Care Coordinator

6 days ago

London, Ontario, Canada Home and Community Care Support Services Full time

Job Description:

Home and Community Care Support Services South West is seeking
Complex Care Coordinators
What is a Care Coordinator?


Care Coordinators are clinicians who utilize knowledge, skills, and judgement from diverse bodies of research to provide patients with safe, compassionate, and evidence-informed care.

They are expert assessors of the multiple components of individual patient health, and knowledgeable health system navigators. Care Coordinators are advocates and leaders, and they balance needs and expectations with available resources to ensure fiscal responsibility.
This is a permanent job share opportunity to work in our London/Middlesex Complex Team.


More broadly, the Care Coordinator facilitates the journey through Ontario's health care system by assessing referred patients, determining their health care needs and eligibility, and ensuring they receive the services and care they need, where and when they need them.

If you are an experienced Registered Nurse looking for a different kind of practice environment, you're looking in the right place

What will you do as a Complex Care Coordinator?


Complex Care Coordinators have extensive knowledge regarding the management of palliative care patients in the community across diverse and often complex settings.

They act as a patient advocate to affirm life, and offer supports that help patients live as actively as possible until death, with optimal quality of life.


More specifically, Complex Care Coordinators:

  • Perform a thorough review of systems with a palliative focus to assess a patient's current clinical care needs, and communicate findings to appropriate members of the health care team.
  • Anticipate and predict the needs of the person who has been diagnosed with a lifelimiting condition based on known disease trajectories.
  • Link patients with community service providers to maintain the patient's safety in their own home while prioritizing the prevention of hospital admission or ED visits, and possibly delaying or avoiding admission to longterm care.
  • Assist patients to seek information regarding MAID in the home and community care setting.
  • Use standardized instruments regularly and appropriately to screen and assess symptoms and needs (i.e., Edmonton System Assessment Scale).
What must you have?

  • Membership, in good standing, with the College of Nurses of Ontario.
  • Minimum 5 years of relevant experience in community health or a related field.
  • Training/certification specific to palliative care (i.e., Fundamentals, LEAP, CAPCE, etc.).
  • Knowledge of:
  • EDITH protocol, Symptom Response Kits and DNR-C paperwork, and PPS Scale.
  • Common prognosis and trajectories of lifelimiting conditions.
  • Pain and symptom management needs of palliative care patients.
  • Best practices surrounding palliative care.
  • Strong assessment and decisionmaking skills.
  • Superior interpersonal and communication skills; high Emotional Intelligence is a must.
  • Effective conflict resolution and problem solving skills.
  • Good time management skills, with the ability to work independently and cooperatively in a busy and fastpaced multidisciplinary environment.
  • Good initiative and the ability to be selfdirected.
  • A valid driver's license and access to a reliable vehicle.
  • Ability to use a computer in a Windowsbased environment.
What would give you an advantage?

  • Experience working with diverse patient groups (i.e., multicultural, unhoused, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics).
  • Experience and proficiency with RAI-HC or RAI-PC assessment tools.
  • Ability to speak French or another second language.

Who we are:


Our organization is a recipient of the
2019 Canada's Healthy Workplace Month Great Employers Award, making it a recognized organization in supporting employee health and safety.

How do I apply?


Home and Community Care Support Services 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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