Rural Outreach Clinic Nurse Practitioner – Full Time Permanent
Community Health Centres of Northumberland, Northumberland, NY, United States
Rural Outreach Clinic Nurse Practitioner – Full Time Permanent
Description
Position Reports To:
Manager of Specialized Programs
Hours:
35 hours per week (Days with possible rotation evening hours TBD)
Job Summary:
Reporting to the Manager of Specialized Programs, the Nurse Practitioner (NP) provides comprehensive, client-centered primary health care within the Rural Outreach Clinic (ROC), with a focused mandate on improving access for rural and underserved populations.
The NP delivers care across the lifespan, from well-baby, pediatric care to women’s health, gender-affirming care, mental health, older adult populations, and complex chronic disease management, with a strong focus on health promotion, disease prevention, attachment, and equitable access to care.
The NP delivers comprehensive primary health care within the clinic and community setting, including outreach activities and home visits, with a focused mandate on improving access in supporting unattached and higher‑needed patients in rural and underserved populations, while building and managing an assigned patient panel/roster. The NP is responsible for transitioning clients from episodic access to ongoing, longitudinal primary care.
The NP functions autonomously within scope while working collaboratively to ensure coordinated, high‑quality care.
Key Responsibilities:
Health Assessment, Diagnosis and Therapeutics:
Assess, diagnose, treat, and follow clients across the lifespan.
Provide women’s health services, including cervical cancer screening (Pap), contraception, prenatal/postpartum (interdisciplinary with midwife), and menopause care.
Deliver gender‑affirming care within scope, including assessment, counselling, hormone therapy (as appropriate), and referral to specialized services.
Deliver mental health assessment and management, including brief interventions, medication management, and referral as needed.
Deliver well‑baby and pediatric care, including growth, development, and immunizations.
Provide care to older adults, including frail, cognitive concerns, and complex multi‑morbidity.
Manage acute issues and chronic and complex conditions.
Order diagnostic and prescribe medication within scope and as currently designated.
Initiate and manage the care of clients and/or monitor the ongoing therapy of clients with chronic stable illness by providing currently sanctioned pharmacological interventions, appropriate complementary and counselling interventions.
Build and maintain an assigned patient roster, ensuring continuity and access.
Attach patients directly to NP care, prioritizing those who are unattached and have high needs.
Transition clients from episodic visits to longitudinal primary care relationships.
Monitor panel needs, access, and follow‑up to support safe and effective care.
Align patients to additional services, including MINT/GAIN and community support, as appropriate.
Care Coordination:
Develop practical, client‑centered care plans.
Collaborate with physicians, nursing, and community partners.
Coordinate care for clients requiring multi‑provider involvement, particularly those with complex needs.
Use group facilitation skills to lead community programs and/or focus groups.
Provide support and supervision to students who have placements at CHCN.
Documentation & Quality:
Maintain accurate and timely EMR documentation.
Support panel management, continuity, and outcome tracking.
Contribute to program improvement initiatives.
Outreach and Community‑Based Care:
Participate in rural outreach activities to improve access to primary care services for underserved and unattached populations.
Provide home visits, community visits, and mobile/onsite outreach services as clinically appropriate and operationally required.
Collaborate with community partners and local support to coordinate care for clients with barriers to clinic attendance.
Support transitional care, wellness checks, and post‑discharge follow‑up for vulnerable clients.
Identify service gaps and contribute to innovative outreach strategies that strengthen rural access and continuity of care.
Organizational Responsibilities:
Collect statistical information as required by the Centre.
Incorporate critical thinking practice and a collaborative approach to problem solving and decision making.
Integrate into work functions the principles of respect and value for staff, clients, and the community.
Work in a manner that preserves confidentiality. Adhere to the Personal Health Protection Policy and the Confidentiality Policy for the Centre.
Work in a manner that seeks to minimize risk to clients, self, the Centre and to staff. Committed to safety, work in a manner that demonstrates responsibility for following the Centre’s safe work practices and works in compliance with the Occupational Health and Safety Act. Report and unsafe/at‑risk conditions and be accountable for their correction.
Communicate in a timely and positive manner with the Manager of Specialized Programs regarding job content, specific objectives, and personal performance.
Identify performance goals, objectives, and learning needs. Identify concerns in a timely manner and, in collaboration with the Manager of Specialized Programs, seek resolution.
