Home First Liaison

5 months ago


Greater Sudbury, Canada Health Sciences North Full time

**Home First Liaison**:
Competition #

4461

Job Title

Home First Liaison

Department

Access & Flow

Status

Permanent

Work Type

Full-time

Affiliation

Non Union

Shift Assignment

As assigned

Bilingualism Required

No

Police Check Requirement

N/A

Site

RLHC-Non Union Non Managment

Salary Information

$45.36 to $53.36 per hour

Application Closing Date

Posted Until Filled

**KEY FUNCTION**:
Coordinate discharge and transition, and ensure patients are safely discharged or transferred to their appropriate destination. Establish and maintain a systematic review and assessment of bed availability. Ensure appropriate patient assignment based on clinical needs.

**REPORTING**:
Under the general direction of the Manager, System Transformation.

**DUTIES**:

- Determine the expected date of discharge; ensure all necessary assessments, investigations and other procedures are completed; ensure that discharge proceeds on the scheduled date.
- Participate in implementing and coordinating a patient-centered care plan with patients, family members, significant others, and the multi-disciplinary team for the purpose of facilitating the patient’s movement through the continuum of care.
- Provide a link between the hospital community agencies and alternate level of care facilities.
- Educate hospital staff to the various aspects of discharge planning and available resources.
- Interact and engage patients and Substitue Decision Maker in initial and continued Home First Philosophy conversation.
- Promote early identification of barriers to achieving Estimated Date of Discharge and engage in solutions to those barrier.
- Act as a clinical resource for the acute inter-professional teams by providing information based on clinical knowledge and theory/practice related to clients with complex health care needs.
- Act as point of contact for departmental staff, other departments, programs and community stakeholders as required.
- Attend and contribute to daily meetings (bed rounds, inpatient unit bullet rounds, etc.) and be aware of daily bed pressures.
- Develop strong relationships with physicians and interdisciplinary team members across the organization to develop clear plans and pathways to ensure strong support for individuals being served by the organization.
- Document action taken and progress on Patient Action Manager or chart as required.
- Engage third party participants in improvement intiatives as required.
- Coordinate with related departments and functions to ensure appropriate information flow and understanding of overall process improvement direction.
- Confirm accuracy in Alternative Level of Care (ALC) patient documentation.
- Work with multi-organizational teams to identify and prioritize opportunities to further design, develop and/or improve future state processes and standards of work related to discharge planning and ALC avoidance.
- Determine and align improvement projects with HSN’s Strategic Plan; monitor and adjust to achieve goal outcomes.
- Participate in education and training specific to current, relevant federal and provincial health and safety legislation, standards and guidelines.
- Educate and promote health, safety and wellness in the work place.
- Represent the department or program on various committees and in meetings as required.
- Perform other duties as required.

**QUALIFICATIONS**

**EDUCATION AND TRAINING**:

- Minimum of a four (4) year Bachelor’s Degree from an accredited university.
- Current Certificate of Registration in good standing with a regulatory college is preferred.
- Additional specialized training in geriatrics is preferred.
- Ministry of Labour “Worker Health and Safety Awareness in 4 Steps” training certificate is required.

**EXPERIENCE**:

- Minimum of five (5) years’ experience working in a health care environment.
- Experience in using utilization management principles and length of stay management strategies is preferred.
- Experience in utilization of assessment tools (such as Appropriate Use of Antipsychotics (AUA), Barthel Index, Blaylock, etc.) is preferred.
- Experience working with the elderly and their care givers/informal supporters is preferred.
- Experience working with multidisciplinary teams, physicians, patients and families to improve outcomes is preferred.
- Experience in leadership and project management is preferred.

**KNOWLEDGE/SKILLS/ABILITIES**:

- Demonstrated ability to de-escalate crisis situations.
- Demonstrated knowledge of risk assessement tools.
- Demonstrated knowledge of health research and/or best practice guidelines in discharge planning and ALC avoidance.
- Demonstrated knowledge of key system constraints based on analysis of date and trends.
- Demonstrated excellent computer skills with proficiency in Microsoft Office software (e.g. Word, Excel, Power Point and Outlook) and patient information systems.
- Demonstrated excellent organizational, interpersonal and communication skills, both written and verbal.



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