Manager, Enhanced Primary Care Pathways and

3 months ago

Oakville, Canada Support House Full time

At Support House, we open doors, minds, and possibilities. We build opportunities, we inspire change, and we transform health care. We believe everyone deserves support.

Support House is directed by our core values. They guide our agency’s decisions and actions, unite our staff, define our brand, and inspire our culture. We connect by building meaningful relationships. We put people first by supporting them to direct their own path. We focus on holistic wellness. We foster engagement through designing housing, supports and the system together.

Support House offers supportive housing options, community outreach, peer support while building system capacity.

**Diversity, Equity, and Inclusion**

**Our Leadership Team**

This position is part of our leadership team. Our leadership team focuses on supporting the Agency’s oath, core values, and culture, as well as accountability, dedication to ensuring quality services, providing supportive supervision, and working through the lenses of trauma-informed, diversity, equity and inclusion, housing-first, harm reduction and safety principles.

**The main purpose of this position**

This leadership position leads an assertive Enhanced Primary Care Pathways and Integrated Care (EPPiC) Team where communication and team building is paramount to support positive health outcomes for the people with whom we work. You will work with the team to respond quickly to community homelessness primary care needs, including crisis situations and providing seamless connection with other primary care/addiction health providers as needed.

This role will oversee operations, staffing, program development, data driven evaluation, strategic alignment and partnership development and sustainability. This role will help ensure progressive heath care outreach and build care pathways to meet the unique needs of this vulnerable population.

**The main purpose of the Enhanced Primary Care Pathways and Integrated Care (EPPIC) Team**

The EPPiC Team is responsible for providing one-to-one community-based primary care and clinical support across the Halton region supporting people who are unattached to primary care, unhoused and who experience complex health care concerns including mental health and substance use concerns, including Hep C, HIV/AIDS etc. The team will work primarily in the community meeting people where they are at, including shelters, supportive housing, street level outreach and key community partner locations. This team will include Nurse Practitioners, Registered Nurses, Social Workers, Peer Support Workers and an Occupational Therapist. The Team will prioritize building trusting relationships to provide one to one primary care including but not limited to the following supports:

- Provides harm reduction supports (i.e. methadone/suboxone/sublocade - opioid replacement, safe use supplies, naloxone supplies, pre-contemplation engagement
- and supports for informed choice).
- Provides comprehensive support to clients around medication, including medication management, assistance in organizing their medications, administering medication (including injections), monitoring as needed, discussing concerns.
- Coordinates with other primary care partners, specialists, psychiatry, addictions medicine clinics in finding creative options to meet people’s needs.
- Navigates solutions to barriers for participation in social roles and meaningful activities.
- Connects to people around common wellness strategies (incl. while waiting for referral connections) with someone who has had a similar life experience.
- Supports discharges and intakes from/to hospital mental health units (including into our SH hospital support bed) including Form 2 processes.

**Responsibilities**
- Internal Management Role_
- This position works closely with the Senior Director of Community Health an is responsible for planning, developing, evaluating, and operating a new IPCT that aligns with the agency values, policies/procedures, budget requirements and the strategic directions and partnerships of the agency
- Supports the overall direction of clinical programming for the assigned portfolio in compliance with Accreditation Canada Standards, Regulatory College(s) and Legislative requirements.
- Aligns services with internal programs to better support client needs, through evidence based and equitable care.
- Responsible for supporting HR processes through recruitment, hiring, coaching, mentorship, clinical supervision, adherence to professional code of conduct, clear role definition, scheduling, and succession planning to continue to meet client needs/ service requirements.
- Promotes, role models and develops staff capacity in alignment with our agency values and core competencies (trauma-informed, harm reduction, housing first, diversity equity and inclusion, peer support/client driven, health and safety plans)
- Performs regular audits to ensure support services standards, budget guidelines, and staff supe

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