Care Coordinator, Temporary Full Time, Congregate Care West, Bells Corners (1.0)

CARE AND BE CARED FOR THIS IS YOUR HOME

Are you an experienced registered nurse physiotherapist occupational therapist social worker (RSW) dietitian or speech language pathologist seeking a rewarding career that cares for others in a professional practice that cares for you Youre 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-centred care and be supported by our collaborative team that includes over 9000 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 andwork-life balance.

What will you do

Under the general direction of the Manager Patient Services the Care Coordinator is responsible for managing a caseload of diverse patients who are living and/or dealing with a variety of health concerns. The Care Coordinator through in person visits assesses the patients care needs and develops implements and updates (as required) a care plan that is informed by the patients health and psychosocial needs; and where possible accommodates patient and caregiver wishes. He/she also determines eligibility for and arranges for Ontario Health atHome Champlain-approved health care services and refers patients and caregivers to other community resources and programs.

As a member of the Community Care Team the Care Coordinator will provide a broad scope of connection in their caseload geography linking with care and services beyond community care while partnering closely with patients families caregivers service providers and other community health providers supporting the patient in their home environment. The Care Coordinator may also provide support to Primary Care teams strengthening the relationship and improving communication and access to care for shared patients as well as new patients.

Primary Responsibilities:

• Completes comprehensive patient assessments using a validated assessment tool including patients clinical physical and psychosocial needs and caregiver needs
• Assesses the patients and caregivers understanding of and learning needs related to diagnosis treatment available resources illness adjustment and coping mechanisms
• Assists patient and caregiver in setting appropriate goals (individual joint short or long term)
• Collaborates with patient caregiver and the care team to develop an individualized care and service plan reflective of the patients identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomes
• Coordinates the delivery of Home and community care services to patients and their caregivers
• Coordinates vendor and resource utilization involving medical equipment supplies and services
• Facilitates understanding and cooperation among members of the patients multidisciplinary healthcare team; communicates with members of the patients health care team to maximize patient outcomes
• Initiates and authorizes the implementation of the care plan through contracted providers
• Provides regular reports to Physicians service providers patients caregivers and other authorized parties as required
• Case documentation in accordance with Ontario Health atHome Champlain policies

Team/Department: Congregate Care West

Length of Temporary Assignment: September 11 2026

Hours of work: 8:30am-4:30pm Monday to Friday (35hrs/week)

FTE: 1.0

Starting Salary: $44.480 - $47.517

Affiliation: OPSEU

Reporting to: Manager Patient Services

Office Location: Bells Corners

What must you have

• Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; or
• Degree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; or
• Degree or diploma in Occupational Therapy and registered with the College of Occupational Therapy of Ontario; or
• Degree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; or
• Degree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; or
• Degree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario.
• Related professional experience (community based experience preferred) which is normally attained over a period of two years
• We have a mandatory COVID-19 vaccination policy. As a condition of employment all employees are required to submit proof of COVID-19 vaccination status prior to start date.

What would give you the edge

• Works with diverse patient groups with varying levels of comprehension and language capability
• Manages difficult conversations/situations such as advance care planning and goals of care in a healthy and effective manner
• Works effectively in both a team environment and independently as required
• Verbal and written communication skills to establish working relationships and maintain a wide range of partners (doctors nurses social workers etc.) within the healthcare community
• Listening and facilitation skills to work with patients and their caregivers
• Diplomacy in dealing with sensitive and/or confidential issues
• Relationship building skills to develop and maintain health and community stakeholder partnerships.
• Working knowledge of computer software (email internet) and Microsoft Office applications (Word Outlook etc.)
• A valid drivers license and access to a vehicle is required
• Fluency in English and French is an asset
• Vulnerable Sector Check completed within the last six months

Hours of Work

Monday to Friday 8:30am to 4:30pm (35hrs/week)

What do we offer

We know wellness is supported with work-life balance.In an inclusive culture committed to support your passion for continuouslearning growth and innovation we offer:

• Attractive comprehensive compensation packages and benefits
• Valuable development opportunities
• Membership in a world class defined benefit pension plan
• Salary: $44.480 - $47.517

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-centred care.

Why join us

If youre interested in driving excellence in care and service delivery and seeking an unparalleled opportunity to lead and learn partner and connect care and be cared for this is your home.

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.

We thank all applicants for their interest; however only those selected for an interview will be contacted.

This job posting is for an existing vacancy.