonstrated clinical leadership skills
• Strong analytical skills
• Demonstrated knowledge and skill in critical thinking and decision‑making
• Strong MS Office application skills including Word, Excel and Outlook
• Experience with computerized EMR is ideal
• Ability to work well under pressure and use good judgment in assessing difficult situations
• Comprehensive knowledge of health care, practices, procedures and standards
• Excellent verbal and written communications skills
• Excellent organizational and time management skills that would complement well developed interpersonal skills, including the ability to handle multiple duties
• Demonstrated commitment to and continuing participation in research
• Proven success in providing inspirational leadership in a team environment and ability to encourage innovation and creativity amongst team members
• Must have an excellent attendance record
• Professional behavior and communication that meets the standards of the professional regulatory college or association, as applicable, and the standards of Women’s College Hospital.
• This position plays a critical role in acting as an advocate for safety and will demonstrate principles, practices and processes that will optimize a safe environment for all.