Primary Care Nurse Clinician

Leading Primary Health Care in Guelph

The Guelph Family Health Team’s vision is Leadership, Innovation and Excellence in Primary Care. Building on the medical home model, our interdisciplinary team improves the health of Guelph and area residents through patient guided, quality focused primary healthcare based on best-practice evidence.

In collaboration with the Registered Nurses Association of Ontario, we aim to become a designated Best Practice Spotlight Organization. We inspire in our staff a commitment to professional, comprehensive and compassionate care so our patients can maximize their wellness potential and are looking for candidates committed to sustainable use of best practice evidence in their role.

Role Opportunity:

The Guelph FHT is looking for a Registered Nurse, in what we call a Primary Care Nurse Clinician (PCNC). This is a full time contract role for 12 month to 18 months.

Role Description:

The GFHT Registered Nurse in the primary care practice setting is an expert in providing excellent care and coordination of Chronic Disease Management and prevention to populations at risk for developing and or with chronic conditions or illnesses.

The PCNC activities are aimed at improving optimal health/wellness, through promotion and prevention programs at individual, group and or joint care with other IHP. The PCNC is responsible for the assessment, planning, coordination and delivery of services, consistent with the principles of primary health care, to designated populations and their families and caregivers. Working in collaboration with the primary provider and interdisciplinary team, the PCNC will share expertise and knowledge of health promotion, disease prevention and chronic disease management with a goal to improving access and patient self-management.

Another major component, specific to this clinic location, has the PCNC dealing with Target Population Planning/Management. Here, the PCNC will target a specific population (i.e. osteoporosis, HTN etc), identify any gaps in patient care and develop a plan (with Physicians involvement) for addressing these gaps.


  • Must have a RN.BScN degree
  • Must be registered with the College of Nurses
  • 2 – 3 years’ working experience
  • Ability to function in a full scope RN role in a collaborative and interdisciplinary primary care setting
  • Knowledge of community social and health partners an asset
  • Working knowledge of chronic disease management is critical
  • Excellent skill in patient coaching to support self-management
  • Self-directed individual with system navigation capacity
  • Progressive learner
  • Previous Health Team experience an asset

Guelph FHT is an equal opportunity employer. If any accommodations are needed for applicants
during the selection process, please notify HR.

Please forward your resume to by December 6, 2018.
Only successful candidates will be contacted for an interview.

[PDF] Primary Care Nurse Clinician – full-time contract

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