Community/chronic Care Coordinator

6 months ago


London, 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 Temporary Full-Time opportunity located in the Woodstock (Oxford County) 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).

Home and Community Care Support



  • London, 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...


  • London, Canada McCormick Care Group Full time

    **About Us**: At McCormick Care Group, we are committed to providing exceptional care and support to our community, with services spanning McCormick Home, McCormick Dementia Services, and McCormick Dementia Research. As an innovative leader in long-term care and dementia services, we focus on enhancing quality of life through compassion, collaboration, and...


  • London, Canada Ontario Health atHome Full time

    **Job Description**: Are you an experienced registered nurse, seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place. As a **Clinical Care Coordinator**, you will support a population of patients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) and Congestive...


  • London, Canada Home and Community Care Support Services Full time

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


  • London, Canada Home and Community Care Support Services Full time

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


  • London, Canada Home and Community Care Support Services Full time

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


  • London, Canada St. Joseph's Health Care London Full time

    **Posting # 53759 - [ UNIFOR ]**: Personal Support Worker, Complex Care Float Pool - 2 positions Complex Care Float Pool Parkwood Institute Main - London, ON Part Time Salary Range: $28.81 - $29.12 /hour The Complex Care program comprises three units that provide care for individuals with a variety of chronic and complex medical conditions. A broad range...


  • London, Canada St. Joseph's Health Care London Full time

    **Posting # 53760 - [ UNIFOR ]**: Personal Support Worker, Complex Care Float Pool - 1 position Complex Care Float Pool Parkwood Institute Main - London, ON Part Time Salary Range: $28.81 - $29.12 /hour The Complex Care program comprises three units that provide care for individuals with a variety of chronic and complex medical conditions. A broad range...


  • London, Canada St. Joseph's Health Care London Full time

    Complex Care Float PoolParkwood Institute Main - London, ONFull TimeSalary Range: $36.67 - $37.05 /hourSt. Joseph’s Health Care is willing to consider applicants who are eligible for Community Commitment Program for Nurses (CCPN). This program provides $25,000 in grant funding to eligible RPNs/RNs/Nurse Practitioners in exchange for a two-year full-time...

  • Care Coordinator

    6 months ago


    London, Canada Home and Community Care Support Services Full time

    **Job Description**: **_CARE AND BE CARED FOR - THIS IS YOUR HOME_**: **Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietician, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.**: As a **Care...

  • Care Coordinator

    6 months ago


    London, Canada Home and Community Care Support Services Full time

    **Job Description**: **_CARE AND BE CARED FOR - THIS IS YOUR HOME_**: **Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietician, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.**: As a **Care...

  • Care Coordinator

    6 months ago


    London, Canada Home and Community Care Support Services Full time

    **Job Description**: **_CARE AND BE CARED FOR - THIS IS YOUR HOME_**: **Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietician, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.**: As a **Care...


  • London, Ontario, Canada SE Health Full time

    Unlock a fulfilling career with SE Health as a Community Care Professional, where you'll be part of a dynamic team delivering holistic care to clients in their homes and communities. This full-time permanent role offers a guaranteed 37.5 hours per week, with 12-hour shifts.About the RoleIn this position, you will:Provide comprehensive care as an integral...


  • London, Ontario, Canada SE Health Full time

    About the Role:We are seeking a skilled and compassionate Registered Nurse to join our team as a Care Coordinator. As a key member of our interdisciplinary team, you will provide comprehensive care to clients in their homes and communities.Job Summary:This is a full-time permanent role that offers a guaranteed 37.5 hours per week with 12-hour shifts. You...


  • London, Ontario, Canada SE Health Full time

    About SE HealthEvery day, we bring hope and happiness to clients, homes, and communities across Canada. As a not-for-profit social enterprise, we share knowledge, provide the best care, and help each client to realize their most meaningful goals for health and wellbeing.Job OverviewWe are seeking a dynamic and passionate Registered Practical Nurse (RPN) who...


  • London, Ontario, Canada SE Health Full time

    About the Role:We are seeking a dedicated and compassionate Community Care Professional to join our team at SE Health. This is a full-time permanent role that offers 37.5 hours of work per week with guaranteed shifts.Job Summary:This position involves providing comprehensive care in an interdisciplinary team setting, working closely with clients, families,...


  • London, Ontario, Canada SE Health Full time

    About the Role:We are seeking a skilled Registered Nurse to join our dynamic team in providing high-quality care to clients in their homes and communities. As a member of our interdisciplinary care team, you will be responsible for delivering comprehensive care, leading care planning processes, and collaborating with other disciplines to ensure seamless...


  • London, Ontario, Canada SE Health Full time

    We are seeking a dedicated and passionate Registered Practical Nurse (RPN) to join our team at SE Health. Our organization is committed to delivering exceptional care in a client-centered approach, empowering our clients to achieve their goals for health and wellbeing.Job SummaryThis full-time permanent role guarantees 37.5 hours of work per week with...


  • London, Canada St. Joseph's Health Care London Full time

    **Posting # 54102 - [ Non-Union ]**: Clinic Clerk, General Outpatients - 1 position General Outpatients St. Joseph's Hospital - London, ON Full Time Salary Range: $25.90 - $30.46 /hour St. Joseph's Hospital continues to expand its role in the treatment of complex medical and chronic disease, illness prevention, research and education. Our ambulatory...


  • London, Canada St. Joseph's Health Care London Full time

    **Posting # 53940 - [ Non-Union ]**: Clinic Clerk, General Outpatients - 1 position General Outpatients St. Joseph's Hospital - London, ON Regular Part Time Salary Range: $25.90 - $30.46 /hour St. Joseph's Hospital continues to expand its role in the treatment of complex medical and chronic disease, illness prevention, research and education. Our...