Job Description

Position Summary:

CARE AND BE CARED FOR \xe2\x80\x93 THIS IS YOUR HOME

Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker (MSW), dietician, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You\xe2\x80\x99re looking in the right place.

If so, take a look at this rewarding career opportunity working alongside a supportive and collaborative team of over 8,000 regulated health care and other professionals. We are amid a momentous time for health care in Ontario as we move to a more connected health care system through the Ontario Health Teams model of care.

As a Primary Care Partnership Care Coordinator within Home and Community Care Support Services, 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. You will be embedded within primary care practice(s) and provide patient centered system navigation, intensive case management and coordination of services to patients and their primary care provider (including but not limited to Community Health Centre, Family Health Team, and other primary care models, including fee for service practices).
What do we offer?
We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer:

• Attractive comprehensive compensation packages and benefits
• Valuable development opportunities
• Membership in a world class defined benefit pension plan

Core Duties - Responsibilities:
What will you do?

• Establish goals in collaboration with the patient to ensure goals reflect the patient\xe2\x80\x99s desired outcome, within the resource parameters of Home and Community Care Support Services
• Collaborate and Interpret HCCSS HNHB services with patients and their families, assess care needs, determine eligibility for services, and develop individual care and service plans
• The CC acts as a key resource to patients, families, primary care physicians and partners regarding Home and Community Care Support Services (HCCSS) HNHB health, mental health and addictions, and community/social supports
• Facilitate information exchange across providers in multiple settings and sectors, in the support of creating the system-wide team where all health care providers contribute to the care plan
• The CC must have excellent communication and leadership skills such as; problem solving, critical thinking, negotiating and conflict resolution
• The CC will ensure seamless transitions for the patient by acting as a liaison between patients and Community Support Services
• The CC will be responsible for ensuring cost effective patient care by utilizing resources efficiently and collecting necessary data on patient care to support the evaluation of outcomes of integrated care delivery
• To negotiate visits frequency with patient and service providers and problem solve discrepancies regarding billing with service providers.

Qualifications:
What you must have?


Membership, in good standing, with the applicable regulatory body:

• College of Nurses of Ontario
• College of Physiotherapists of Ontario
• College of Occupational Therapists of Ontario
• College of Audiologists and Speech Language Pathologists of Ontario
• Ontario College of Social Workers and Social Service Workers
• College of Dietitians of Ontario
• 2+ years of recent experience in community health or a related field
• Knowledge of the health care delivery system and community resources Excellent interpersonal, communication, assessment, problem-solving and decision-making skills
• Effective time management, prioritization and organizational skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment
• A valid driver\xe2\x80\x99s licence and access to a reliable vehicle
• Proficient in a Windows environment
• 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

Skills & Abilities:
What would give you the edge?

• Experience working with diverse patient groups, e.g., multicultural, homeless, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics
• Case management experience or recent related community experience
• Established ability to accurately complete required documentation, reports and forms Sound understanding of social determinates of health (SDOH) and experience with individuals living with mental health issues an asset
• Ability to speak French or another second language

Other:
Who we are?


We are Home and Community Care Support Services, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centered care.
Why join us? If you\xe2\x80\x99re 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

Home and Community Care Support Services 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. THIS JOB DESCRIPTION IS A GENERAL SUMMARY ONLY AND IS NOT INTENDED AS A COMPLETE LISTING OF ALL DUTIES AND/OR ACTIVITIES RELATED TO THE JOB. ALTERATIONS MAY BE MADE FROM TIME TO TIME AS NECESSARY.
We thank all applicants for their interest; however, only those selected for an interview will be contacted.