Community/chronic Care Coordinator

3 weeks ago

Stratford, Canada Home and Community Care Support Services Full time

**Job Description**:
Home and Community Care Support Services South West is seeking **Community 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.

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; Physiotherapist; Occupational Therapist; Speech Language Pathologist; Dietitian; or Registered Social Worker looking for a different kind of practice environment, you’re looking in the right place

**This is a Permanent Full-Time opportunity located in the London Middlesex location.**

What will you do as a **Community** Care Coordinator?

Working from a home office and traveling a defined region to conduct home visits, you will have the opportunity to impact lives in your community, enjoy a balanced lifestyle, and be part of a great team that makes care happen.

Community Care Coordinators are case management experts who use their knowledge of chronic disease management and progression, as well as the Social Determinants of Health, to plan care that ensures supports are in place to: maintain the patient's level of functioning; support self-management; and delay further decline.

Community Care Coordinators, in particular:

- Take a holistic approach to support patients and families through uncertainty and their health care journey, using knowledge of the impact of disease and associated treatments to discuss care options, coping strategies, and community supports.
- Undertake capacity evaluations for admission to long-term care homes.
- Evaluate care plans and interventions to determine effectiveness and patient satisfaction at prescribed intervals, when patient condition warrants or by using one’s own experience, assessment and judgment.
- Use excellent problem solving and de-escalation skills to mediate issues and care concerns brought forward by patients, caregivers, or service providers.
- Research, access, and maintain strong relationships with community support services to link patients with the care and services they require.
- Integrate virtual technologies into day-to-day practice to perform visits, when appropriate.

What must you have?
- Membership, in good standing, with the applicable regulatory body in Ontario.
- 2+ years of recent experience in community health or a related field.
- Demonstrated ability to use chronic disease management principles to empower patients to self-manage their conditions.
- Knowledge of:

- The compounding effect of multiple chronic diseases/comorbidities and how it impacts patients’ health care needs and their ability to engage in Activities of Daily Living and Instrumental Activities of Daily Living.
- The health care delivery system and community resources, particularly the availability and accessibility of community resources and referral processes.
- How social determinants and health inequities impact patients’ ability to access resources, with the ability to implement strategies to overcome challenges.
- Strong assessment, decision-making, and case management skills.
- Excellent interpersonal and communication skills; able to resolve conflicts and disagreements effectively.
- Good time management skills, with the ability to work independently and co-operatively in a busy and fast-paced multidisciplinary environment.
- A valid driver’s license and access to a reliable vehicle.
- Ability to use a computer in a Windows-based 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).
- Previous case management experience in a health care setting.
- 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?

**Please ensure your cover letter **clearly** identifies the following**:

- Types of employment you would consider (i.e., part time, full time, or casual [you are scheduled for work based on your provided availability]).
- Locations at which you are willing and able to work (i.e., Woodstock, St Thomas, London, Stratford, Seaforth, Hanover, Owen Sound).

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