Department / Position Details
Department: Care / Quality & Safety
Sites: Maplewood House and MSA Manor
Reports to: CEO
Works closely with: Acting DOC, Care Managers, Allied Health, Support Services, HR, JOHS
Employment status: Permanent, Full-Time
Role allocation: ~0.6 FTE Quality & Safety / ~0.4 FTE DOC responsibilities (varies depending on operational need)
DOC coverage is currently delivered through a shared model between this role and the DOC incumbent/acting DOC, and may continue based on operational requirements.
Hours: 37.5 hours/week
After-hours: As required for emergent safety/operational matters, in coordination with site leadership and the DOC coverage partner. This role also participates in the Manager On Call schedule, with leaders rotating on-call coverage in two-week blocks.
Position Summary
Provides leadership across two long-term care sites to strengthen clinical operations, regulatory readiness, and a positive quality and safety culture. The role carries responsibilities such as practice leadership, clinical oversight, staffing/competency support, and regulatory readiness. This position leads an integrated quality and safety program across both sites, and ensures improvements are implemented, measured, and sustained. This is a hybrid role: part-time Director of Care responsibilities and part-time Quality & Safety leadership.
Director of Care (DOC) coverage model: MCS maintains a full-time DOC function. DOC coverage is currently delivered through a shared model between this role and the DOC incumbent/acting DOC, and may continue based on operational requirements.
Key Accountabilities
1) Director of Care Responsibilities (Shared DOC Coverage)
· Provide DOC coverage as part of a shared model to ensure continuity of clinical leadership and regulatory readiness across both sites.
· Provide day-to-day clinical operations leadership to support safe, high-quality, resident-centred care across both sites.
· Support care planning and service delivery processes, including documentation standards, clinical practice expectations, and continuity of care.
· Coach and support clinical staff through orientation, education, competency development, and practice improvement.
· Participate in staffing and workforce planning discussions (coverage planning, skill mix considerations, onboarding priorities) in collaboration with site leadership.
· Coordinate division of DOC responsibilities and handovers with the DOC incumbent/acting DOC to maintain consistent coverage.
· Strengthen interdisciplinary practice and communication with physicians, allied health, support services, and external partners.
· Support resident and family engagement by addressing practice-related concerns and improving service responsiveness.
2) Quality, Safety and Risk Management
· Lead the Quality and Safety program across both sites using quality improvement and change management methods.
· Plan and conduct audits (clinical practice, documentation, medication safety, IPAC-related, environment/safety as applicable), produce clear reports, and ensure corrective action follow-through.
· Monitor and analyze quality indicators and trends; translate insights into prioritized improvement workplans.
· Lead/co-lead key committees (e.g., Quality, Falls, Medication Safety, Practice/Documentation) and ensure action tracking with measurable completion.
· Coordinate incident review processes (falls, medication events, injuries, critical incidents) and support systems-level learning.
a) Accreditation Leadership
· Lead accreditation planning and execution across both sites, including readiness assessments, workplans, evidence management, communications, staff engagement, and follow-up action plans.
· Coordinate accreditation-related committees and working groups, ensuring deliverables are completed on time and sustained post-survey.
b) Policy Review and Development
· Lead or coordinate review and development of clinical policies, procedures, and tools to ensure alignment with legislation, best practice, and organizational standards.
· Maintain a policy review schedule, track approvals, and support implementation through education, competency checks, and audit follow-up.
c) Joint Occupational Health and Safety (JOHS) Support
· Support JOHS committee(s) by identifying clinical/operational safety risks, contributing to investigations and corrective action planning, and ensuring follow-through.
· Collaborate with leaders and JOHS representatives to strengthen reporting, hazard identification, and safety culture, particularly where staff safety and resident care intersect (e.g., safe mobility, violence prevention, infection control practices).
d) Board Quality and Safety Committee Support
· Lead preparation for Board Quality and Safety Committee meetings, including agenda planning, dashboard reporting, trend analysis, and identification of key risks and priorities.
· Present quality and safety updates, ensure accurate documentation of decisions, and maintain an action tracker for follow-up items and reporting.
e) Technology Integration and Optimization
· Lead integration and optimization of technology that supports clinical operations and quality/safety work across both sites (e.g., documentation tools, audit systems, dashboards, incident reporting workflows, and communication tools).
· Identify technology-related gaps and opportunities, develop adoption plans, support training and change management, and monitor effectiveness post-implementation.
· Standardize workflows across both sites to improve reliability, efficiency, and data quality.
f) Education and Practice Support
· Identify practice gaps and deliver/coordinate education tied to audit findings, incidents, KPI trends, and policy updates.
· Build practical tools (checklists, huddle topics, tip sheets) to embed consistent practice across shifts and units.
· Support competency validation where appropriate.
Check-ins and Reporting
· Weekly: Site-level clinical operations huddle - emerging issues, safety concerns, urgent decisions.
· Weekly: DOC coverage handover/check-in - priorities, risks, coverage schedule.
· Biweekly: Quality and Safety action tracker review - audit results, open corrective actions, barriers, escalation needs.
· Monthly: Quality indicator review - KPI trends, committee updates, incident themes, priority resets.
· Quarterly: Strategic improvement review - progress against plan, resource shifts, next-quarter priorities.
Performance Measures
· Timely completion of scheduled audits, corrective actions, and sustainment checks.
· Improved documentation and care plan quality/compliance.
· Reduced repeat adverse events and improved learning from incident reviews.
· Accreditation readiness and successful survey outcomes with timely closure of required actions.
· Timely policy review cycle completion and evidence of implementation.
· JOHS action completion and improvements in staff safety metrics (where tracked).
· Board reporting quality (timeliness, clarity, action follow-through).
· Technology adoption outcomes (workflow reliability, data quality, user uptake).
Qualifications Required
· Registered Nurse in good standing with BCCNM.
· Minimum 7+ years nursing experience; LTC/geriatrics strongly preferred.
· Demonstrated leadership experience supporting clinical teams and operational decision-making.
· Demonstrated quality improvement and risk-management capability (audits, indicator tracking, incident review, action planning).
Preferred / Assets
· Leadership/management education or equivalent experience.
· Accreditation experience and/or QI training (PDSA/Lean).
· Experience working in unionized environments and managing change across teams.
· Strong comfort with clinical technology/workflow optimization and data reporting.
Key Skills and Competencies
· Strong clinical judgment, systems thinking, and ability to prioritize across two sites.
· High accountability and follow-through; comfortable managing action trackers and escalation.
· Clear written/verbal communication and collaborative leadership style.
· Data literacy and ability to translate trends into operational action.
· Coaching mindset and ability to embed sustained practice change.
· Strong change-management approach for policy and technology implementation.
Working Conditions
· Dual-site role with regular on-unit presence at both locations.
· Occasional evenings/weekends as required for emergent issues.
· Participates in the Manager On Call rotation (two-week blocks).
· Office and clinical environment work; some physical requirements consistent with LTC leadership roles.
Job Types: Full-time, Permanent
Pay: $108,120.00-$155,423.00 per year
Benefits:
- Casual dress
- Company events
- Company pension
- Dental care
- Extended health care
- On-site parking
- Paid time off
- Vision care
Application question(s):
- Do you have experience working in Long Term Care?
Education:
- Bachelor's Degree (required)
Experience:
- Nursing: 5 years (required)
Licence/Certification:
- BCCNM registration (required)
Work Location: In person
