Transition Planner

7 months ago

Toronto, Canada Unity Health Toronto Full time

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph's Health Centre and St. Michael's Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Transition Planner.

St. Joseph's Health Centre (SJHC) is currently seeking** one (1) full-time Transition Planners** f**or the emergency department.

The goal of the ED Transition Planning is threefold:
1) To identify admitted patients who are at highest risk for Discharge complexity at the point of admission and provide Transition Planning assessment in the Emergency Dept

2) To provide early Transition Planning information and suppaort to Medicine patients and families

3) To avoid admission to Medicine for patients who are able to be safely transitioned back to the community

As part of a high-functioning multi-professional team, the Transition Planner drives the discharge plan. Focusing on delivering an exceptional patient experience and creating seamless transitions throughout the emergency episode of care, the Transition Planner provides much-needed continuity of information and compassion to patients, families and care teams. The Transition Planner shapes patient, families and team expectations through exceptional communication of high quality information. Working closely as a member of unit-based, multi-professional teams, the Transition Planner serves as a conduit for both discharged and admitted patients.

**QUALIFICATIONS**:

- Bachelor's degree in a regulated health discipline; Master's preferred
- Registration in good standing with the relevant professional college, in Ontario
- Demonstrated 3-5 years recent discharge planning experience required
- Emergency department experience is a strong asset
- Strong knowledge of alternate levels of care, including: home and community resources, long-term care facilities, complex continuing care facilities, HTSD and LTLD rehabilitation programs, palliative care facilities and/or services, and other transitional care services.
- Demonstrated experience in complex discharge planning
- Strong communication and interpersonal skills and the ability to negotiate with patients/families and clinical teams.
- Demonstrated knowledge and skills in discharge planning, conflict resolution and creative problem solving
- Demonstrated skill in patient and family-centred transition planning including strong advocacy skills
- Excellent organizational and coordination skills and the ability to prioritize multiple competing demands
- Ability to work co-operatively and constructively with other team members and develop effective strong partnerships with community agencies/facilities.
- Commitment to continuous learning, skill development and knowledge translation#LI-RA1

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