Saint John Registered Nurse Class D (RNCD) - Nurse Practitioner PCN 1258822

JOB PURPOSE

The Nurse Practitioner (NP) provides advanced, autonomous care to patients within the Heart Function Clinic. Working as part of an interdisciplinary team, the NP provides comprehensive assessment, diagnosis, treatment, chronic disease management, and patient education for patients within the Cardiac Wellness Clinics. The NP leads the development and delivery of the amyloidosis stream, including diagnostic work-up, amyloid typing, staging, treatment initiation, recommendations, and ongoing monitoring. The NP also coordinates care across cardiology, hematology, pathology, neurology, and primary care to ensure timely, integrated, and patient-centred care. The NP functions as an expert clinician, consultant, educator, and leader, promoting evidence-informed practice and optimizing patient outcomes.

QUALIFICATIONS

• Current registration and licensure as a Nurse Practitioner with the College of Nursing of New Brunswick (CNNB) in good standing.
• Master’s degree in nursing with Nurse Practitioner certification required.
• Doctor of Nursing Practice (DNP) or equivalent doctoral preparation in advanced practice nursing considered an asset.
• Current BCLS and ACLS certification or ability to obtain.
• Minimum five (5) years of dedicated clinical experience within a recognized Heart Function Clinic or amyloidosis specialty program.
• Demonstrated expertise in amyloid subtype differentiation, staging, treatment monitoring, and heart failure management preferred.
• Demonstrated multidisciplinary collaboration experience across cardiology, hematology, pathology, neurology, and primary care.
• Comprehensive knowledge in caring for clients with heart failure and chronic disease across the health continuum and throughout the client's lifespan.
• Excellent interpersonal, oral, and written communication skills.
• Demonstrated organizational and leadership skills.
• Demonstrated ability to work cooperatively with other members of a team toward common goals.
• Demonstrated ability to function independently in the role with recognized decision-making and problem-solving skills.
• Demonstrated ability to critically analyze theory and research literature and apply findings to practice.
• Good work and attendance record.
• Physically able to perform assigned duties.

KEY RESPONSIBILITIES

Health Assessment and Diagnosis

• Complete comprehensive health assessments including, but not limited to, physical, psychological, cultural, spiritual, and social needs of the patient/client.
• Autonomously assess, diagnose, and manage patients with heart failure, including HFpEF and infiltrative cardiomyopathy presentations.
• Lead the diagnostic evaluation of suspected cardiac and systemic amyloidosis, including laboratory investigations, imaging studies, and specialist referrals.
• Order, obtain, perform, and interpret diagnostic and laboratory screening tests in accordance with applicable legislation and standards of NP practice.
• Differentiate amyloid subtypes through interpretation of diagnostic findings and coordination of advanced testing where appropriate.
• Establish a diagnosis and develop individualized treatment plans in cooperation with the patient/client and interdisciplinary team.

Health Management of Acute and Chronic Conditions

• Demonstrate knowledge of current best-practice guidelines for the delivery of care.
• Prescribe, adjust, and renew medications in accordance with applicable Nurse Practitioner legislation and standards of practice.
• Monitor, evaluate, and modify therapies and treatment plans as appropriate.
• Initiate timely referral or collaboration with team members and specialty providers as indicated.
• Monitor disease progression, treatment effectiveness, and adverse effects related to therapy.
• Support continuity of care across inpatient, outpatient, and community settings.

Program Development and Clinical Leadership

• Establish and lead the amyloidosis stream within the Heart Function Program.
• Develop and maintain clinical tools, monitoring protocols, patient registries, referral pathways, educational resources, and standardized documentation.
• Lead the diagnostic pathway for suspected amyloidosis, including exclusion of AL amyloidosis, interpretation of PYP scintigraphy results, and coordination of advanced amyloid typing where required.
• Establish and maintain collaborative relationships across pathology, hematology, cardiology, neurology, genetics, and primary care.
• Serve as a clinical resource and consultant for healthcare providers regarding amyloidosis diagnosis, treatment, and management.
• Provide education and outreach to clinicians, patients, families, and community partners.
• Support program planning, quality improvement initiatives, outcome measurement, and strategic program development.

Professional Role and Responsibilities

• Maintains the competencies as outlined in the Competencies and Standards of Practice for Nurse Practitioners.
• Actively participates as a team member to provide comprehensive care to all patients/clients, incorporating health promotion and disease prevention strategies.
• Exemplifies and promotes excellence in advanced practice nursing care.
• Participates in quality improvement, education, mentorship, research, and program advancement activities.
• Utilizes nursing and interdisciplinary research to support clinical knowledge and evidence-based practice.
• Assumes responsibility for self-directed professional development.

NOTE: The above are basic and prime responsibilities; related and allied duties may be assigned from time to time as may become necessary to the operation of the Health Authority.

COMPETENCIES

• Professional Responsibility and Accountability
• Health Assessment and Diagnosis
• Therapeutic Management of Heart Failure patients
• Health Promotion and Prevention of Illness and Injury
• Patient/Client Focus
• Leadership and Program Development
• Interdisciplinary Collaboration
• Evidence-Informed Practice

If a candidate's primary language of communication is not English, an English Language Proficiency Evaluation is required for all postings (Reading, Writing and Oral).

Interested? Apply Today!

Horizon Health Network (Horizon) only accepts online applications.

About Horizon's Recruitment Process

We thank all applicants who apply; however, only those selected for further consideration will be contacted. All interested applicants are encouraged to apply as an equivalent combination of education, training, and experience may be considered.

Horizon's recruitment screening process may include language proficiency testing, clerical testing, and/or behavioral assessment. If you are selected for testing, you will be contacted via the email address provided on your application. The official results will be shared with the candidate, Human Resources, and the requesting manager electronically and language results will be placed on the personnel file for Horizon's hiring purposes.

Diversity Statement

Horizon is committed to enhancing our diverse and inclusive environment for our employees and patients. We believe in a healthcare system that equally supports all people regardless of race, ethnicity, national origin, social background, religion, gender identity or expression, age, disability, or sexual orientation. An environment based on a commitment to diversity and inclusion supports our goal of safe and quality patient care.