Assistant Director of Care

St. Joseph’s Hospice is a charitable organization providing compassionate care and companionship to palliative clients, their caregivers, and the bereaved, recognizing their unique needs. With a history and tradition of respectful, holistic patient-centred care, St. Joseph’s Hospice believes that everyone matters for every single moment of their life, and so we focus on enhancing life when cure is no longer an option.

In the Director of Care’s absence, the Assistant Director of Care (Assistant DOC) will provide leadership to resident care staff and is responsible for the coordination of all resident care. The Assistant DOC will ensure that Residence operations promote and deliver high quality care and support to residents, family, and visitors and bring a depth of knowledge in palliative care and the dying process.

This role will also provide part-time nursing care to Hospice residents. She/he will assume a lead role in the interdisciplinary team providing direction and supervision for the care given by the Registered Practical Nurse (RPN), Personal Support Worker (PSW), and the Hospice Volunteers. This role will assume the responsibility for all aspects of resident care in accordance with the Regulated Health Professionals Act and the Ontario College of Nurses Standards.

Specific areas of responsibility include:

Assistant Director of Care

In the Director of Care’s absence, this role is responsible for:

  • Supervision of Resident Care Teams including RNs, PRNs, PSWs and Residence Volunteers
  • Providing leadership and counsel to the Direct Care staff
  • Serving as a resource to staff and is attentive to the needs of Hospice and the staff in order to set the tone of the work environment
  • Ensuring Residence operations promote and deliver high quality care and support to residents, family and visitors
  • Monitoring compliance with standards of care and professional practice regulations
  • Managing admission process and compliance with criteria
  • Working closely with Medical Director in all aspects of Residence operations
  • Establishing strategies for planning and coordination of health care priorities with health care partners across the continuum
  • Overseeing the maintenance and protection of medical records and assures the accuracy, completeness and compliance of the medical records
  • Observing administrative and clinical on-call policies and procedures
  • Reviewing and approving of all shift change requests, vacation request, LOAs, etc. from clinical team.  Communication of approvals or declines to requests to the requesting staff member(s) through software program/verbally if less than 48 hours.
  • Supervision of direct support volunteers and concierge volunteer. Oversight of kitchen volunteers (direct supervision by Nutrition Services Coordinator). Daily interaction with direct support/concierge/kitchen volunteers – checking in, addressing questions, concerns and comments.  Showing appreciation for the service provided by volunteers.  Working with Volunteer Coordinator to ensure that the volunteer roles continue to be helpful to staff and meaningful to volunteers.  Problem solving any issues with volunteer coordinator and clinical team as required.
  • Participating in fundraising activities and events as appropriate

Registered Nurse

This role will also be responsible for providing front-line nursing care to our Hospice residents. Responsibilities include:

  • Being the Team Leader for the duration of her/his shift of duty
  • Determining the division of patient load for the shift
  • Performing and ensuring regular assessment of pain and symptom management needs of residents and information/education needs of families
  • Consulting with the resident, family members and/or the substitute decision maker regarding needs, wishes and preferences for care.
  • Implementing and coordinating medical interventions such as medical orders, medications, supplies, and equipment.
  • Administering medication and treatments as required/ordered.
  • Documenting accurately and in a timely manner according to the Ontario College of Nurses Standards and Hospice Policy.
  • Reviewing, evaluating and/or revising the Resident Care Plan daily

Physical Requirements:

  •    Hazardous Exposure Category -  Category High – exposure to blood and/or other infectious materials in liquid form is expected and spattering of the liquid may occur
  • Involves an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or a potential for spills or splashes of them.  (Use of appropriate personal protective equipment and measures is required for every employee engaged in Category High tasks.)

Lifting Requirements:

  • Medium Work:  Exerting 20-50 pounds of force occasionally, and/or 10-25 pounds frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
  • Physical demand requirements are in excess of those for light work

Educational, Training and Experience Requirements:

  • Licensed as a Registered Nurse in the Province of Ontario
  • BSN degree preferred
  • CAPCE and LEAP Certificate completion preferred
  • Demonstrated experience working in the provision of hospice palliative care, with expertise in pain and symptom management as it relates to palliative care
  • Strong communication and supervisory skills
  • Previous experience in medical office management or other healthcare management experience
  • Ability to function in a leadership role in an interdisciplinary team environment
  • Flexible schedule to meet the demands of the position
  • Knowledge of medications (signs and symptoms to give; and side effects)
  • Mathematical ability necessary to compute drug dosages accurately
  • Demonstrated computer skills
  • Demonstrated critical thinking, assessment and problem solving skills
  • Demonstrated relationship management skills consistent with the mission, vision and values of St. Joseph’s- Hospice of London


To apply to this position, please submit a cover letter and resume by Friday, July 17, 2020 at 5pm to:

Fran Doig

Human Resources Coordinator

We sincerely thank applicants for their interest; however, only those selected for an interview will be contacted.

St. Joseph’s Hospice is an equal opportunity employer and we will accommodate your needs under the Ontario Human Rights Code. Upon individual request, hiring processes will be modified to remove barriers to accommodate those with disabilities. If you require any accommodations to fully and fairly participate in the application, interview or selection process, please contact Human Resources at (519) 931-3476 and we will endeavor to provide a suitable accommodation in a manner that takes into account your accessibility needs.

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