Job Description

Position Summary

Taddle Creek Diabetes Education Program (DEP) is a part of Taddle Creek Family Health Team (TC FHT). The DEP serves both TC FHT patients and patients/physicians in the community. Our goal is to provide people living with diabetes, or at risk of developing diabetes and their families, the knowledge and skills needed to self-manage.

As a member of the DEP the Diabetes Nurse Educator (DNE) provides clinical care and education to people living with and at risk of developing diabetes and their families. The DNE participates in the development, implementation, monitoring, and evaluation of the diabetes education program.

The DNE has a sound knowledge base regarding the prevention, care and management of diabetes and practices within an interdisciplinary model. The DNE utilizes self-management principles and practice patient-centered care. The DNE acts as an expert in the areas of diabetes medications, insulin initiation and titration, and complication prevention. The DNE is responsible for providing individual counseling and facilitating group education classes. It is important that the DNE works collaboratively with the DEP team as well as with patients and their families.

All performance and conduct of duties shall be carried out in accordance with TC FHT policies/procedures, professional practice standards and required legislation (e.g., Nursing Act, Regulated Health Professions Act).

Roles and Responsibilities

Patient Care

Caseload: seeing up to 7-8 patients per day in-person and virtually Practices in accordance with a patient self-management model to assist people living with diabetes to achieve their optimum level of health and quality of life Partners with patients and their families to enable them to design and manage their own individualized diabetes protocols/plans (e.g., establishes goals with patients) Collaborates directly with other DEP clinicians, including registered dietitians to form comprehensive care plans with the patient Collaborates closely with the interdisciplinary team, including physicians & nurse practitioners, to share best practice guidelines and deliver comprehensive, patient-centered care. Maintains open communication and works closely with FHT and community primary care providers (PCP) on patient care issues Provides education around insulin initiation, titration, and other injectable therapies as prescribed by PCP Provides comprehensive training in blood glucose and/or isCGM monitoring, along with guidance in pattern recognition and interpretation. Utilizes internal medical directives and suggests medication adjustments to achieve optimal glycemic control and recognizes inappropriate medication orders Assesses wound/foot care status and makes outside referrals for appropriate care Assesses blood pressure and provides patient education and support to promote effective blood pressure management. Assesses patient educational needs by identifying physical, social and or emotional needs that may influence the education process and the long-term outcomes Consistently completes accurate and professional documentation in the EMR in a timely manner. Evaluates patient comprehension and progress of their care plan by reviewing clinical and learning outcomes Recommends appropriate follow up and provides community resources for patients to access Networks with primary care RNs to create partnerships and receive support within the diabetes education community

Education/Group Counseling

Plans, implements and evaluates various patient and clinician in-person and virtual group education Facilitates various group education classes for patients and clinicians Uses, creates and updates evidence-based diabetes resources for patients and FHT health professionals Prepares written diabetes educational pieces (for FHT newsletter or bulletin board/displays) Maintains own academic qualifications and participates in self-directed learning to ensure his/her practice remains relevant (by attending professional conferences, e-learning and journal reviews)

Skills, Knowledge Requirements

Ability to work in an inter-professional/collaborative care team environment Ability to mentor clinicians, and students within your scope of practice Strong clinical skills in diabetes self-management education Excellent organizational skills (e.g. flexible, good time management) Communication skills (ability to communicate effectively with patients, families, clinicians and community partners) Independent thinking/working skills Program planning and evaluation knowledge Emergency interventions, chronic disease management, health promotion, early intervention and screening knowledge Adult education knowledge Strong group facilitation skills

Equipment/Computer Skills

Familiarity with a Mac operating system environment Familiarity with Zoom for Healthcare Willingness to learn electronic medical record keeping/scheduling Computer, printer, scanner, fax, photocopier, telephone, AV equipment (video projection), and a variety of teaching aids Various diagnostic and medical equipment

Language Skills

English required; French not required but would be an asset Ability to communicate in another language an asset

Education and Specific Job Requirements

Bachelor's Degree in Nursing required Certificate of Competence and current membership with the College of Nurses of Ontario (CNO) required Current membership in professional association: Registered Nurses Association of Ontario (RNAO) required Certified Diabetes Educator (CDE) with the Canadian Diabetes Educator Certification Board (CDECB) required (or willingness to obtain as soon as possible) Current Basic Cardiac Life Support (BCLS) Certification required Advanced Cardiac Life Support (ACLS) Certification will be considered an asset

Relevant Experience

Minimum 2 years of clinical experience as a RN, preferably in community-based health care Minimum 1 years of health care teaching experience Minimum 1 year experience applying advanced diabetes knowledge, physical assessment skills, diagnostic intervention and self-care management Program planning/evaluation experience (demonstrated ability to plan/implement/evaluate) Experience, Providing specialized knowledge through the process of consultation at the patient, program, organization and external agency level Designing, implementing and evaluating policy and best practice guidelines pertaining to diabetes management Developing strategies to improve patient adherence and to improve chronic disease self-management outcomes Leading and facilitating the development of basic and advanced education programs With insulin education, glucose pattern management With insulin injection devices, variety of home blood glucose and isCGM monitoring devices and platforms e.g, Dexcom Clarity, Freestyle Libreview Experience in the area of chronic disease self-management and prevention Experience with Practice Solutions Suite (preferred) or other electronic medical record

Reporting Structure

The Diabetes Nurse Educator reports to the DEP Program Team Lead for day-to-day operations of the DEP. The FHT Executive Director will provide professional guidance and support as needed.

Job Specifications

Must be COVID-19 fully vaccinated

Location: 790 Bay St., Toronto, Ontario, Suite 508

Hours of Work: 40 hours per week, Mon-Fri 8am-4pm or 8:30am-4:30pm, corresponding to the hours of the Diabetes Education Program. One evening per week is required.

Note: Expectation is for this position to be on site 80% (4 days a week), 1 day work from home (this is subject to change at any time by the organization)

Status: Permanent/Full Time

Pay Range: $69,070 - $76,150

Benefits: 22.5% (used for: statutory deductions, group insurance plan & Hospitals of Ontario Pension Plan - HOOPP)

Annual Vacation Days: 3 weeks (4 weeks after year 1)

Annual Professional Education Dollars: $1000

Annual Education Days: 10 days

Annual Sick/Personal Emergency Leave: 10 days

Annual Personal Days: 2 days

Application deadline:

Nov 7, 2025

Please apply with a cover letter and resume together as one document on Indeed or by email to jobs@tcfht.on.ca

TC FHT is committed to equity and anti-oppression and to building an organization that reflects the diversity of communities of Toronto. We encourage applications from members of Black, Indigenous, and other racialized communities; 2SLGBTQ+ (Two-Spirit, lesbian, gay, bisexual, trans, and queer) people; people with disabilities; and members of other equity seeking groups

Job Type: Full-time

Pay: $69,070.00-$76,150.00 per year

Work Location: In person