Participate in team‑based care planning and clinic operations.
Contribute to the evolution of an NP‑led rural access and attachment model.
Incorporate and contribute to the Centre’s efforts for continuous quality improvement by identifying, implementing, and evaluating policies and practices to support best practice.
Participate as a team member in all staff functions: program planning, team and inter‑team meetings, all staff meetings and team building.
Perform other duties as assigned.
Experience
Qualifications:
Registered Nurse in the Extended Class (RN‑EC), in good standing with the CNO
Current professional liability insurance
Demonstrated experience in primary care, community health, or geriatrics.
Strong clinical competency in:
Women’s Health
Mental health assessment and management
Gender‑affirming care (or willingness to develop competency)
Well‑baby care and immunizations
Older adult care, including frailty and cognitive assessment
Chronic disease management
Experience managing a patient panel/roster and providing longitudinal care preferred.
Experience working in rural, vulnerable, or medically complex populations.
Proficiency with EMR systems
Current BLS certification
Valid Driver’s License and willingness to travel within Northumberland County for outreach and home visit responsibilities.
Demonstrated ability to work effectively within a multi‑disciplinary team.
Ability to work flexible hours, if required, including outreach activities, home visits, community‑based care, and participation in rotating on‑call services.
Salary:
$ 67 – 69.84 per hour
Hours:
35 hours per week
Hours of Work:
Days, rotating on‑call schedule
Start Date:
Tentative start May 19, 2026
Community Health Centres of Northumberland offers a competitive compensation package which includes HOOPP (Healthcare of Ontario Pension Plan).
EEO Statements
As part of our ongoing commitment to the Accessibility for Ontarians with Disabilities Act, the Community Health Centres of Northumberland will provide assistance to applicants who request accommodation throughout the recruitment process.
At the CHCN, we value diversity – in backgrounds and in experiences. Healthcare is a universal concern and we invite all interested individuals to apply and encourage applications from people with disabilities, Indigenous, Black, and racialized individuals, as well as people from a diversity of ethnic and cultural origins, sexual orientations, gender identities and expressions to help build the future of healthcare and our communities.
Note that CHCN is a scent‑free work environment and we ask that you refrain from wearing fragrances and other scented personal care products (i.e. perfumes, deodorants, lotions, hairspray, etc.) while at the Centre.
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Description
Position Reports To:
Manager of Specialized Programs
Hours:
35 hours per week (Days with possible rotation evening hours TBD)
Job Summary:
Reporting to the Manager of Specialized Programs, the Nurse Practitioner (NP) provides comprehensive, client-centered primary health care within the Rural Outreach Clinic (ROC), with a focused mandate on improving access for rural and underserved populations.
The NP delivers care across the lifespan, from well-baby, pediatric care to women’s health, gender-affirming care, mental health, older adult populations, and complex chronic disease management, with a strong focus on health promotion, disease prevention, attachment, and equitable access to care.
The NP delivers comprehensive primary health care within the clinic and community setting, including outreach activities and home visits, with a focused mandate on improving access in supporting unattached and higher‑needed patients in rural and underserved populations, while building and managing an assigned patient panel/roster. The NP is responsible for transitioning clients from episodic access to ongoing, longitudinal primary care.
The NP functions autonomously within scope while working collaboratively to ensure coordinated, high‑quality care.
Key Responsibilities:
Health Assessment, Diagnosis and Therapeutics:
Assess, diagnose, treat, and follow clients across the lifespan.
Provide women’s health services, including cervical cancer screening (Pap), contraception, prenatal/postpartum (interdisciplinary with midwife), and menopause care.
Deliver gender‑affirming care within scope, including assessment, counselling, hormone therapy (as appropriate), and referral to specialized services.
Deliver mental health assessment and management, including brief interventions, medication management, and referral as needed.
Deliver well‑baby and pediatric care, including growth, development, and immunizations.
Provide care to older adults, including frail, cognitive concerns, and complex multi‑morbidity.
Manage acute issues and chronic and complex conditions.
Order diagnostic and prescribe medication within scope and as currently designated.
Initiate and manage the care of clients and/or monitor the ongoing therapy of clients with chronic stable illness by providing currently sanctioned pharmacological interventions, appropriate complementary and counselling interventions.
Build and maintain an assigned patient roster, ensuring continuity and access.
Attach patients directly to NP care, prioritizing those who are unattached and have high needs.
