Coordinator Transitional Care

2 weeks ago

Toronto, Canada SickKids Full time

**About SickKids**:
Dedicated exclusively to children and their families, The Hospital for Sick Children (SickKids) is one of the largest and most respected paediatric healthcare centres in the world. As innovators in child health, we lead and partner to improve the health of children through the integration of healthcare, leading-edge research and education. Our reputation would not have been built - nor could it be maintained - without the skills, knowledge and experience of the extraordinary people who come to work here every day. SickKids is committed to ongoing learning and development, and features a caring and supportive work environment that combines exceptionally high standards of practice.

When you join SickKids, you become part of our community. We share a commitment and determination to fulfill our vision of _Healthier Children. A Better World_.

Don’t miss out on the opportunity to work alongside the world’s best in paediatric healthcare.

**Position Description**:
**Department of Psychiatry - Outpatient Psychiatry: Transitional Care Coordinator (MSW)**

As part of its commitment to improving quality of care, SickKids has embarked on an exciting integration of its services that focus on brain and mental health conditions. The Brain and Mental Health Program is inclusive of programs and services focused on neuroscience, mental health conditions, inter-professional practice and a commitment to system capacity building through innovative partnerships with hospital and community organizations.

In collaboration with clinical point of care teams, the **Transitional Care Coordinator** will use expert interprofessional knowledge of internal and external resources to lead the coordination of and provide developmentally informed transitional support and specialized mental health services for patients in Outpatient Psychiatry. You will work with paediatric patients and their families transition to community providers, and or mental health organizations. You will work in a dynamic innovative environment committed to the development of innovative models of care, use of advancing technology to enable the work, and a commitment to team based, collaborative approaches that advance our commitment to excellence in patient and family centered care.

Through psychosocial assessments you will identify child/youth and family strengths, problem-solving abilities, interactions, attitudes, feelings and cultural issues in relation to the child¿s health and mental health, as well as supports/resources available to the family. You will assist patients and their families navigate and connect to community and/or resources within their communities that will support their recovery or ongoing treatment.

You will develop and implement a plan of intervention that addresses coping, adaptation, adherence and quality of life. This will be achieved through a variety of modalities including individual counseling, family work, group work, additional evidence-informed interventions, inter-professional consultation, case management, and community outreach and advocacy. Collaboration/communication with the health care team is essential. You will integrate research into practice and create, utilize and/or disseminate new knowledge. You will work to liaise with SickKids colleagues and their networks as well as establish your own service provider networks to provide comprehensive transition care.

**Here¿s What You¿ll Get To Do**:

- Work in collaboration with the interdisciplinary team to formulate a transition/discharge plan for patients and families
- Conduct psycho/social and motivational assessments with patients and families experiencing acute or chronic complex mental health conditions.
- Provide developmentally informed transitional support from the SickKids to community adult agencies for seamless and effective discharge planning.
- Provide family education, counselling and support through brief interventions.
- Facilitate multiple care aspects (e.g. case coordination, information sharing, implementation of practical clinical strategies, system navigation).
- Coordinate and provide care that is safe, timely, effective, efficient, equitable, patient and family centered and meaningful to the adolescent
- Promote quality and cost-effective interventions and outcomes.
- Develop effective working relationships with relevant SickKids colleagues and cooperate with community service providers and agencies throughout the entire case management process.
- Collaborate/communicate with the inter-professional health care
- Assume responsibility for all aspects of practice including performance metrics reflecting productivity and utilization.
- Practice in a manner that is consistent with the philosophy of continuous quality improvement and evidence-based practice.

**Here¿s What You¿ll Need**:

- A Masters degree in Social Work or a regulated health profession
- Registration and good standing with the relevant college
- An understan

  • Transitional Care Coordinator

    4 weeks ago

    Toronto, Canada Salvation Army Toronto Grace Health Care Centre Full time

    **TORONTO GRACE HEALTH CENTRE** **Join our Team!** **We are actively recruiting for** **Transitional Care Coordinator** **Permanent Full Time** The Toronto Grace Health Centre (TGHC) provides, specialized care to those individuals who require Complex Continuing Care, Post-Acute Care Rehabilitation, Transitional Care, and Palliative Care services. The...

