Integrated Care Coordinator

2 months ago

Hamilton, Canada St. Joseph's Healthcare Hamilton Full time

**Integrated Care Coordinator (ICC)**:
**Position Details**:
**Department**: Emergency Department Admission Avoidance Integrated Comprehensive Care
**Employee Type**: Temporary, Part Time
**If Temporary, Number of Weeks**: 8 months
**Union**: Non-Union
**Openings Remaining**: 1

**Schedule**:
**Work Days**: Monday to Friday, Occasional Weekends, Holidays
**Time of Day**: Days, Evenings, On-Call
**Shift**: Rotating, 7.5 hour
**This position may be scheduled at any of the following sites**: Charlton Campus (Hamilton Downtown)

**Application Dates**:
**Opening Date**: 20/06/23
**Closing Date**: 27/06/23 Applications must be received online by 12:00 midnight on the Closing Date

**Position Description**:
**UNIT PROFILE**:
The Integrated Comprehensive Care (ICC) Program is an innovative patient centered model of care that directly integrates hospital and community care services for patients. The program is designed to make points of transition in care seamless and less confusing for patients and their families. We provide care to patients who have underwent a planned surgical procedure, or who have chronic disease such as Chronic Obstructive Pulmonary Disease (COPD) or Congestive Heart Failure (CHF). This pioneering model, new and unique to the St. Joseph’s Healthcare System enables health care providers to communicate with each other more effectively resulting in better outcomes for patients.

***:
The Integrated Care Coordinator (ICC), as a member of the Integrated Comprehensive Care and Bundled Funding Program will provide patient centered system navigation, intensive case management and coordination of services to a selected group of clients as they access care within St. Joseph’s Healthcare and with partner organizations. The ICC will identify and facilitate access to the right services from the right provider at the right time based on assessed needs by working collaboratively with an inter-professional team, family members, support network, and a variety of informal and formal service providers. The ICC acts as a key resource to ICC Home Care staff and hospital staff regarding the ICC program and patients. The ICC will coordinate seamless care transitions and will be responsible for exchanging knowledge related to respective health conditions and the continuum of services and resources to enhance client self-management and quality of care. The ICC will follow patients through the various care settings to ensure continuity of care. The ICC will also act as a liaison between clients and providers of other Community Support Services. The ICC Program leverages cutting edge technology to support patient care and seamless transitions from hospital to community and ongoing community management. The ICC will be responsible for ensuring cost effective client care by utilizing resources efficiently and collecting necessary data on client care to support the evaluation of outcomes of integrated care delivery.**QUALIFICATIONS**:

- Undergraduate degree in related health profession (OT, BScN, PT, SW, SLP, RD, RRT) required; an equivalent combination of education and experience may be considered
- Current membership in good standing with a regulatory health professional body in Ontario
- Three (3) years of recent related experience in a community health setting required; experience in working in an acute care setting is an asset
- Comprehensive knowledge of community resources and health care delivery systems in acute and community settings
- Demonstrated ability to respond to clients and situations with flexibility and adaptability; experience in performing case management functions is an asset
- Demonstrated expertise and competence in areas of client need, including chronic disease management, mental health and addictions, complex and dysfunctional family systems, older adults who are frail and/or palliative, medication and symptom management for specific diseases
- Excellent interpersonal, communication, organizational and decision-making skills required
- Demonstrated leadership skills, including problem solving, critical thinking, conflict resolution and negotiation
- Demonstrated ability to work independently and collaboratively with an interdisciplinary team, family members, support networks, and a variety of formal and informal service providers
- Excellent time management and stress management skills required
- Fluency in English (verbal and written)
- Computer literacy and basic proficiency is required
- A valid driver’s license, adequate insurance (minimum of $5 million personal liability) and use of a reliable vehicle required

**HOURS OF WORK**:
Rotating shifts; days, evenings, weekends, on-call.NOTE: SHOULD THE VACANCY BE FILLED BY A REGISTERED NURSE, THE POSITION WILL BE DEEMED TO BE ONA REPRESENTED, AND SHOULD THE VACANCY BE FILLED BY A HEALTH PROFESSIONAL OTHER THAN A REGISTERED NURSE, THE POSITION WILL BE DEEMED TO BE NON-UNION.

**_ St. Joe’s fosters an environment where we celebrate diversi

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