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About the Role

The Director of Clinical Operations/Clinical Lead (Nursing) will lead the nursing team across all sites, building clinical systems and standards to support safe, high-quality, patient-centered care at scale. This is a hands-on leadership opportunity for a clinically credentialed, systems-minded leader in a value-driven, expanding organization.

Responsibilities

• Share collective accountability with the Executive Director and Administration Lead for Carefirst's strategic, operational, financial, quality, and people outcomes.
• Serve as a full member of the senior leadership team, contributing to organizational strategy, planning, budgeting, and decision-making.
• Work closely with the Administration Lead to balance organizational priorities, resources, and workload and foster a unified leadership culture.
• Provide reciprocal leadership coverage during planned and unplanned absences to ensure continuity of decision-making and operations.
• Support organizational growth, change management, new hub openings, and program implementation.
• Provide direct leadership and clinical oversight to RNs and RPNs across all hub sites and, through them, support consistent nursing practice across the organization.
• Lead, coach, mentor, and develop nursing leaders and staff, fostering accountability, collaboration, continuous learning, and clinical excellence.
• Oversee nursing performance management, including coaching, performance improvement plans, and progressive discipline where warranted.
• Serve as the clinical escalation point for complex nursing practice, scope-of-practice, and clinical judgement issues.
• Ensure consistent clinical protocols, triage standards, and EMR documentation practices across sites.
• Ensure nursing practice complies with applicable professional standards, legislation, and organizational policies.
• Design, implement, and continuously improve scalable clinical systems, workflows, standard operating procedures, policies, and protocols.
• Establish and monitor clinical KPIs and use data to drive improvements in areas such as patient flow, triage timeliness, program delivery, immunization coverage, and incident trends.
• Lead nursing-related root-cause analyses, investigations, and quality improvement initiatives in collaboration with internal quality and decision-support resources.
• Promote consistent clinical standards and high-quality patient care across a growing multi-site organization.
• Provide regular reporting and insights to the Executive Director on clinical performance, quality, risks, and emerging priorities.

Requirements

• Registered and in good standing with the College of Nurses of Ontario (RN)
• BScN required
• 5-7+ years of progressive nursing leadership experience, including direct people management and formal performance management
• Experience in a primary care or community health setting strongly preferred
• Excellent communication, negotiation and interpersonal skills, with a collaborative, team-oriented approach
• A valid vulnerable sector police record check completed within one year

Skills

• Master's degree in Nursing, Health Administration, or a related field an asset
• Fluent in English and a second language that reflects the community served, such as Cantonese, Mandarin, Tamil and Korean, is an asset

Location

• Scarborough
• Markham
• Richmond Hill
• Stouffville

Work Type

• Full Time Permanent
• On-site

Experience Level

• Senior Leadership

Education Level

• BScN

Salary/Compensations

• $98,000 - $118,000 annually

Benefits

• Dental Care
• Extended Health Care
• HOOPP
• Comprehensive Orientation Program
• Training and Education Subsidy

About the Company

• The Carefirst Family Health Team (FHT) is an innovative, interdisciplinary team dedicated to delivering high-quality, community-based care.
• Carefirst FHT is committed to delivering exceptional, comprehensive primary care through a collaborative, team-based model that includes family physicians, nurse practitioners, nurses, social workers, service navigators, dieticians, physiotherapists, and medical receptionists.
• We have a robust Chronic Disease Management and Prevention program, including a Diabetes Education Program, and are actively involved in many of the Ontario Health Team’s primary care initiatives.
• Our “Hub & Spoke Model” and strong community partnerships ensure coordinated, high-quality, patient‑centred care across the continuum.
• We work closely with Carefirst Seniors & Community Services Association to provide truly integrated services.
• On‑site & Integrated Programs/Services include: Ontario Health atHome (formerly Home and Community Care Support Services), MINT Memory Clinic, Ontario Structured Psychotherapy (OSP) Program, Specialist Clinics: psychiatry, cardiology, endocrinology, optometry, geriatric medicine, gynecology, chiropody, rheumatology, physiotherapy, and audiology.
• We currently operate five well-established clinics across Scarborough, Markham, Richmond Hill, and Stouffville and continue to expand in Markham to support continued growth and community needs.

Equal Opportunity

• Carefirst is an equal opportunity employer.
• We are also committed to an environment that is barrier free. If you require accommodation during the hiring process, please inform us in advance to arrange a reasonable and appropriate accommodation.