  • Transitional Care Coordinator

    3 weeks ago

    Toronto, Canada Salvation Army Toronto Grace Health Care Centre Full time

    **TORONTO GRACE HEALTH CENTRE**:_**CAREER OPPORTUNITY**_ **Transitional Care Coordinator** The Toronto Grace Health Centre (TGHC) provides, specialized care to those individuals who require Complex Continuing Care, Post-Acute Care Rehabilitation, Transitional care and Palliative Care services. The care and services provided at TGHC help facilitate the...

  • Transitional Care Manager

    2 weeks ago

    Toronto, Canada SPRINT Senior Care Full time

    **Supervisor, Transitional Care** **About SPRINT Senior Care**: We began caring for seniors and enabling seniors to care for themselves in 1983. We continue to do so today as an accredited, not-for-profit community support service agency in Toronto by offering a wide range of practical and low-cost services to seniors and their caregivers. Our services help...

  • Coordinator Transitional Care

    4 weeks ago

    Toronto, Canada SickKids Full time

    **About SickKids**: Dedicated exclusively to children and their families, The Hospital for Sick Children (SickKids) is one of the largest and most respected paediatric healthcare centres in the world. As innovators in child health, we lead and partner to improve the health of children through the integration of healthcare, leading-edge research and...

  • Transitional Care Coordinator Remote Care

    3 weeks ago

    Toronto, Canada The Salvation Army - Toronto Grace Health Centre Full time

    TORONTO GRACE HEALTH CENTRE Join our Team! We are actively recruiting for Transitional Care Coordinator Permanent Full Time The Toronto Grace Health Centre (TGHC) provides, specialized care to those individuals who require Complex Continuing Care, Post-Acute Care Rehabilitation, Transitional Care, and Palliative Care services. The care and services...

  • Transitional Care Coordinator Remote Care

    3 weeks ago

    Toronto, Canada The Salvation Army - Toronto Grace Health Centre Full time

    TORONTO GRACE HEALTH CENTRE Join our Team! We are actively recruiting for Transitional Care Coordinator Permanent Full Time The Toronto Grace Health Centre (TGHC) provides, specialized care to those individuals who require Complex Continuing Care, Post-Acute Care Rehabilitation, Transitional Care, and Palliative Care services. The care and services...

  • Transitional Care Coordinator Remote Care

    3 weeks ago

    Toronto, Canada The Salvation Army - Toronto Grace Health Centre Full time

    TORONTO GRACE HEALTH CENTRE Join our Team! We are actively recruiting for Transitional Care Coordinator Permanent Full Time The Toronto Grace Health Centre (TGHC) provides, specialized care to those individuals who require Complex Continuing Care, Post-Acute Care Rehabilitation, Transitional Care, and Palliative Care services. The care and services...

  • Transition Coordinator

    3 weeks ago

    Toronto, Canada Holland Bloorview Kids Rehabilitation Hospital Full time

    The Transition Coordinator is responsible for providing leadership related to transition planning for inpatient services and strives to deliver an exceptional client/family experience throughout their healthcare journey. This involves working collaboratively with the client/family, internal and external partners to achieve a well-coordinated, comprehensive,...

  • Transition Coordinator

    4 weeks ago

    Toronto, Canada Holland Bloorview Kids Rehabilitation Hospital Full time

    The Transition Coordinator is responsible for providing leadership related to transition planning for inpatient services and strives to deliver an exceptional client/family experience throughout their healthcare journey. This involves working collaboratively with the client/family, internal and external partners to achieve a well-coordinated, comprehensive,...

  • Transitional Care Supervisor

    4 weeks ago

    Toronto, Canada SPRINT Senior Care Full time

    **About SPRINT Senior Care**: We began caring for seniors and enabling seniors to care for themselves in 1983. We continue to do so today as an accredited, not-for-profit community support service agency in Toronto by offering a wide range of practical and low-cost services to seniors and their caregivers. Our services help seniors stay safe, connected, and...

