Navigator, Integrated Seniors Hub

2 weeks 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.

PCH is launching an integrated Seniors Hub aligned with our Strategic Plan working with partners across Mississauga and the Missisauga 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
- Communicates effectively with patients, families and all members of the healthcare team
- Practices collaboratively with members of the healthcare team to provide elements of care for patients/clients with complex health issues
- Ensures 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**:

- RN Certificate of Registration in good standing from the College of Nurses of Ontario, combined with a minimum of 5 years of specific work experience in access, case management, care navigation/coordination of care, or health planning required
- 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.
- Experience in Geriatric Emergency Management (GEM) and Seamless Care Optimizing the Patient Experience (SCOPE) will be considered an asset.
- A thorough understanding of community services in the Mississauga Halton region.

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