Palliative Nurse Practitioner

1 month ago
Job ID
# Positions
Job Type
Full Time
Job Industry
Government and Public Sector, Healthcare and Medical Services
Career Level
Years of Experience
Mississauga Halton LHIN

Job Description

The Mississauga Halton Local Health Integration Network (LHIN), is one of 14 local organizations that have been created in Ontario to plan, coordinate and fund local health services, including hospitals, community care, long-term care homes, community support service agencies, and mental health and addictions agencies. The Mississauga Halton LHIN is home to more than one million people and its office is located in Oakville, Ontario.

Committed to lead health system coordination and integration for our communities our vision is to move towards a seamless health system promoting optimal health and delivering high quality care when and where needed.   If you are interested in being part of a dynamic team at the Mississauga Halton LHIN, consider the following:


We are currently recruiting a Palliative Nurse Practitioner    


Competition #:   FY1718-010  

Reports to:   Director, Palliative Care             

Category:   Permanent Full Time

Primary assigned location:   2655 North Sheridan Way, Mississauga


Position Outline:


Reporting to the Director, Palliative Care, and as an integrated member of the Palliative Care Team, the Nurse Practitioner (NP) supports the Mississauga Halton Community Care Access Centre (CCAC) Palliative Program and the Mississauga Halton Local Health Integration Network (LHIN) Palliative Care Regional Programing to ensure high quality, patient-centred hospice palliative care across all care settings in the Mississauga Halton region. The NP provides support to the Primary Care Team and specialist providers to address complex palliative care needs and increase capacity within the region to provide palliative and end of life care in the community. Critical to the NP role is the provision of direct nursing services to support complex patients and their families. The NP broad scope practice will support seamless integration of hospice palliative care at the primary, secondary and tertiary care level; serving as clinician, educator, collaborator and advocate. At the primary level, the incumbent works as an integral member of the Primary Care Team, assisting in building team capacity to provide care and clinical management; at the secondary level, engaging in shared care with primary and specialist providers, to address more complex palliative care needs; and at the tertiary level facilitating access to and seamless transition to and from tertiary services.

Working collaboratively across the health care system, the NP provides expert direct clinical palliative leadership to support seamless, integrated care delivery. In this leadership role, the NP will work in all domains consistent with advanced practice nursing (leadership, clinical care, consultation/collaboration, facilitation and research). Within this scope, the NP will provide home/office/hospital visits and telephone and face-to-face consultation, and crisis response. The NP is also responsible for education, knowledge transfer and best practice implementation, mentorship and professional development, through coaching inter-professional teams involved in the circle of support.

The role includes stakeholder engagement, participation in local, regional and provincial committees and a leadership role to implement improvements in Mississauga Halton CCAC and Mississauga Halton LHIN regional palliative programming. The NP supports an organizational culture that promotes professional growth and continuous learning, program development and evaluation, and effective inter-professional teams.

Key accountabilities:

Expert Clinical Practice

  • Provides palliative and end-of-life direct care to patients within the scope of practice, supporting patient/caregiver and their circle of care to receive community-based care as long as possible and patient death in place of choice
  • As part of a team of NPs, provides expert clinical care to complex palliative patients and expert clinical advice to the inter-professional team, including for example, primary care physicians, specialists, care coordinators, and community nurses on the management of pain and symptoms, psychosocial support and therapeutic interventions
  • Ensures rapid response capacity
  • Provides advanced care planning; develop goals of care and/or initiate end of life conversations
  • Responsible for home/office/hospital visits to complex palliative patients and their families for the purpose of completing comprehensive clinical assessments and building capacity within the primary team
  • Contributes to the development of comprehensive shared care plans in consultation with Care Coordinators, service providers, primary care physicians and others
  • Participates in patient rounds and case conferences with palliative care teams in hospital(s) to identify complex palliative needs and support safe and successful transitioning back to the community/home; prioritizes responsibility to ensure crisis management/urgent needs are supported
  • Supports and also can be Most Responsible Practitioner (Family Physician/Palliative Physician/Other) to ensure continuity of medical/clinical care for individuals with complex palliative needs across primary, acute, community and specialized palliative care sectors in relation to coordinated management approaches, information exchange and relationships with the patient and family
  • Participates in shared care roles where patient needs are complex and the primary care team will benefit from ongoing care, coaching/consultation, and advanced practice nursing expertise
  • Identifies complex needs that may require tertiary intervention and takes appropriate action
  • Provides support to the inter-professional and primary care team for the purposes of assistance with problem solving and decision-making and telephone or face to face visits as required


