Current jobs related to Transitions Care Lead - North York - SE Health


  • York, Canada SE Health Full time

    **About the Role** An exciting leadership role within hospital transitional programs working with closely with hospitals to transition and reintegrate clients back into the community. As a member of the Acute Transitions leadership team, you are passionate about informing and shaping the transition from hospital to home and being at the forefront of...


  • North York, Canada Bayshore HealthCare Full time

    **Make “being the difference” your Career. **.** Bayshore is looking for passionate and caring **Full-Time** **Personal Support Workers** to join our amazing team at our **Greystone Transitional Care Unit** located in **Ottawa**. Full-Time position in an inpatient setting (Transitional Care Unit) with 12-hour shifts and rotation of day and night shifts...

  • Machine Operator

    1 day ago


    North York, Canada Lead On Full time

    **Job Title**: Coffee Roaster **Location**:Concord, ON **Major Intersection**: Langstaff Rd & Connie Crescent **Pay Rate**:$22/hour **Shift**: 10:00am - 6:30pm **Shift Days**:Monday - Friday **Start Date**:ASAP ***: The Roaster under mínimal supervision is responsible for operating all roasting and associated equipment to ensure all green beans are...


  • York, Canada SE Health Full time

    **Clinical Transitions Manager** **Hybrid Position - covering Western York Region and North York** This is an exciting SE Health role providing clinical and operational leadership to hospital to home transitions programs and coaching self-directed interdisciplinary teams who will be providing holistic care to clients in the community. As a member of the...


  • North York, Canada Paladin Security Full time

    Crosslinx Transit Soluations - Mobile - Full Time - Nights Site Description: Crosslinx Transit Solutions (CTS) is a design and construction consortium comprised of four different transportation infrastructures: ACS-Dragados, Aecon, EllisDon and SNC-Lavalin. CTS works with these four partners to design, construct, and finance a transit system consisting of...


  • York, Canada Spectrum Health Care Full time

    Company Description Spectrum Health Care is hiring** **a **Foot Care Supervisor (RN/RPN)** to join our team in the **York region **supporting **Markham, Newmarket, Richmond Hill, Thornhill, Vaughan, King City, Maple, Georgina, Aurora and Stouffville.** At Spectrum Health Care our mission is re-imagining home care for clients and families to provide...


  • York, Canada Spectrum Health Care Full time

    Company Description Spectrum Health Care is hiring** **a **Foot Care Supervisor (RN/RPN)** to join our team in the **York region **supporting **Markham, Newmarket, Richmond Hill, Thornhill, Vaughan, King City, Maple, Georgina, Aurora and Stouffville.** At Spectrum Health Care our mission is re-imagining home care for clients and families to provide...


  • North York, Canada Lifemark Health Group Full time

    **Business Development Lead** **Status**: Permanent full time **Location**: North York, ON. Hybrid 3 days/week on-site As the **Business Development Lead** at Lifemark Health Group, you will play a pivotal role in driving the growth and success of our organization by identifying and engaging with clinic owners who align with our mission and values and are...

  • Shift Psw/lcw

    2 days ago


    North York, Canada Bayshore HealthCare Full time

    **Make “being the difference” your Career. **.** Bayshore is looking for passionate and caring **Personal Support Workers** to join our amazing team. You will be creating special moments for clients each and every day. If your calling is to be the “difference” by providing outstanding care, than a Health Care Career with Bayshore is the** Perfect...


  • North York, Canada EGATE Networks Full time

    **Technical Support Team Lead** **About us**: EGATE Networks is a leading provider of managed network services, VoIP solutions and digital signage. Whether we’re an extension of a client’s existing IT team, or managing their outsourced IT structure, we’re customer obsessed and aim to provide best in class services. Our team is small but our impact is...


  • North Battleford, Canada Karis Disability Services (CA) - Saskatchewan District Full time

    Calling all change-makers, advocates, innovators, and allies! - **We value diversity and hire Transitional Support Professionals (TSPs) from all backgrounds.**_ At Karis Disability Services, we value people, foster belonging, respect gifts and serve others. **Part-Time Transitional Support Professionals-North Battleford** - **16 hours per week, working...


  • North Battleford, Canada Karis Disability Services (CA) - Saskatchewan District Full time

    Calling all change-makers, advocates, innovators, and allies! - **We value diversity and hire Transitional Support Professionals (TSPs) from all backgrounds.**_ At Karis Disability Services, we value people, foster belonging, respect gifts and serve others. **Part-Time Transitional Support Professionals-North Battleford** - **16 hours per week, working...

  • Director of Care

    3 days ago


    North York, Canada TEEMA Full time

    Our client is looking for a Director of Care to join our clients team in North York. The Director of Care will be responsible for leading and managing the care team, ensuring that the highest standards of care are provided to our clients. **What you will be doing**: - Lead and manage the care team, ensuring that the highest standards of care are provided...


  • North Battleford, Canada Karis Disability Services (CA) - Saskatchewan District Full time

    Calling all change-makers, advocates, innovators, and allies! - **We value diversity and hire Transitional Support Professionals (TSPs) from all backgrounds.**_ At Karis Disability Services, we value people, foster belonging, respect gifts and serve others. **Casual Transitional Support Professionals-North Battleford** - **Three Casuals: must be available...


  • North York, Canada ParaMed Home Health Care Full time

    **Our community care team ParaMed is now hiring Personal Support Workers (PSWs) to provide community care in North York/Etobicoke, ON.**: If you enjoy making people smile, we know you will love a career with ParaMed! We want you to join our team of spirited and fun-loving professionals as we support the neighbors in our community! Your health and safety are...

