Amendment #2 


Job Description updated 


Job ID: 30445

Job Category: Health Care

Division & Section: Seniors Services & Long Term Care, LTC Regional Services

Job Type & Duration:  Permanent, Full-Time Vacancy

Hourly Rate and Wage Grade: $63.16 - $68.34, Wage Grade 16

Shift Information: Monday to Sunday, 35 hours per week

Affiliation: L79 Full-Time 

Number of Positions Open: 9

Posting Period: 26-Mar-2024 to 20-Jun-2024

Location and Shift Information:

Bendale Acres

2920 Lawrence Ave E, Scarborough

Fudger House

439 Sherbourne St, Toronto

Lakeshore Lodge

3197 Lake Shore Blvd W, Etobicoke

Wesburn Manor

400 The West Mall, Etobicoke


The City’s Seniors Services and Long-Term Care Division supports residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services, enabling people to live with support and age with dignity. The Division believes in the values of Compassion, Accountability, Respect, and Excellence. CareTO is our brand for the culture change we are investing in for the City’s directly operated long-term care homes ( Based on evidence-informed research, our goal is to improve the experiences of all those who live, work, volunteer, and visit.


To autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures for residents in the Long-Term Care Homes and Services Division within their legislated scope of practice.


Major Responsibilities:

  • Delivers primary health care to residents in the Long-Term Care Home in the management of acute and chronic medical conditions, therapeutic management, health promotion and disease/injury prevention in order to deliver comprehensive health services.
  • Conducts focused health assessment using and adapting assessment tools and techniques based on resident needs.
  • Completes health history into resident's situation, including physical, psychosocial, emotional, cultural and ethnic dimensions of health.
  • Performs physical examination and identifies and interprets normal and abnormal findings.
  • Orders diagnostic investigations, and interprets results using evidence-based clinical reasoning.
  • Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health/illness.
  • Communicates with residents about the health assessment findings and/or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioural sciences and family processes when making diagnoses and providing overall therapeutic management.
  • Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain resident functional, physiological and mental stability to achieve optimal health.
  • Promotes safe resident care by mitigating harm and addressing immediate risks for residents and others affected by adverse events and near misses.
  • Participates with the Medical Director and other senior management staff in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks.
  • Collaborates with senior management in the Division and other community health services in initiatives for the development, implementation and evaluation of systems to promote continuity of resident care across the continuum.
  • Ensures Accreditation Canada standards are evident in daily practice.
  • Ensures resident files and health care records are properly maintained in compliance with applicable legislation and divisional expectations.
  • Identifies, and collaborates with the Medical Director on, educational programs for the care team.


Key Qualifications:

  1. Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (Primary Health Care or Adult) and entitled to practise.
  2. Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care or primary care.
  3. Experience in long-term care, with providing empathetic/relational care for the elderly and those living in long-term care, and clinical work experience with frail older adults, critical care, and mental health as a Nurse Practitioner.
  4. Certification in Geriatric Nursing from the Canadian Nursing Association or equivalent experience.


Must also have:

  • Ability to incorporate knowledge of diversity, cultural safety and the determinants of health in the assessment, diagnosis and therapeutic management of residents and the evaluation of outcomes
  • Ability to exercise independent judgment and to assess situations and problems efficiently and effectively
  • Leadership skills, working well within an inter-professional team and ability to foster effective working relationships
  • Ability to provide clinical supervision, education and mentoring for nursing students, medical students, and other learners, including residents/families
  • Ability to develop and implement evaluation processes and identify strategies to improve clinical outcomes and manage risks
  • Strong and effective verbal and written communication skills
  • Ability to use computer software such as MS Office applications, email and web applications
  • Ability to build and maintain effective relationships and partnerships with a diverse range of stakeholders as well as work effectively within multidisciplinary teams
  • Ability to support the Toronto Public Service Values to ensure a culture that champions equity, diversity and respectful workplaces
  • Ability to work shifts, evenings, weekends and holidays, as required
  • Knowledge of relevant legislation and statutes, including, but not limited to, the Occupational Health and Safety Act and the Fixing Long-Term Care Act
  • Good verbal and written communication skills with strong attention to detail
  • Ability and willingness to provide a service that enhances the dignity and reflects the diversity of residents


Note: As a condition of employment with the Long-Term Care Homes & Services 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).


Toronto is home to more than 2.9 million people whose diversity and experiences make this great city Canada’s leading economic engine and one of the world’s most diverse and livable cities. As the fourth largest city in North America, Toronto is a global leader in technology, finance, film, music, culture, and innovation, and consistently places at the top of international rankings due to investments championed by its government, residents and businesses. For more information, visit or follow us on Twitter at, on LinkedIn at or on Facebook at


How to Apply:

For more information on this/these and other opportunities with the City of Toronto, visit us online at apply online, submit your resume, quoting Job ID 30445



City of Toronto employees must apply to full-time or part-time employment opportunities posted on the City's Internal Job Posting Portal.


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.



The City of Toronto is committed to creating an accessible and inclusive organization. We are committed to providing barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). Should you require Code-protected accommodation through any stage of the recruitment process, please make them known when contacted and we will work with you to meet your needs. Disability-related accommodation during the application process is available upon request. Learn more about the City’s Hiring Policies and Accommodation Process.