  • Care Transitions Coordinator- Patient Flow

    4 weeks ago

    Toronto, Canada North York General Hospital Full time

    **Company Bio** IMAGINE a hospital where everyone is committed to excellence. We did. We are. From boardroom to bedside, we go above and beyond to offer the best and safest patient care. At North York General Hospital (NYGH), we put our patients first in everything we do. We are achieving a new standard of excellence in integrated patient-centered care and...

  • Transitional Care Supervisor

    1 week ago

    Toronto, Canada Senior Peoples' Resources in North Toronto Full time

    **About SPRINT Senior Care**: We began caring for seniors and enabling seniors to care for themselves in 1983. We continue to do so today as an accredited, not-for-profit community support service agency in Toronto by offering a wide range of practical and low-cost services to seniors and their caregivers. Our services help seniors stay safe, connected, and...

  • Transition Planner, Discharge Coordination

    2 weeks ago

    Toronto, Canada St Michael's hospital Full time

    **Transition Planner, Discharge Coordination (Medicine) (Job ID**: 5986) 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,...

  • Care & Transitions Facilitator Gen

    4 weeks ago

    Toronto, Canada Unity Health Toronto Full time

    The **Care & Transitions Facilitator **is a practitioner in the Specialized Complex Care (SCC) program that is results oriented and committed to enhance the quality of patient care within a complex health, social and fiscal environment. In this role, you will be supporting 16CN (GI/General Surgery/Plastics Inpatient Unit) and 8PGT (Hematology/Oncology). As a...

  • Care & Transitions Facilitator Gim

    2 weeks ago

    Toronto, Canada Unity Health Toronto Full time

    The Care & Transitions Facilitator is a practitioner in the General Internal Medicine program that is results oriented and committed to enhance the quality of patient care within a complex health, social and fiscal environment. As a clinical expert, you will be instrumental in coordinating the use of clinical resources for inpatient cases. Working...

  • Social Worker

    2 weeks ago

    Toronto, Canada SPRINT Senior Care Full time

    **Social Worker (Community Transitional Worker)** **SPRINT Senior Care** began caring for seniors and enabling seniors to care for themselves in 1983. We continue to do so today as an accredited, not-for-profit community support service agency in Toronto by offering a wide range of practical and low-cost services to seniors and their caregivers. Our...

  • Care Transitions Coordinator- Patient Flow, FT(J0524-1394)

    6 days ago

    Toronto, Canada North York General Hospital Full time

    Job Description Care Transitions Coordinator- Patient Flow, FT(J0524-1394) Company Bio IMAGINE a hospital where everyone is committed to excellence. We did. We are. From boardroom to bedside, we go above and beyond to offer the best and safest patient care. At North York General Hospital (NYGH), we put our patients first in everything we do. We are...

  • Recreation Coordinator

    4 weeks ago

    Toronto, Canada Bayshore HealthCare Full time

    **Make “being the difference” your Career. **.** Bayshore is looking for a passionate and caring Recreation Coordinator for its amazing Transitional Care Unit located at West Park (170 Emmett Avenue, Toronto, Ontario M6M 2J5. This is a Full-Time position on a 6-month contract with 8 hour shifts from Monday to Friday. The Recreation Coordinator...

  • Haccp Coordinator

    4 weeks ago

    Toronto, Canada HACCP Coordinator Full time

    6:30am to 3:30pm A major food manufacturing company in South Etobicoke seeking HACCP Coordinator to maintain, implement and access the HACCP, SQF policies and procedures. HACCP **Primary Duties & Responsibilities** Responsible for document control Oversee change control procedure (documents and SOP’s) Review and maintain existing standard operating...

  • Patient Care Coordinator

    4 weeks ago

    Toronto, Canada Salvation Army Toronto Grace Health Care Centre Full time

    **TORONTO GRACE HEALTH CENTRE** **Join our Team!** **We are actively recruiting for** **Patient Care Coordinator** **Full Time** **Harbour Lights** The Salvation Army Toronto Grace Health Centre (TGHC) is a mission of The Salvation Army that provides specialized and integrated care and services to individuals with multifaceted chronic or persistent...