Monitor and analyze resident outcomes, program effectiveness, incident trends, referrals, documentation quality, staff compliance, and relevant quality indicators to identify opportunities for improvement and evaluate the effectiveness of interventions.
Company Overview
Located within a vibrant community campus, our organization has been dedicated to providing compassionate, person-centered care for individuals requiring long-term support since its inception. We are committed to fostering an environment that promotes dignity, respect, and engagement for all residents and their families.
Overview
Reporting to the Director of Care and working collaboratively with the interdisciplinary team, the Nursing Rehab and Responsive Behaviour Manager (RPN) provides clinical leadership for both the Nursing Rehabilitation Program and Responsive Behaviour Support Program.
This position provides clinical leadership and oversight for restorative and behavioural care. Working collaboratively with nursing teams, rehabilitation professionals, Behaviour Support resources, residents, families, and care partners, the role leads and facilitates the development, implementation, monitoring, and evaluation of individualized interventions in partnership with neighbourhood nurses. The position promotes resident independence, mobility, cognitive functioning, dignity, safety, and quality of life through person-centred and evidence-informed approaches.
The Nursing Rehab and Responsive Behaviour Support Manager provides leadership, supervision, performance management, and ongoing support to direct-report rehabilitation and BSO staff.
Responsibilities
Nursing Rehabilitation & Restorative Care Management
- · Lead and oversee the development, implementation, monitoring, and evaluation of interdisciplinary rehabilitation strategies and interventions that support residents to achieve and maintain their highest practicable level of independence, function, safety, and overall well-being
- Collaborate with Physiotherapists, Occupational Therapists, Dietitians, Behaviour Support specialists, physicians, and other interdisciplinary team members to develop and implement restorative care plans.
- Mentor, coach, and support direct care staff in integrating restorative interventions, assistive devices, and therapeutic strategies into daily care routines.
- Orient new staff to restorative philosophy, program eligibility, interventions, and documentation requirements.
- Participate in admission reviews, care conferences, rounds, and assessments to identify residents who may benefit from restorative programming.
- Coordinate with the RAI Coordinator and interdisciplinary team to ensure therapeutic interventions and outcomes are accurately reflected in residents' care plans.
- Monitor MDS indicators, outcome measures, and RUG scores to support program planning and evaluation.
- Audit restorative care programs to ensure goals are measurable, interventions are documented, care plans remain current, and regulatory requirements are met.
- Evaluate resident progress and recommend modifications to interventions based on clinical assessment and resident outcomes.
Responsive Behaviour Support Program Management
- · Provide clinical oversight and leadership for nursing assessments related to new, changing, or escalating responsive behaviours, facilitating completion by the neighbourhood RPN and completing specialized BSO-related assessments within the scope of the role.
- · Assess contributing factors including pain, delirium, medication effects, cognitive impairment, sleep disturbances, communication barriers, environmental triggers, psychosocial needs, and unmet needs.
- · Oversee the development, implementation of individualized, person-centered behaviour support plans emphasizing prevention, meaningful engagement, non-pharmacological interventions, and least restrictive practices.
- · Facilitate behavioural rounds and case reviews, and participate in interdisciplinary care conferences as appropriate, ensuring behavioural recommendations are communicated, implemented, monitored, and evaluated for effectiveness.
- · Monitor referrals to Behavioural Supports Ontario (BSO), specialized geriatric mental health services, and other appropriate resources; identify residents who may benefit from referral; and ensure referrals are initiated and followed through when needs are identified.
- · Engage residents, substitute decision-makers, and families in assessment, planning, implementation, and evaluation of behaviour support strategies.
- · Promote continuity of care during admissions, transfers, hospitalizations, and return-to-home transitions.
- · Support staff in the use of therapeutic communication, de-escalation techniques, dementia care best practices, trauma-informed care, and responsive behaviour interventions.
- · Monitor behaviour support program outcomes, incident trends, restrictive practices, and quality indicators, and recommend improvements.
- · Facilitate the Home's Behaviour Support Committee, including agenda preparation, action planning, follow-up, and reporting through quality improvement structures.
Education, Coaching & Staff Development
- Provide clinical guidance, coaching, and education to staff across all shifts, ensuring consistent implementation of restorative and responsive behaviour practices.
