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Care Coordinator, Temporary Full Time, Palliative, Winchester (1.0)
Join to apply for the Care Coordinator, Temporary Full Time, Palliative, Winchester (1.0) role at Ontario Health atHome
Are you an experienced registered nurse seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place. As a Care Coordinator , you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners. Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centered care – and be supported by our collaborative team that includes over 8,000 regulated health care and other professionals. As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.
Primary Responsibilities
- Completes comprehensive patient assessments using a validated palliative assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs
- Assesses patient’s Palliative Performance Scale and eligibility for palliative and other services
- Assesses eligibility for hospice care and admission to palliative care units
- Develops an individualized care and service plan reflective of the patient’s identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomes
- Discusses plans for end-of-life care, goals of care and preferred place of death
- Coordinates and facilitates referrals and transfers to hospice and palliative care units
- Assists patients and caregivers in finding in-home palliative medical follow up and coverage
- Initiates and authorizes the implementation of the care plan through contracted providers, supplies and equipment necessary to achieve the care goals
- Maintains open communication with service providers, conducts case conferences and regular home visits to optimize care planning and appropriate services
- Partners with the Ontario Health atHome / Ottawa Hospital Medical Assistance in Dying (MAiD) Care Coordinator for those clients wanting and requiring assistance with MAiD
Team / Department
Palliative
Hours of work
Monday to Friday – 8 : 30am to 4 : 30pm (35hrs / week)
FTE
1.0
Length of Temporary Assignment
May 29, 2026
Starting Salary
$44,480 to $47,517
Affiliation
OPSEU
Office Location
Winchester
Reporting to
Manager, Patient Services
What must you have?
Knowledge
Skills And Abilities
What do we offer?
Who are we?
We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centered care.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
All applications will be reviewed; however, only those selected for an interview will be contacted. Ontario Health atHome Champlain welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in any aspects of the selection process.
Ontario Health atHome has implemented a mandatory vaccination policy across the province that requires all staff to be fully vaccinated against COVID-19. Applicants being considered for employment will be required to provide proof of vaccination documentation confidentially to Human Resources upon hire. Any medical or human rights exemption requests will be reviewed and validated prior to an offer of employment.
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