  • Director of Care

    1 week ago


    North York, Canada TEEMA Group Full time

    The **Director of Care** role is an exceptional opportunity for a compassionate, dedicated and energetic leader to ensure the highest standards of care are provided to their residents and clients by leading and managing the care team. - ** Benefits**: - Competitive salary - Generous overall compensation - Exceptional benefits - Opportunity to work with a...


  • North Vancouver, Canada Vancity Full time

    About VancityVancity is a member-owned credit union built on the principles of inclusion and social justice. A relentless commitment to their values has helped them challenge the status quo and break down barriers since day one in 1946. They have bold commitments to make Vancity net-zero by 2040 across all mortgages and loans and are pursuing strategies on...


  • North York, Canada SE Health Full time

    POSITION SUMMARY:We are seeking a dynamic and passionate Registered Practical Nurse (RPN) who wants to be part of the transformational change in home and community care by providing care in a truly client-centered approach. You are excited about working in an environment that puts the care team in the driving seat; being part of a self-directed team that...


  • North Bay, Canada Canadian Mental Health Association- North Bay and District Full time

    **JOB POSTING** **Competition Number** 2024-35 **Union/Non-Union**: OPSEU **Position**: Transitional Case Manager **Status**: One (1) Permanent Full Time **Program**: Support Program **Initially assigned to**: 147 McIntyre Street and North Bay Regional Health Centre - Forensics **Purpose**: Reporting to the Justice Program Manager, the Transitional...


  • North Vancouver, Canada North Shore Crisis Services Society Full time

    North Shore Crisis Services Society is looking for a Full-time Women's Transition House Worker at SAGE House. The schedule is Friday - Tuesday, 3:30pm - midnight. This is a 40-hour a week position with a good benefit package. We are also looking for On-Call workers. There are no benefits for the On-call position, but the employee receives an additional 10.2...

Transitions Care Lead

4 weeks ago


North York, Canada SE Health Full time

**Make an Impact on People’s Lives; Join SE Health as a **Transitions Care Lead****

This is an exciting SE Health role providing clinical and operational leadership to hospital to home transitions programs and coaching self-directed interdisciplinary teams who will be providing holistic care to clients in the community.

As the Transitions Care Lead You will provide exemplary leadership and care flow management between the hospital partners and community care teams while ensuring excellence in the provision of client care and the achievement of corporate/program objectives. This exciting position will manage relations and collaborate with hospitals to ensure a smooth and seamless transition to a client’s home environment. Additionally, this position will help to ensure performance targets are met and be involved in quality improvement initiatives as it relates to optimizing patient flow and management processes within the Acute Transition programs.

**The position is 14 months contract role**

**Why join our team?**
- **Competitive Compensation**. Our Total Rewards package includes a competitive salary, group benefits, RRSP pension, and exclusive perks/discounts available only to SE Health staff.
- **Develop yourself with SE.** We have education bursaries, Tuition Assistance Programs, continuing education, training, and professional development to support your life-long learning. You’ll benefit from our orientation and mentorship programs. Our clinical practice and nursing teams will support you with comprehensive care plans and modern models of care that will mean you’ll always be supported to provide the best possible care to your clients.
- **Grow your career.** SE health is a large national organization with diverse healthcare business lines. You’ll have an opportunity - and will be supported - to do different types of roles in different locations if that is what you’re interested in. Or you can pivot to supporting or leadership positions where you can use your skills to contribute and make an impact in different ways.

**Key Responsibilities**
- Act as the primary point of contact for the hospital navigator/coordinator
- Receive, monitor, and update the client tracking/notification/flow tools
- Receive, review, and accept referrals for transition program services
- Coordinate/Liaise with hospital navigator/coordinator and SE Transitions Team as required.
- Participate in hospital discharge care conferences for complex clients as required
- Prepare an initial care plan (e.g. for 48-72 hours post-transition) and place an initial equipment and supplies order as required
- Ensure all necessary referral documents (e.g. transition request form, medical orders, consult notes, allied health reports) and initial care plan instructions are received by SE Transitions Team
- Attend program huddles with hospital (as per contract requirements)
- Monitor and communicate significant deviations from the care plan to the hospital as required.
- Communicate to the hospital any risk-related events
- Monitor timely completion and reporting outcomes of patient/family care conferences to partner hospital (required in contract) Monitor Program Metrics (e.g. client experience, time to first visit, service volumes, risk events, etc.)
- Facilitate risk management as per established policies and procedures
- Communicate patient and family complaints or issues back to partner hospital and share associated action plans in partner meetings
- Participate in program evaluation and process improvement
- On-call as required for program support
- Other duties to ensure the program is running smoothly
- Role is on-site at the hospital

**Qualifications**
- Membership, in good standing, with the applicable regulatory body:
College of Nurses of Ontario.

College of Physiotherapists of Ontario.

College of Occupational Therapists of Ontario.

Ontario College of Social Workers and Social Service Workers.
- 3+ years of recent experience in community health or a related field.
- Knowledge of the health care delivery system including hospital discharge planning, community care, and support services
- Excellent skills in case management and coordinating care within interdisciplinary teams
- Excellent assessment and decision-making skills
- Passion for excellent customer service and customer experience
- Demonstrates strong critical thinking, problem-solving, and self-directed skills.
- Excellent interpersonal communication, and presentation skills with a diverse group of stakeholders (hospital partners, front-line staff, management team)
- Effective time management skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment in various settings (e.g. at the hospital, in the office, in the community).
- Advanced skills in Microsoft Office (Word, Excel, PPT, Visio) and comfort with learning/working with new and emerging technologies (e.g. remote patient monitoring/virtual care technologies,