• Telehomecare Nurse

    Posted Date 5 months ago(10/18/2018 11:21 AM)
    Job ID
    Job Location
    # Positions
    Job Industry
    Government and Public Sector, Healthcare and Medical Services, Not for Profit and Charity
    Toronto Central LHIN
    Career Level
    Years of Experience
  • Job Description

    TELEHOMECARE NURSE (RN)- Registered Nurse


    One (1) Full-Time Telehomecare Nurse position is currently available in the Telehomecare team at the Toronto Central Community Care Access Centre.



    The Telehomecare Nurse will provide remote client monitoring, health coaching, and disease-specific education to clients with complex chronic diseases, including Chronic Obstructive Pulmonary Disease and Heart Failure. Working in collaboration with the client’s circle of care, the Telehomecare Nurse will focus on enabling the client to better manage his/her chronic disease through the support of monitoring and coaching. In addition, the Telehomecare Nurse will undertake comprehensive assessments of client needs, develop the service plan, and connect the client with other community resources as required.


        Responsibilities include:

    • Obtaining informed client consent to participate in the Telehomecare Program
    • Working with clients, their families/care givers, service providers and other health care partners to complete comprehensive assessments and identify client needs
    • Developing, coordinating, monitoring and evaluating comprehensive service plans designed to meet client centred goals
    • Assisting clients in establishing self-management goals, monitoring  clients and responding to alerts using established clinical protocols and guidelines
    • Delivering client education using validated educational tools and resources and conducting regular health coaching sessions with clients
    • Remotely monitoring a minimum of 80 clients
    • Coordinating care with the care coordinator, caregiver, hospital, interdisciplinary  team, Primary Care Provider and other providers when required
    • Negotiating and advocating for clients as required
    • Following Toronto Central CCAC guidelines, authorizing all services, supplies, and equipment necessary to achieve the service plan goals
    • May oversee students in accordance with the College of Nurses of Ontario
    • May mentor and/or assist new hires to become proficient with client service processes within Toronto Central CCAC
    • May drive to and from service delivery locations and community meetings



    Telehomecare Nurse                                                                        $67,736.71 - $79,085.36 per annum



    • Registered Nurse in good standing with the College of Nurses of Ontario
    • A minimum of two (2) years relevant clinical and community health experience
    • Strong knowledge base and previous experience working with patients with complex chronic diseases (e.g. CHF, COPD, and Diabetes)
    • Adult education, health coaching, patient self management and case management skills
    • Demonstrated excellent interpersonal, decision-making skills, and high flexibility is required
    • Ability to work independently and co-operatively in a busy multi-disciplinary situation
    • Strong critical thinking and problem solving skills
    • Effective communication and listening skills
    • Demonstrated ability to use technology and best practices to remotely monitor patients
    • Demonstrated ability to work as a member of the Telehomecare team
    • Ability to multi-task and work in a fast paced environment



    • In-depth knowledge of home health care and other community resources in the LHIN
    • Demonstrated care coordination, assessment, and interviewing skills
    • Good understanding of the roles of other health care professionals affiliated with the Toronto Central CCAC Knowledge of funding agencies available to support Toronto Central CCAC clients
    • A car and valid driver's licence is required.  The successful candidate would have to provide proof that s/he has a valid driver's licence upon being hired
    • Demonstrated computer literacy in a Windows environment is required as laptop usage during home and community visits is an essential part of the job
    • Knowledge of and experience working with culturally diverse groups; candidate must have an interest in working with individuals with chronic conditions
    • Ability to speak an additional language is an asset


    Most Community Care Access Centres of Ontario are governed by the requirements of the French Language Services Act. We provide services in French and encourage applications from French-speaking candidates.


    Toronto Central CCAC is committed to accommodating people with disabilities as part of our hiring process. If you have special requirements, please advise Human Resources during the recruitment process.   



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