Community Care Professional

2 weeks ago


London, Ontario, Canada SE Health Full time

We are seeking a dynamic and passionate Registered Practical Nurse (RPN) who wants to be part of the transformational change in home and community care by providing care in a truly client-centered approach. You are excited about working in an environment that puts the care team in the driving seat; You will be part of a diverse care team that will provide services to a roster of clients in the community.

You will be part of a collaborative team that will conduct joint care planning with a focus on client-centered goals addressing client's physical, cognitive, social, emotional, and spiritual domains, creating a holistic care plan. Each client is assigned a primary care clinician, a member of the interdisciplinary team who will lead care planning for that client and facilitate interdisciplinary team to reach client's care goals.

As part of the SE Transitions team, you will be a part of the team that will be accountable for the care and services you provide and the outcomes your clients achieve. The role offers a full-time permanent position with guaranteed 37.5 hours a week and 12-hour shifts.

About the Role
  • Provision of comprehensive care in an interdisciplinary team
  • Primary contact for a client when designated as the primary care provider/clinician for the client's interdisciplinary team
  • Provide continuous and comprehensive support to your team in the delivery of care for your client's
  • Complete a client assessment and develop an interdisciplinary care plan based on best evidence/practices and on client's unique needs.
  • Lead the care planning process and work with other disciplines to complete and implement interdisciplinary client care plans
  • Facilitate regular interdisciplinary team communication (e.g. huddle, rounds, status updates) when designated as the primary care provider/clinician
  • Lead discharge and transition care planning discussions during regular integrated team meetings with their front-line staff when designated as the primary care provider/clinician
  • Support the client through care transitions by collaborating and connecting the client with community support services in their local community.
  • Support clients, families and caregivers to develop strong self-care strategies, anticipate and address health issues, as well as optimize their health through effective health promotion strategies

The ideal candidate should possess:

Education and Experience:

  • Bachelor's Degree in nursing preferred
  • Canadian Nurses Association (CNA) community nursing certification is an asset
  • Minimum of two years of nursing experience
  • Experience in one of the following areas: home/community care, acute care, chronic disease management, health promotion, palliative care and mental health

Skills and Qualifications:

  • Diverse nursing experiences with different client groups will be an asset
  • Community experience is an asset
  • Enthusiasm and love of community rehabilitative care and interest in sharing knowledge
  • Ability to be flexible and adaptable with excellent organizational skills
  • Excellent skills in case management and working with/coordinating interdisciplinary care teams

About SE Health

We are committed to delivering high-quality care and services to our clients and to being a great place to work. We offer competitive pay, benefits, pension, and work-life balance. In order to ensure the health and safety of our patients, employees, and greater public health, we require all employees to be fully vaccinated against COVID-19.



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