Clinical Services Executive

Clinical Services Executive (CSE) – Nurse Practitioner (NP)  

Competition # MLL 2025-03-CNE Status: Full time (2 Vacancies)

Facility: Mountain Lea Lodge

Position Scope:

Reports directly to the CEO and will be a member of the Senior Leadership and Management Team. The Clinical Services Executive (CSE) – Nurse Practitioner (NP) will be employed by Mountain Lea Lodge and provide services to several ‘partner homes’ in the Western Zone region.

In partner facilities, the CSE – NP will act as a Medical Health Advisor/collaborate with the Medical Health Advisor (as applicable). The CSE – NP will be the most responsible provider and manage, lead, and oversee client care management in collaboration with unit physicians and leadership teams at partner sites including Mountain Lea Lodge. The CSE – NP will provide clinical leadership for the home(s) and integrate current scientific knowledge in geriatrics and best practice guidelines in decision-making based on critical appraisal and application of literature and research findings. The NP will also act as a resource, preceptor, and mentor for the Interdisciplinary Care Team in accordance with the vision, mission, and values of the host organization. The Nurse will lead education and research initiatives.

As a self-regulated professional, the Nurse Practitioner will work to their full scope of practice as outlined by the Nova Scotia College of Nursing, accountable to both the Standards of Practice for Registered Nurses and the Nurse Practitioner Standards of Practice as well as the Code of Ethics for Registered Nurses. This is a Non-Unionized Position.

Key Responsibilities:

Leadership

• Advise, compile, and make available information as the Minister may require about the residents.
• Act and fulfill the role as the Medical Health Advisor for the home/ collaborate with the Medical Health Advisor (as applicable).
  
• Participate in employee performance management and decision making (e.g., performance improvement, disciplinary action).
• Work collaboratively with HR teams to support and inform the hiring processes of clinical staff as required.
• Collaborate with leadership and staff to define, advance, and maximize the scope of practice within professions and/or the scope of employment.
• Leads and participates in internal and external committees and Community Practices (e.g., pharmacy and therapeutics, palliative care CoP, skin, and wound care CoP).
• Conduct onboarding and integration activities at participating nursing homes and work collaboratively to identify existing needs (e.g., education, research, care coverage), and processes.

Resident Care Management

• Manage resident care as the Medical Health Advisor or in collaboration with the Medical Health Advisor (as applicable), unit physicians, and other members of the interdisciplinary team. May co-ordinate or manage primary resident care.
• Collaborate with other members of the leadership and interdisciplinary team to plan, implement, coordinate, and evaluate resident care in consultation with the resident and substitute decision maker.
• Perform person-centered health assessments of residents, participate in regular care conferences, and collaborate with the residents and Substitute Decision Maker to develop a person-centered plan of care. 
• Admit and discharge residents, including initial assessments, Medical Status Reports, and initiating orders for care. Promote timely admission and or transfer to long-term care facilities.
• Serve as a liaison with external physicians, hospitals, and specialists related to Client care.
• Provide on-Call support as required. Provide after-hours coverage for evenings and weekends. May provide temporary resident care coverage to support other provider holidays and absences.

Education and Research

• Support preceptorship (e.g., RNAP, student NPs).
• Provide formal and informal teaching and coaching in the management of clinical care and professional development to employees, including maintaining minimum competency based on evidenced informed research and best practice to contribute to quality resident care outcomes.
• Implement and apply relevant evidence informed leading practice research in providing services and collaborate with members of the interdisciplinary team to conduct, and/or support research and quality improvement to support resident outcomes.
• Conduct ongoing scan of relevant literature and trends related to professional practice, health care issues, legislative policy changes, and evaluate the impact on person-centered care and practice at the system, policy, and service level.

Qualifications and Competencies:

• Master of Nursing: Advanced Nursing Practice stream or equivalent NP program.
• Current (or pending) registration as a Nurse Practitioner with CNNS.
• Experience with long-term care in which leadership, administrative and interpersonal skills have been demonstrated.
• Excellent communication skills, verbal, written, and social.
• Excellent conflict management skills.
• May require flexibility with work hours at times

Physical Demands

• Maintain good mental and physical health.
• Position involves sitting, standing, walking, use of a computer and cell phone.

Work Environment

• The usual work environment is indoors.
• Pets and houseplants are part of the working environment.
• Mountain Lea Lodge provides services for adults with physical limitations, intellectual disabilities, mental health concerns or dementia who, when upset, may exhibit behaviors.
• Regular travel will be required as part of this position.

Benefits for Full time Staff:

• Pension Plan
• Health Care Coverage
• Employee Assistance Program

We encourage applications from all qualified candidates including Indigenous persons, persons with a disability, racially visible persons, women, men, and persons of a minority sexual orientation and/or gender identity. We thank all candidates for their interest, however, only those selected for an interview will be contacted.