Care Coordinator

2 weeks ago

Toronto, Canada West Park Healthcare Centre Full time

West Park Healthcare Centre helps patients get their lives back by providing inpatient, outpatient and outreach services in specialized rehabilitative and complex care after a life-altering illness or injury such as lung disease, amputation, stroke, and traumatic musculoskeletal injuries. By 2023, West Park’s 27-acre site will be transformed into an integrated campus of care, including a new hospital building and additional community supports such as assisted living for persons with disabilities and seniors. This transformation enables the Centre to evolve its rehabilitative programs and strengthen links to community-based services to meet the future healthcare needs of our local community and the province.

***We currently have a Temporary Full-Time opportunity for a Care Coordinator in the Neurological Rehabilitation Unit to join our team** _._

***

**Reporting Relationship** : Manager, Neurological Rehabilitation and Acquired Brain Injury Behaviour Services

**Hours of work/Shifts** : Mon-Fri (08:30-16:30), except Tuesdays (08:00-16:00)

***
**Status**: Temporary Full-Time, until approximately September 29, 2023

***
**Employee Group**:

- _Non-Union

***Qualifications**:
***
- Bachelor’s degree in a clinical discipline, Nursing preferred.
- Registration with appropriate regulatory college or eligibility for same
- Member of relevant professional association/network preferred
- Masters preferred
- Minimum of 4 years clinical professional background in a healthcare environment ideally in a Stroke Rehab or Acquired Brain Injury inpatient environment
- Demonstrated clinical assessment skills including the ability to assess clients from pre-admission to post discharge including outpatient services
- Demonstrated ability to partner and work effectively with all levels of staff, the interprofessional team, physicians, patients, families and external agencies
- Demonstrated ability to deal with complex mental health and behavioral issues
- Ability to maintain effectiveness in varying environments and with different tasks, responsibilities and people
- Demonstrated knowledge of and ability to provide patient and family-centred care.
- Demonstrated time-management, problem solving, interpersonal, coaching, negotiation and facilitation skills
- Strong organizational and prioritization skills to work independently in an unstructured, demanding environment
- Demonstrated reliable work habits
- Ability to work a flexible schedule
- Strong Windows based computer skills e.g. Microsoft Office Suite
- Evidence of satisfactory attendance and punctuality
- Fluency in a language other than English an asset
- Experience in a hospital setting
- Experience in rehabilitation setting where there are length of stay targets

***Accountabilities**:

- Assess clients for appropriate admission to service and liaise with physicians and team.
- Manage wait-list, occupancy rates and patient flow for the service considering alternate levels of care.
- Liase with referring agencies and provide ongoing support/education during the pre-admission phase using Resource Matching and Referral (RM&R).
- Co-ordinate the care of clients from pre-admission to post-discharge, regularly assessing needs such as psycho-social support for the patient and family as well as funding support while meeting length of stay and occupancy rate targets for inpatient Neurological rehab unit and Outpatient stroke patients.
- Ensure timely and appropriate clinical documentation in the electronic patient record (EPR).
- Develop strong relationships community providers to facilitate partnerships between patients, family, inpatient clinical team and referring agencies.
- Refer and coordinate consultant / discipline involvement as needed (e.g. psychology or social work).
- Support collection of clinical utilization data in collaboration with Service Manager (e.g. consent for participation in discharge surveys).
- Provide resource clinical leadership for the interprofessional inpatient and outpatient stroke teams.
- Provide leadership in program evaluation, program development and research as appropriate.
- Participate in internal and external committees.
- Partner with Service Manager to ensure clinical service goals are addressed such as LOS targets.
- Ensure that clinical care issues / concerns are addressed in a timely and effective manner.
- Ensure that care is patient-focused with an emphasis on culturally appropriate care.
- Perform other duties as assigned such as IPAC related (e.g. during COVID-19 pandemic).
- Be aware of conditions and measures that may affect the safety of patients, residents, students, employees, volunteers, physicians and visitors including: compliance with the safety standards and infection control practices of the hospital and applicable legislation, identification and prevention of safety issues and problems, taking corrective action where possible, attendance at safety meetings/training/updates in accordance with the Centre’s stand

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