nurse manager

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- Division & Section: Seniors Services & Long Term Care, LTC Regional Services
- Work Location: Multiple, please see below
- Job Type & Duration: Full-time, 2 Temporary (12 month) vacancies
- Shift Information: Full-time, Monday to Friday, 35 hours per week with weekend on call availability by rotation.
- Affiliation: Non-Union
- Number of Positions Open: 2
- Posting Period: 28-JAN-2025 to 11-FEB-2025

# of positions Location Job Type

1 Carefree Lodge, 306 Finch Ave.E, Toronto, M2N 4S5 Full-Time, Temporary (12 months)

1 Seven Oaks, 9 Neilson Road, Toronto, ON M1E 5E1 Full-Time, Temporary (12 months)

Nurse Manager

The City's Seniors Services and Long-Term Care Division supports Toronto seniors and residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services. Vulnerable individuals who reside in the community are supported through adult day programs, supportive housing services, tenancy support and homemakers and nurses services. CareTO is our brand for the culture change we are investing in for the City's 10 directly operated long-term care homes. The division values Compassion, Accountability, Respect and Excellence which shape our organizational culture, our priorities, and the experiences of all those who live, work, volunteer, and visit.

Reporting to the Director of Nursing, the Nurse Manager provides nursing leadership and direction to ensure effective and efficient delivery of high-quality resident care. The Nurse Manager will also work collaboratively with the inter-professional care team to promote evidence-based practice, continuous quality improvement and innovation, healthy safe work environment, resident and staff satisfaction, and compliance with all legislative requirements.

At Seven Oaks and Carefree Lodge, you will lead a collaborative team to shape meaningful care experiences for residents in a welcoming environment. With a focus on evidence-based practices, quality improvement, and inter-professional collaboration, this role offers the chance to make a lasting impact on senior care. Join the City of Toronto, a values-driven organization that embodies Compassion, Accountability, Respect, and Excellence, and take on a rewarding leadership role that fosters growth and innovation.

Overall Job Responsibilities

As part of this role, you will implement detailed plans and recommend policies and procedures tailored to specific program requirements. You will also lead and motivate a cohesive team, ensuring high-quality work, continuous learning and innovation. Daily operations will be supervised, including staff scheduling, task assignments, and performance evaluations. Personnel issues will be addressed to create a positive work environment, and vacation and overtime requests will be approved. Staff performance will be monitored, with salary increments, grievances, and disciplinary actions managed as needed.

In addition, you will manage budgets to ensure expenditures stay within approved limits. Inter-professional collaboration will be fostered to ensure high-quality resident care based on best practices. You will also serve as a resource for families, offering support, guidance, and follow-up on any concerns. Participation in internal and external committees, as assigned by leadership, will be essential, as well as reviewing resident and staff data regularly to evaluate care effectiveness and ensure proper documentation standards.

Clinical-Specific Responsibilities

You will ensure nursing staff maintain competency, follow evidence-based practices and continuously improve. You will oversee Infection Prevention and Control, monitor trends, manage outbreaks, and ensure adherence to protocols to reduce illness. Leading the Resident Assessment Instrument- Minimum Data Set (RAI-MDS) and rehabilitation programs, you will represent the Home in consultations with external specialists. You will also support registered staff by mentoring, coaching, and guiding them through clinical practice issues, while coordinating resident reassessments to ensure accurate and up-to-date documentation.

You will ensure proper medication storage and administration through direct observation and incident investigation. Leading interprofessional care teams, you will guide the care team in decision-making, clinical protocol development, and system improvements to deliver high-quality resident and family-centered care. Additionally, you will evaluate staff learning, focusing on critical thinking and managing complex clinical scenarios.

Your responsibilities will include leading clinical inspections, audits, and annual quality initiatives, working with the team to enhance clinical programs. You will collaborate with the Nurse Practitioner to implement ongoing education and contribute to investigations of critical incidents and audits of care plans to ensure compliance. Chairing nursing practice forums and reviewing clinical trends will help drive practice improvements.

In supporting staff with complex care cases, you will develop care plans, participate in care rounds, and lead debriefings. You will collaborate to address clinical practice gaps and advance care excellence, while participating in research to integrate evidence-based models, meeting organizational goals, and ensuring accurate resident documentation.

Operations-Specific Responsibilities

In this role, you will develop and implement six-week staffing schedules to ensure nursing resources are allocated effectively, while regularly reviewing work routines to enhance efficiency and continuity of care. You will investigate critical incidents and complaints, addressing issues promptly and ensuring effective resolutions. Handling resident and family concerns will involve resolving complaints and providing follow-up to maintain satisfaction.

You will oversee mandatory education programs, monthly audits, and annual program evaluations to ensure compliance with standards and maintain high-quality care. Leading the implementation and evaluation of abuse and critical incident protocols, you will analyze trends and create improvement plans. Chairing unit meetings will provide a platform to discuss operational and clinical matters, share updates, and address opportunities for quality improvement.

Additionally, you will monitor the quality of care and services through regular evaluations and initiate improvements where needed. Ensuring the unit is adequately supplied with materials and equipment, you will provide strategic advice on planning and resource management. Collaborating with the Director of Nursing, you will manage budgetary constraints, approve salary increments, and oversee overtime to maintain operational efficiency.

Key Qualifications:

Your application must describe your qualifications as they relate to:

- Bachelors in Nursing and certification in Nursing Administration or equivalent management experience made under the Fixing Long-Term Care Act, 2021 (O. Reg 246/22).
- Must be a Registered Nurse in good standing with the College of Nurses of Ontario or another College of Nurses with ability to obtain registration as a Registered Nurse in the Province of Ontario.
- Considerable experience in motivating, leading, supervising or managing registered and unregulated staff in a large sized Long-Term Care unionized environment.
- Considerable experience in geriatric and/or rehabilitation nursing and working with residents with dementia and mental health issues.
- Knowledge of Long-Term Care legislation, including the Fixing Long-Term Care Act, 2021, Residents Bill of Rights, and relevant workplace legislation e.g. Employment Standards Act, Occupational Health Safety Act.
- Ability to drive positive clinical outcomes using knowledge of Resident Assessment Instrument – Minimum Data Set (RAI-MDS) 2.0.
- Skilled in building relationships and working effectively with a range of stakeholders, including residents, families, and community groups.
- Ability to manage competing priorities and lead change in a fast-paced, complex environment.
- Strong verbal and written communication skills, including senior management-level presentations.
- Capable of problem-solving, conflict management, and handling sensitive information with discretion.
- Ability to foster teamwork and promote excellence in a customer service-focused environment.
- Proficient in Microsoft Office Suite and other computer applications.
- Ability to uphold the Toronto Public Service values, promoting equity, diversity, and respectful workplaces.

As a condition of employment with the Seniors Services & Long-Term Care Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg 246/22).

Note To Current City of Toronto Employees

City of Toronto employees are eligible to apply for the posted job opportunity, but cannot hold two different jobs. To be considered for this job posting, you must indicate that you are a "Current City of Toronto employee" on the on-line application form, and provide your "Employee Number".

Equity, Diversity and Inclusion

The City is an equal opportunity employer, dedicated to creating a workplace culture of inclusiveness that reflects the diverse residents that we serve. Learn more about the City's commitment to employment equity.

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