  • Collaborates with Mississauga Halton CCAC administration to work towards provincial goals of "death in place of choice" and building organizational and regional capacity to care for patients within the system of home and community care
  • Assists in the development of palliative care program policies and procedures including development of content for education and orientation materials
  • Advocates for individuals and families for health system policies
  • Identifies Mississauga Halton CCAC and regional learning needs and finds/develops programs/resources to meet those needs in collaboration with Learning & Organizational Development teams where applicable
  • Mentors and coaches nursing colleagues, other team members in the circle of care and students
  • Advises patients, colleagues, the community, health care institutions and policy makers on issues related to hospice palliative care nursing and health care

Best Practice Implementation and Knowledge Transfer

  • Participates in the identification of the clinical educational needs of the inter­professional team/Circle of Care; facilitates and participates in the planning and delivery of education to meet those needs
  • Participates in and/or represents the Mississauga Halton CCAC at conferences submitting abstracts and presenting
  • Assists in the creation of a shared cared partnership with primary care, palliative care and when needed acute care services
  • Evaluates current practices at the individual and systems level in light of research findings and assists with adoption and implementation of best practice
  • Contributes to nursing and HPC system by disseminating new knowledge through formal and informal channels including presentation, publication at the local, regional, national and international level

Qualifications include: 

  • Current registration with the College of Nurses of Ontario in the Extended Class; Nurse Practitioner Program with a BScN (Masters level degree in Nursing preferred)
  • Canadian Nursing Association Certification in Hospice Palliative Care or relevant speciality certification an asset
  • Minimum of three (3) to five (5) years' experience in Palliative Care Nursing, preferably in a community setting
  • Demonstrated experience with proven team building abilities and experience in advancing the clinical practice of multiple health disciplines
  • Demonstrated advanced knowledge/experience in consultation and ethical decision-making
  • Demonstrated use of theory and evidence to advance clinical practice and outcomes
  • Effective interpersonal and communication skills
  • Excellent written documentation skills that are clear, thorough, concise accurate and timely
  • Strong coaching and facilitation skills
  • Demonstrated awareness of cultural diversity, as well as ability to behave discreetly and sensitively to confidential issues
  • Effective interpersonal, organizational and planning skills
  • Demonstrated critical thinking
  • Accountable for own actions and decisions, making decisions within the scope of the position and referring issues/problems/events to the manager as required
  • Demonstrates knowledge and skill in negotiation and conflict resolution including the ability to analyze, manage and negotiate conflict
  • Respects ethnic, spiritual, linguistic, familial and cultural differences
  • Ability to communicate in French or another language an asset


Thank-you for your interest in joining our exceptional team at the Mississauga Halton Local Health Integration Network (LHIN)!To apply for this vacancy please submit a resume with covering letter referencing FY1718-010 via the link above or visit the Mississauga Halton LHIN Career Opportunity page at lhinjobs.ca.  Please note, only those candidates selected for an interview will be contacted.


Mississauga Halton LHIN is a respectful, caring and inclusive workplace, committed to Employment Equity.  We welcome diversity in the workplace, and encourage applications from all qualified individuals including women, members of visible minorities, aboriginal persons, and persons with disabilities.  We will provide accommodations throughout the recruitment and selection and/or assessment process to applicants with disabilities.  Applicants need to make their accommodation needs known when contacted.

To receive any Mississauga Halton LHIN document required by the Accessibility for Ontarians Disability Act (AODA) and its standards, or to receive any public document on our website in an alternate format, please contact our Communications Department at 905-855-9090 or 1-877-336-9090.


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