Nurse Practitioner

# Summary 

# About the organization 

 Quest CHC is a dynamic non-profit, interdisciplinary health care organization. Our holistic model of care focuses on primary care, illness prevention, health promotion, community capacity building and service integration. Quest CHC delivers healthcare that addresses the underlying social determinants of health, such as poverty, housing, unemployment and food security, all which have a significant impact on health outcomes. Quest CHC is committed to providing high quality primary health care and social services to residents throughout the Niagara Region

# About the position 

Summary:

The Nurse Practitioner is responsible for the provision of primary health care services in. accordance with the Standards of Practice for Registered Nurses in the Expanded Class and the Expanded Services for Patients Act, and other clinical activities as set forth by the College of Nurses of Ontario. The NP is responsible for ongoing health care, has a strong emphasis on health promotion, disease prevention and community capacity building, and works within a harm reduction and trauma-informed framework 

The ideal candidate will maximize connections and use of existing community resources by acting as a catalyst who, together with community stakeholders, will facilitate the development and implementation of creative and efficient strategies to maximize health outcomes for our clients, while maximizing the use of community care plan.

Key Objectives:

1. Provide primary health care services within the community health centre, in community locations, satellite offices, home and hospital, and within the scope of the RN-EC professional standards including assessment, treatment, diagnosis, interpretation of test results, promotion of health education and counseling. history taking. screening, referral and follow up. This includes consultation with medical staff and other health care providers when the client's condition requires care beyond the scope of practice (RN- EC). 
2. Ensure appropriate, comprehensive treatment is provided by maintaining complete and accurate charts and medical records and participate in chart reviews and case conferences.
3. Working.in an interdisciplinary team to provide service delivery to support crisis stabilization on a short-term basis, including health care, housing, food, and other basic needs.
4. Provides comprehensive, client-centred gender-affirming care across the lifespan within a primary care setting, aligned with World Professional Association for Transgender Health  General Services & Gender Affirming Care (WPATH) Standards of Care and Ontario-based clinical guidance, including referrals for gender affirming procedures.
5. Supports clients with pre- and post-operative care within the CHC, including follow-up, complication management, and coordination with external surgical teams. 
6. Supports clients in navigating complex healthcare, social service, and legal systems (e.g,name/gender marker changes, insurance, housing, income supports).
7.  Advocates for equitable access to timely gender-affirming services at local, regional, and provincial levels. 
8. Builds relationships with external partners (e.g., surgical programs, endocrinology, community organizations) to strengthen referral pathways. 
9. Integrates gender-affirming care within broader primary care, including sexual health, chronic disease management, cancer screening, and preventive care tailored to individual anatomy and risk.
10. Complete intake and coordinate treatment plans.
11. Oversee activities required to ensure the clinic is fully equipped, adequately supplied and meets infection control standards and that controlled substances are monitored and accounted for.
12. Supervise student/learners by providing competent leadership, orientation, developing and scheduling of training/learning plans including shared client contact.
13. Act as part of an interdisciplinary team which assists with the development, analysis and implementation of policies and procedures for the benefit of improvement to the delivery of primary health care services.
14. Participate in the Integrated Community Lead (ICL) Model, which includes participating in community meetings, organizing and hosting, and follow up for the ICL Model for complex care needs clients (e.g. Health Links clients). 
15. Participate in and share responsibility for the on-call coverage offered by Quest CHC. 
16. Provide input for development of strategic plans and attend and participate in staff meetings and special projects as assigned.
17. Participates in CHC quality improvement initiatives, focusing on access, client experience, and health equity outcomes for trans and gender diverse populations. 
18. Conduct presentations, facilitate workshops and group meetings as well as participate in program planning and community initiatives.
19. Participate in and comply with all health and safety processes and initiatives to ensure the organization remains a safe workplace. 
20. Promote the mission, vision, values and philosophy of care developed by Quest CHC.
21. Develop and maintain strong ties with other professionals and community members.
22. Work within the full scope of practice, meet organizational quality and quantity of work standards. Comply with applicable medical directives, policies, regulations and legislation identifying any areas of noncompliance. 
23. Maintain and develop professional competence through training or appropriate continuing education and stays current with emerging evidence and evolving standards of care.
24. Other duties may be assigned as required.

# Qualifications

 Education 

• A Master’s degree in Nursing required, or a combination of education and experience as sanctioned by the College of Nurses of Ontario. 

• Current and valid registration in the Extended Class with the College of Nurses of Ontario and current registration in good standing with the College of Nurses of Ontario. 

Experience 

• Experience supporting individuals without a healthcare provider who are also experiencing mental health, addictions or concurrent disorders, street-involved populations (homeless, under-housed. sex trade workers), isolated seniors, sexually and gender diverse populations (2SLGBTQ+), at-risk children, youth and families. 

• Experience in sexual and reproductive health care inclusive of trans and non-binary clients. 

• Experience in program development, implementation, monitoring and evaluation.

 • Experience working with interdisciplinary teams is an asset. 

• Experience in working with hazardous chemicals and materials and associated preventive measures outline/required by product Safety Data Sheets and WHMIS