Care Coordinator, Temporary Full Time, Palliative, Labelle

Care Coordinator, Temporary Full Time, Palliative, Labelle (1.0) Join to apply for the Care Coordinator, Temporary Full Time, Palliative, Labelle (1.0) role at Ontario Health atHome Are you an experienced registered nurse seeking a rewarding career that cares for others? 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 working in our office, the community or a healthcare facility. Responsibility and experience will enable you to help our patients be healthier at home while you benefit from professional growth, personal wellness and work‑life balance support. Primary Responsibilities Complete comprehensive patient assessments using a validated palliative assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs. Assess patient’s Palliative Performance Scale and eligibility for palliative and other services. Assess eligibility for hospice care and admission to palliative care units. Develop an individualized care and service plan reflective of the patient’s identified priorities and desired outcomes, and identify strategies and resources to attain clinical outcomes. Discuss plans for end‑of‑life care, goals of care and preferred place of death. Coordinate and facilitate referrals and transfers to hospice and palliative care units. Assist patients and caregivers in finding in‑home palliative medical follow‑up and coverage. Initiate and authorize the implementation of the care plan through contracted providers, supplies and equipment necessary to achieve the care goals. Maintain open communication with service providers, conduct case conferences and regular home visits to optimize care planning and appropriate services. Partner 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, 8:30 am to 4:30 pm (70 hrs bi‑weekly) FTE 1.0 Length of Temporary Assignment November 13 2026 Starting Salary $43.184 /hr to $46.133 /hr Affiliation OPSEU Office Location Labelle Reporting To Manager Patient Services What Must You Have? Registered Nurse (BScN or diploma) with a current Certificate of Registration from the College of Nurses of Ontario. Related professional nursing experience normally attained over a period of two years. Palliative care experience that includes advance care planning, goals of care and end‑of‑life care planning. Professional experience in health care that includes linkage with other community health agencies, needs assessment, care coordination and/or discharge planning. Canadian Nurses Association Certification in Hospice Palliative Care is an asset. LEAP training is an asset. Experience providing MAiD expertise is an asset. What Would Give You the Edge? Knowledge Knowledge of medical diagnoses and prognoses, symptom management, end‑of‑life care and cognitive/psychiatric disorders. Knowledge of Champlain region Hospice and palliative care organisations and partners. Knowledge of Hospice palliative care philosophy and approach. Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Excel, Power Point, etc.). Skills And Abilities Effective planning, organising, and evaluation skills to manage multiple patients, provide information reports, and take corrective action as required. Ability to accurately complete required documentation, reports, forms, and recommendations. Verbal and written communication skills to establish and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare and Hospice community. Ability to manage difficult conversations/situations such as advance care planning, goals of care, end‑of‑life and hospice care, and medical assistance in dying, in a healthy and effective manner. Fluency in English and French is an asset. Vulnerable Sector Check completed within the last six months. What Do We Offer? Attractive comprehensive compensation packages and benefits. Valuable development opportunities. Membership in a world‑class defined benefit pension plan. We are Ontario Health atHome Ontario Health atHome is 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. If you’re 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 welcome and encourage applications from all qualified applicants and provide accommodations for persons with disabilities during the recruitment process. All applications will be reviewed; 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. #J-18808-Ljbffr