Transition clients from episodic visits to longitudinal primary care relationships.
Monitor panel needs, access, and follow‑up to support safe and effective care.
Align patients to additional services, including MINT/GAIN and community support, as appropriate.
Care Coordination:
Develop practical, client‑centered care plans.
Collaborate with physicians, nursing, and community partners.
Coordinate care for clients requiring multi‑provider involvement, particularly those with complex needs.
Use group facilitation skills to lead community programs and/or focus groups.
Provide support and supervision to students who have placements at CHCN.
Documentation & Quality:
Maintain accurate and timely EMR documentation.
Support panel management, continuity, and outcome tracking.
Contribute to program improvement initiatives.
Outreach and Community‑Based Care:
Participate in rural outreach activities to improve access to primary care services for underserved and unattached populations.
Provide home visits, community visits, and mobile/onsite outreach services as clinically appropriate and operationally required.
Collaborate with community partners and local support to coordinate care for clients with barriers to clinic attendance.
Support transitional care, wellness checks, and post‑discharge follow‑up for vulnerable clients.
Identify service gaps and contribute to innovative outreach strategies that strengthen rural access and continuity of care.
Organizational Responsibilities:
Collect statistical information as required by the Centre.
Incorporate critical thinking practice and a collaborative approach to problem solving and decision making.
Integrate into work functions the principles of respect and value for staff, clients, and the community.
Work in a manner that preserves confidentiality. Adhere to the Personal Health Protection Policy and the Confidentiality Policy for the Centre.
Work in a manner that seeks to minimize risk to clients, self, the Centre and to staff. Committed to safety, work in a manner that demonstrates responsibility for following the Centre’s safe work practices and works in compliance with the Occupational Health and Safety Act. Report and unsafe/at‑risk conditions and be accountable for their correction.
Communicate in a timely and positive manner with the Manager of Specialized Programs regarding job content, specific objectives, and personal performance.
Identify performance goals, objectives, and learning needs. Identify concerns in a timely manner and, in collaboration with the Manager of Specialized Programs, seek resolution.
Participate in team‑based care planning and clinic operations.
Contribute to the evolution of an NP‑led rural access and attachment model.
Incorporate and contribute to the Centre’s efforts for continuous quality improvement by identifying, implementing, and evaluating policies and practices to support best practice.
Participate as a team member in all staff functions: program planning, team and inter‑team meetings, all staff meetings and team building.
Perform other duties as assigned.
Experience
Qualifications:
Registered Nurse in the Extended Class (RN‑EC), in good standing with the CNO
Current professional liability insurance
Demonstrated experience in primary care, community health, or geriatrics.
Strong clinical competency in:
Women’s Health
Mental health assessment and management
Gender‑affirming care (or willingness to develop competency)
Well‑baby care and immunizations
Older adult care, including frailty and cognitive assessment
Chronic disease management
Experience managing a patient panel/roster and providing longitudinal care preferred.
Experience working in rural, vulnerable, or medically complex populations.
Proficiency with EMR systems
Current BLS certification
Valid Driver’s License and willingness to travel within Northumberland County for outreach and home visit responsibilities.
Demonstrated ability to work effectively within a multi‑disciplinary team.
Ability to work flexible hours, if required, including outreach activities, home visits, community‑based care, and participation in rotating on‑call services.
Salary:
$ 67 – 69.84 per hour
Hours:
35 hours per week
Hours of Work:
Days, rotating on‑call schedule
Start Date:
Tentative start May 19, 2026
Community Health Centres of Northumberland offers a competitive compensation package which includes HOOPP (Healthcare of Ontario Pension Plan).
EEO Statements
As part of our ongoing commitment to the Accessibility for Ontarians with Disabilities Act, the Community Health Centres of Northumberland will provide assistance to applicants who request accommodation throughout the recruitment process.
At the CHCN, we value diversity – in backgrounds and in experiences. Healthcare is a universal concern and we invite all interested individuals to apply and encourage applications from people with disabilities, Indigenous, Black, and racialized individuals, as well as people from a diversity of ethnic and cultural origins, sexual orientations, gender identities and expressions to help build the future of healthcare and our communities.
Note that CHCN is a scent‑free work environment and we ask that you refrain from wearing fragrances and other scented personal care products (i.e. perfumes, deodorants, lotions, hairspray, etc.) while at the Centre.
#J-18808-Ljbffr