Hospital Based Case Coordinator (N3) - Hospital Based Home Care SOGH

Position Overview

The Home Care Program provides a broad range of services to assist people to safely remain in a community setting. Under the general supervision of the Manager Health Services and while demonstrating a commitment to the mission, vision and values of the WRHA, the Hospital Based Case Coordinator (HBCC) receives referrals and conducts assessments to determine eligibility for Home Care program supports. The HBCC in collaboration with the client, family/carer and relevant interdisciplinary team members, develops, coordinates and evaluates the plan of care to support discharge from an acute care setting. In addition, through the collaborative process, the HBCC assists in the determination and planning if the client’s needs are best supported in a personal care home or alternate care environment. The HBCC provides professional intervention where appropriate. Additionally, the HBCC establishes and maintains liaison with local health care services, hospital, community partners, and their families/carers involved with the client.

Experience

• Minimum three years recent related nursing experience required (specific recent experience may be required in designated areas).
• Experience with Hospital-Based Case Coordination an asset.

Education (Degree/Diploma/Certificate)

• Graduate of an approved Registered Nursing education program required.
• BN,BScMH is preferred.

SPECIAL TRAINING:

• Wound Care & Diabetes courses is an asset.
• Canadian Community Health Nurses Certification CCHN© or relevant applicable certification an asset.
• Competence in Procura© software and assessment tool interRAI-HC© preferred.

Certification/Licensure/Registration

• Responsible for maintaining and providing proof of registration with the College of Registered Nurses of Manitoba (CRNM).
• Cardiopulmonary Resuscitation (CPR) Training requirements for this position shall be in accordance with Employer policy.
• Active participation in professional associations e.g. Association of Regulated Nurses of Manitoba (ARNM) preferred.
• Valid Driver’s License and use of a vehicle.

Qualifications and Skills

• Knowledge of: College of Registered Nurses of Manitoba Standards of Practice for Registered Nurses. Canadian Nurses Association Code of Ethics for Registered Nurses. Community Health Nurse Standards of Practice & Home Health Competencies. Scope of practice document as documented in the Registered Nurses Act. Regional/Facility unit policies, procedures, protocols, and guidelines. Personal Health Information Act (PHIA), Protection of Persons in Care Act, Mental Health Act, Workplaces Hazardous Material Information System (WHMIS) Principles of Routine Practices (Universal Precautions) and other legislated acts. Roles and responsibilities of members of the healthcare team. Principles of delegation/assignment. Principles of adult learning and teaching strategies. Personal Care Home application process. Alternate care environments suitable for community living.
• Competent in Windows-based computer programs (Word, Excel, PowerPoint, Outlook).
• Demonstrated effective oral and written communication skills.
• Preference will be given to those applicants competent in an Indigenous language and/or knowledge of Indigenous customs, traditions and values.
• Demonstrated critical thinking/problem-solving skills.
• Demonstrated ability to assess for Home Care eligibility
• Ability to coordinate delivery of a broad range of professional and non-professional services.
• Ability to prioritize care for an individual or group(s).
• Ability to evaluate need for delegation/assignment and delegate/assign care appropriately.
• Ability to evaluate medical stability for safe discharge planning.
• Ability to respond to a variety of simultaneous demands.
• Ability to liaise with agencies or facilities involved with clients and their families/carers.
• Ability to function in a demanding and fast-paced environment.
• Ability to maintain concentration with frequent interruptions.
• Ability to adapt quickly to changing situations.
• Ability to perform independently and as a member of the healthcare team.
• Ability to recognize and pursue self-development opportunities.

Physical Requirements

• Available to work days, evenings and weekends.
• Use of a reliable motor vehicle suitable for all environmental conditions.
• May be exposed to infectious diseases, blood and body fluids, toxic materials, noise, allergens, physical and emotional stress.
• May encounter aggressive and/or agitated clients/visitors.
• Available to occasionally work days, evenings and weekends.