Job Description

• Provide leadership oversight of patient care operations during evenings, nights, and weekends, ensuring patient safety, continuity of care, and real‑time clinical decision‑making within established policies and procedures.
• Monitor patient acuity, behavioural risks, admissions, discharges, and transfers, supporting staff in prioritizing care and responding to emergent situations.
• Conduct structured rounds to assess patient care status, environmental safety, staffing levels, and clinical risks.
• Respond to and manage clinical incidents, behavioural escalations, emergency codes, and safety concerns, coordinating interventions and escalation as required.
• Ensure effective handover and communication between shifts, including documentation of key issues, risks, decisions, and follow‑up actions.
• Collaborate with Nurse in Charge, Team Leads, and on‑call departments to coordinate timely after‑hours operational and safety responses.
• Provide visible leadership and decision‑making support to frontline staff, fostering a calm, supportive, and accountable environment.
• Act as the point of contact for urgent staffing and HR matters during off‑hours, including attendance, sick calls, redeployment, and conflict resolution.
• Support staffing adjustments, workload management, and staff concerns in real time.
• Address immediate employee relations concerns, ensuring safety, documentation, and adherence to collective agreements.
• Escalate formal performance, disciplinary, and labour relations matters to weekday leadership.
• Provide operational supervision, coaching, and development where assigned direct reports, in coordination with weekday managers.
• Collaborate with Administrator on Call, Afterhours Managers, and Duty Physician to resolve operational and clinical issues.
• Ensure staff compliance with mandatory training and relevant policies.
• Review and respond to incident reports, patient complaints, and safety concerns, ensuring documentation and escalation.
• Monitor patient safety, staffing, and clinical risk indicators, initiating corrective actions and escalating trends.
  Identify and communicate quality, safety, and operational risks for follow‑up by weekday leadership.
• Liaise with interdisciplinary teams to support patient care and transitions during off‑hours.
• Communicate operational updates and risks to Director and weekday leadership.
• Support unit and department functions to maintain clinical, operational, and safety standards. 

• College Diploma in Nursing (RN or RPN), Allied Health or relevant healthcare discipline, or an acceptable combination of education and experience.
• Bachelors in nursing, Allied Health, Healthcare administration, health services management or related field is preferred
• Minimum 3 years of experience in mental health or healthcare settings, including demonstrated experience providing operational or clinical leadership support
• Registration with an applicable regulatory college where required for the incumbent’s professional background, or equivalent experience in an unregulated healthcare role. Additional leadership or management certifications are preferred
• Working knowledge of inpatient and outpatient mental health operations and clinical risk management sufficient to support decision-making during evenings, nights, and weekends.
• Extensive leadership experience in mental health services and program management is preferred.
• Experience providing management support outside of regular program/business hours is an asset
• Working knowledge of mental health clinical service delivery and commitment to compassionate, recovery‑oriented, patient‑centred care during evening and night shifts
• Knowledge of relevant legislation (Mental Health Act, PHIPA, SDA) to ensure compliance and patient privacy
• Ability to provide clear direction and decision‑making support in urgent or escalated situations
• Working knowledge of collective agreements to address staff concerns and escalate appropriately
• Effective communication with staff, on‑call leadership, physicians, and teams, including documentation and handover
• Familiarity with healthcare IT systems/EHR for clinical oversight and accurate documentation
• Proficiency in MS Office, email, and internet for reporting and communication
• English level A- is mandatory in oral expression, oral comprehension, reading comprehension and written expression. Bilingual (French/English) is considered an asset.