- Promote consistent implementation of care plans and behavioural support strategies across all shifts.
- Deliver or coordinate education related to restorative care, dementia care, responsive behaviours, therapeutic communication, documentation standards, and resident-centred care practices as well as trauma-informed care, mental health, suicide risk and prevention.
- ·Support reflective practice, psychological safety, and non-stigmatizing approaches to resident care.
- Assist with identifying learning needs and opportunities for continuous quality improvement
Quality Improvement & Program Evaluation
- Lead audits, quality improvement initiatives, and accreditation activities.
- Identify gaps in policies, education, equipment, environmental design, or service delivery and recommend improvements.
- Maintain competence and ensure alignment with professional standards, legislation, organizational policies, and evidence-informed best practices.
- Prepare reports and program metrics as required by leadership.
General Responsibilities
- Maintain accurate and timely documentation in the electronic medical record.
- Participate in interdisciplinary rounds, quality committees, and organizational initiatives.
- Ensure all care and services are delivered in accordance with professional standards, organizational policies, and applicable legislation.
- Perform other duties related to the provision of high-quality resident care and program management as assigned.
Qualifications
- Current Registration in good standing with the College of Nurses of Ontario as a Registered Practical Nurse (RPN).
- Minimum five (5) years' experience working with geriatric populations in Long-Term Care.
- ·Advanced knowledge of restorative care, rehabilitation principles, dementia care, interRAI LTCF assessment and care-planning processes and responsive behaviour management.
- Demonstrated experience assessing, planning, implementing, and evaluating individualized care plans.
- Strong knowledge of person-centered, trauma-informed, and evidence-informed approaches to care.
- Experience coordinating interdisciplinary teams and collaborating with external service providers.
- Proven leadership, mentoring, coaching, and conflict-resolution skills.
- Strong understanding of Behavioural Supports Ontario principles and responsive behaviour interventions.
- Excellent communication, interpersonal, documentation, and organizational skills.
- Proficiency with InterRAI-LTCF, assessment protocols, quality indicators, and electronic medical records.
- Ability to make sound clinical judgments and adapt interventions to meet changing resident needs.
- Demonstrated commitment to resident dignity, autonomy, quality of life, and continuous improvement.
- Excellent English language skills, both written and verbal.
PHYSICAL DEMANDS
- Frequent movement throughout the Home to support residents, staff, interdisciplinary team members, and program activities.
- Physical assistance may be required during restorative exercises, transfers, repositioning, and mobility support.
- Occasional lifting or movement of equipment.
- Ability to stand, walk, and remain actively engaged for extended periods.
- This position primarily works daytime hours; however, flexibility is required to meet the needs of residents, staff, and the Home. The incumbent is expected to adjust their schedule, including working occasional evenings, nights, weekends, or holidays, to provide clinical support, education, coaching, program implementation, or respond to emerging resident or operational needs.
PSYCHOLOGICAL DEMANDS
- Ability to work effectively with residents experiencing cognitive impairment, dementia, mental health challenges, and responsive behaviours.
- Strong emotional resilience and capacity to manage complex resident situations.
- Advanced problem-solving and critical thinking skills.
- Ability to mentor staff and support teams through challenging resident care situations.
- Excellent communication and relationship-building skills with residents, families, and interdisciplinary teams.
ENVIRONMENTAL DEMANDS
- Fast-paced and dynamic long-term care environment requiring flexibility and adaptability.
- Frequent collaboration with interdisciplinary professionals and external partners.
- Exposure to residents with complex care needs, dementia, and responsive behaviours.
- Requirement for accurate documentation, data tracking, and quality monitoring.
SENSORY DEMANDS
- Strong observation skills to monitor resident progress, behavioural changes, safety risks, and program outcomes.
- Active listening skills to understand resident, family, and staff concerns.
- High attention to detail for documentation, assessments, audits, and quality monitoring.
- Ability to recognize subtle physical, cognitive, emotional, and behavioural changes requiring intervention.
Pay: $70,000.00-$80,000.00 per year
Benefits:
- Dental care
- Employee assistance program
- On-site parking
- Paid time off
- RRSP match
Work Location: In person
