Nurse Practitioner – Central Toronto
Job Summary
The Primary Care Nurse Practitioner (NP) will provide comprehensive, person-centered care within the homecare setting. The NP will be the most responsible clinician for clients who are unattached, or have challenges accessing their primary GP/NP and require clinical assessment, diagnosis, prescribing and care planning. The NP will work within an interdisciplinary team, to assess clients' holistic needs, co-develop client focused care plans, and support clients with complex social, medical, functional, and psychosocial needs during critical care transitions.
The NP will report to the Director of Nursing and will collaborate closely with the leadership team, as they hold a vital role in improving care continuity, reducing unnecessary emergency visits, and enhancing clinical outcomes.
This is a hybrid role based in the Toronto Central region, with a mix of virtual and in-person care delivery depending on the patient’s needs.
Why join SE Health?
- Competitive Total Rewards
So much more than a paycheque! Enjoy comprehensive benefits, pension, flexible pay options, car-loan support, housing solutions and exclusive staff perks. - Flexibility & Belonging
Thrive with hybrid work, flexible scheduling and a supportive, inclusive culture that puts people first. - Purpose & Impact
Join a national social enterprise where your voice matters. Every role helps advance health, spark innovation and strengthen communities across Canada. - Growth That Meets Your Ambition
Access tuition support, training and meaningful career pathways across a growing, future-focused organization.
Key Responsibilities:
1. Clinical Care and Case Management
· Provide tiered involvement based on clinical judgment—from one-time consults to longitudinal follow-up throughout the patient’s time in the program.
· Conduct comprehensive assessments, order and interpret diagnostics, diagnose, prescribe medications, and implement therapeutic plans of care.
· Performs a person-centered health assessment of clients on admission, annually, and as needed/the client finds a community GP/NP (including quarterly medication reviews).
· Promote evidence-based practice through the use of latest research-based guidelines.
· Support patients experiencing acute exacerbations or complex health challenges, including geriatric syndromes, cognitive impairment, and mental health.
· Utilizes communication and counselling skills.
· Provides client-focused health education.
· Collaborate with the community interdisciplinary team to support care escalation and maximize scope of practice across disciplines.
· Utilize principles of Primary Health Care model within the appropriate scope of practice for individuals, groups, families and communities.
· Act as a liaison with primary care providers, specialists, and other community services to ensure coordinated care.
· Support safe transitions in and out of the program, with emphasis on reducing hospital readmissions and avoidable ED/walk-in visits.
· Offer timely interventions when primary care is delayed or unavailable.
· Provide clinical leadership in advance care planning, symptom management, and palliative approaches as appropriate.
2. Collaboration and Interdisciplinary Support
· Work as part of an integrated, interdisciplinary care team to develop, implement and evaluate care plans that are patient-centered and goal-oriented.
· Share expertise and clinical insight to support other providers, particularly in complex or ambiguous situations.
· Promote a team-based, high-trust environment aligned with the H.O.P.E. Model™ of care.
· Participates in patient huddles/case conferences, to discuss and collaborate with the interdisciplinary team on client cases and strategies to optimize care plans.
3. Quality Improvement and Program Development
· Contribute to continuous quality improvement by identifying gaps, trends, and opportunities to enhance patient outcomes
· Collaborate with the local leadership team and others to monitor performance indicators.
· Participate in program evaluation and support implementation of best practices and innovations.
· Collaborates during investigations to identify risks, associated themes where corrective action can be implemented – apply a continuous quality improvement lens.
· Responds to client/staff incidents and complaints as per policies and procedures.
· Promotes a ‘no blame’ approach to reporting and managing incidents to ensure quality outcomes are achieved.
· Identifies risk and health and safety issues and consults with the Director/Regional Director in collaboration with the Occupational Health and Wellness team and/or the Corporate Integrity Officer as required.
Qualifications:
· Current registration with the College of Nurses of Ontario in the Extended Class (NP-Adult or NP-Primary Health Care).
· Master's Degree in Nursing/Nurse Practitioner, or MScN with post-Master’s NP diploma.
· Minimum of 5 years of clinical experience in primary care, home and community care, chronic disease management, transitional care, palliative care, or mental health.
· Demonstrated ability to work autonomously and exercise sound clinical judgment within full NP scope.
· Proven experience managing complex patients and collaborating with interdisciplinary and primary care teams.
· Strong clinical reasoning, problem-solving, and communication skills.
· Comfort working in a dynamic, evolving care environment with virtual and in-person components.
· Familiarity with EMRs and digital care delivery tools
· Excellent interpersonal and verbal/written communication skills.
· Excellent time management skills.
· Outcome- orientated and able to achieve desired results.
About SE Health
SE Health is a not-for-profit social enterprise advancing health with heart. With 115+ years of impact, we bring hope, happiness and exceptional care to people and communities across Canada. We lead with empathy, dignity and purpose while building a future where everyone can realize their full health and well-being potential. We’re also an inclusive, supportive workplace offering competitive compensation, strong benefits and real opportunities to grow. We’re All In Together.
COVID-19: To protect the health of our clients, teams, and communities, all SE Health employees must be fully vaccinated (two doses, 14+ days since the final dose).
Accessibility: If you require accommodations due to illness or disability, please contact Talent Acquisition at careers@sehc.com.
AI and compensation details:
We use AI to take notes during our interview. All applications and interviews are reviewed by our Talent Acquisition team. This role is a new addition. The pay range is $60.00 to $65.00 an hour, based on experience.