Navigator, Integrated Seniors Hub

6 days ago


Mississauga, Canada Partners Community Health Full time

Partners Community Health (PCH) is a new not-for-profit organization, focused on bringing healthcare services together around the needs of people living in Mississauga and West Toronto. PCH currently operates two new state-of-the-art LTC homes and community hub in West Mississauga. Completed in 2023, the new homes have a combined 632-beds and are part of PCH’s larger strategy that will introduce innovative and inclusive programs and services and new models of care delivery. PCH is committed to building partnerships and connections that put people first, as well as a learning and leading healthcare community that provides best in class service across the aging continuum.

**Position Summary**:
PCH is launching an integrated Seniors Hub aligned with our Strategic Plan working with partners across Mississauga and the Mississauga Ontario Health Team. This new role, Navigator, Integrated Seniors Hub, will support the launch of an innovative approach to digitally enabled centralized navigation and integrated coordinated care planning leveraging the programs and services available across Mississauga and offered through the integrated Seniors Hub.

**Key Responsibilities**:

- Support the development and implementation of the plan for access and system navigation to seniors’ services in alignment with community partners, PCH’s strategic plan, the Mississauga Ontario Health Team (MOHT), and applicable legislative requirements
- Enhance workflow and communication pathways between PCH and other care providers by identifying barriers to care and working towards creating new care pathways that promote and optimize seamless care for the patient/client
- Create opportunities within the hub for community members to connect with PCH partners and build awareness of available services and supports
- Refer community members requiring medical or other service supports to clinical staff and other long-term care professionals
- Build and maintain relationships with network partners and other relevant services
- Contribute to creating and maintaining a safe, welcoming, non-judgmental, and comfortable care atmosphere
- Utilize a person-centered approach when promoting and educating the community on PCH programs and services
- Communicate effectively with patients, families, and all members of the healthcare team
- Practice collaboratively with members of the healthcare team to provide elements of care for patients/clients with complex health issues
- Ensure that practice is consistent with entry-to-practice competencies, safe practices, standards of practice, guidelines and legislation
- Contributes to the assessment and documentation concerning each patient’s health status on an ongoing basis and may develop and/or implement the Plan of Care while evaluating its ongoing effectiveness

**Key Qualifications**:

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

- Ontario College of Social Workers and Social Service Workers
- College of Nurses of Ontario
- College of Physiotherapists of Ontario
- College of Occupational Therapists 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
- Specific work experience in access, case management, care navigation/coordination of care, or health planning considered an asset.
- Experience working with seniors in an LTC environment will be considered an asset
- Strong understanding of relevant best practices in community and clinical assessments, client service approaches, and program design
- Demonstrated ability to build strong relationships with key stakeholders, including Ministry representatives, local and provincial community partners, clients and families, and senior leaders across multiple organizations, both virtually and in-person
- A thorough understanding of community services in the Mississauga Halton region

Applicants must be eligible to work in Canada. We would like to thank all applicants for their interest in this position, however, only those selected for an interview will be contacted.



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