Integrated Health Nurse Manager – Lead with Purpose
At Rygiel Supports for Community Living, we don’t just provide housing - we build community. For more than 60 years, we've been supporting people with developmental disabilities in living full, inclusive, and empowered lives.
Working collaboratively with frontline Support Workers, families, regulated health professionals, and community partners, the Integrated Health Nurse Manager promotes inclusion, safeguarding, accountability, and quality support practices within community living environments. This role combines frontline operational leadership with specialized knowledge related to medication management, delegated health supports, responsive support approaches, and individualized support planning.
Why Join Rygiel?
- A mission-driven organization where your work has real impact on real people’s lives.
- A culture rooted in respect, inclusion, and human dignity.
- Competitive salary of $78,000, commensurate with experience.
- A collaborative environment where your voice and vision matter.
- A chance to mentor, teach, and grow alongside a passionate team.
- The opportunity to champion inclusion at a respected non-profit.
This is more than a job. It’s a chance to lead a team that helps others live with dignity, choice, and belonging, and be part of a workplace that lives those values, too.
What You'll Do:
Residential Leadership & Operational Oversight
- Provide day-to-day operational oversight for assigned residential programs supporting individuals with complex health, behavioural, and support needs.
- Support implementation of person-directed services that promote dignity, choice, inclusion, and belonging.
- Coordinate daily operations including staffing support, scheduling coordination, documentation oversight, and program organization.
- Conduct regular site visits and monitor residential environments to support safety, practice consistency, and service quality.
- Participate in on-call responsibilities and support urgent operational or health-related concerns as required.
- Reviews and approves employee timecards for accuracy.
- Processes invoices, payments, and purchasing for assigned homes, and monitors related accounts for accuracy.
Health Support Coordination & Practice Oversight
- Support implementation of individualized health support plans, medication protocols, controlled acts, and specialized support practices.
- Provide frontline guidance and consultation to Frontline Support Workers related to health support practices and documentation expectations.
- Review, assess, and respond to health-related documentation and practice concerns using professional judgment, organizational protocols, and evidence-informed decision-making, consulting nursing leadership for complex, high-risk, or unresolved matters as appropriate.
- Support safe medication administration practices and reinforce organizational medication management standards.
• Assist with implementation of least restraint practices and individualized behavioural and health-related protocols.
- Coordinates hospital discharge and return-to-home transitions for individuals with complex health needs
Staff Supervision, Mentorship & Practice Support
- Supervise, mentor, and support frontline Support Workers across assigned residential programs.
- Support onboarding and orientation processes for new staff within assigned homes.
- Reinforce organizational expectations related to medication administration, controlled acts, documentation, and health-related support practices.
- Support ongoing staff development through coaching, mentorship, and performance feedback.
- Provides training in Controlled Acts and/or N95 Mask Fit Testing to frontline staff, where
individually trained to do so.
- Participate in performance management processes, attendance support, and conflict resolution in collaboration with leadership teams.
- Support student placements and learning opportunities in collaboration with organizational leadership.
- Supports return-to-work planning and modified-duty coordination with People & Culture, in compliance with WSIB requirements.
- Supports People & Culture with workplace investigations, including gathering documentation, coordinating fact-finding meetings, and maintaining confidentiality.
- Operates agency accessible vehicles as required and trains frontline staff on vehicle use and safety checks.
Quality, Compliance & Documentation
- Support compliance with organizational policies, Quality Assurance Measures (QAM), health and safety requirements, and applicable legislation.
- Participate in audits, inspections, and quality improvement activities as assigned.
- Monitor documentation practices to support accuracy, consistency, and accountability across assigned homes.
- Support implementation of corrective action plans and practice improvement initiatives where required.
- Promote safeguarding, reflective practice, and person-directed service delivery across residential programs.
- Identifies and reports suspected abuse, neglect, or safety concerns in accordance with legislative requirements and agency policy
Collaboration & Relationship Building
- Build collaborative working relationships with families, community partners, operational leaders, and interdisciplinary supports.
- Connects people supported with community resources, government funding programs, and healthcare providers as needed.
- Support communication and coordination between residential teams and external health providers.
- Participate in organizational committees, meetings, and collaborative initiatives as assigned.
- Contribute to a positive team culture grounded in respect, accountability, and inclusion.
Complexity & Problem Solving
- Supporting individuals with complex and evolving health, behavioural, and support needs within community living environments.
- Balancing operational demands, staffing challenges, health-related concerns, and quality expectations across multiple residential settings.
- Responding to urgent situations requiring sound judgment, collaboration, and timely escalation.
- Supporting implementation of organizational policies, health-related protocols, and evolving service expectations.
- Performs other duties as assigned, consistent with the scope and intent of this role.
Accountability
- Accountable for supporting safe, consistent, and person-directed service delivery across assigned residential programs.
- Responsible for frontline operational oversight, staff support, and reinforcement of organizational expectations related to health support practices, documentation, and service quality.
- Supports compliance with applicable legislation, organizational policies, and quality standards.
- Maintains professionalism, confidentiality, and respectful communication in all interactions
Mental Effort
Sustained concentration is required to support staffing coordination, health-related concerns, documentation review, operational problem-solving, and frontline leadership responsibilities. Frequent competing priorities, interruptions, and urgent situations require ongoing judgment, adaptability, and attention to detail.
Physical Effort
Moderate physical activity may be required while supporting residential environments, including movement throughout program sites, participation in emergency response situations, and occasional assistance related to mobility or health support needs.
What You Bring:
Education and Credentials
- Current registration with the College of Nurses of Ontario (RPN) in good standing is required
- Additional education related to developmental services, behavioural supports, leadership, or health-related practice considered an asset
Experience
- Minimum 3–5 years experience supporting individuals with developmental disabilities and
complex health or behavioural support needs
- Previous supervisory or leadership experience preferred
- Experience supporting medication administration, delegated acts, and specialized health-related supports
- Experience supporting behavioural support plans and responsive support practices preferred
- Experience in unionized environments considered an asset
- 3–5 years experience in training development and coordination, adult learning, workforce
- Experience supporting behavioural support plans and responsive support practices preferred
- Experience in unionized environments considered an asset
Working Conditions
- This role operates primarily within residential and community-based environments supporting individuals with complex and evolving support needs.
- Regular travel between program locations throughout Hamilton is required. The position supports a flexible work model where operationally appropriate; however, regular on-site presence is required to support staff, people supported, and residential operations.
- The Integrated Health Nurse Manager participates in organizational on-call responsibilities on a rotational basis and may be required to work occasional evenings, weekends, or after-hours in response to urgent operational, staffing, or health-related situations
