Care Coordinator

Job Description CARE AND BE CARED FOR – THIS IS YOUR HOMEAre you an experienced registered nurse, physiotherapist, occupational therapist, social worker (MSW), dietitian, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.Ontario Health atHome Mississauga Halton has an exciting opportunity for a Care Coordinator (CC) to join the Palliative Team during a time of strategic focus on palliative care within the Ontario Health atHome Mississauga Halton region and across the province. Transformation of Palliative Care is a strategic initiative for Ontario Health atHome Mississauga Halton, and we are seeking passionate, collaborative and creative professionals to join our team. We are seeking an excellent communicator, critical thinker, lifelong learner and problem solver.As a Palliative Care Coordinator, competencies include clinical expertise in palliative care, patient and family-centred, ethical decision-making, collaboration with a variety of different stakeholders, and demonstrated leadership with inter-professional teams, including providers within the circle of care for individual patients and caregivers, and among the community with partners and colleagues. Experience in medication management and/or medication reconciliation and familiarity with medical diagnoses and disease trajectories are critical skillsets that will be a focus of recruitment.Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centred care – and be supported by our collaborative team that includes over 9,000 regulated health care and other professionals.As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.What you will do?Providing care coordination to patients with palliative needs, supporting patients with palliative needs to remain at home and in community through stable, transitional phases, and end of life.Development of individualized, collaborative care plans and care conferencingFacilitating communication and collaboration between the inter-professional care team for each patientHome visits and telephone communication with patients and caregivers; liaison with primary care providers and members of a patients circle of care.Assessing, planning, coordinating, implementing and reviewing patient needs and servicesProviding information to patients and referrals to alternate community resourcesResponding to inquiries and request for care in accordance with the patient’s needs; identifies risk factors and urgency for careIn collaboration with patients and their families, assess care needs, determine eligibility for services, and develop individual care and service plansLink patients with service providersCoordinate and monitor care plan deliveryEstablish a helping relationship with patients and their familiesBalance patient needs and choices with available resources, ensuring patients’ values and preferences are respectedWhat must you have?A registered health or social work professional including: registered nurse, physiotherapist, occupational therapist, speech language pathologist, or social worker.A member in good standing with their applicable regulatory body below:College of Nurses of Ontario (RNs ONLY at MH)College of Physiotherapists of OntarioCollege of Occupational Therapists of OntarioCollege of Audiologists and Speech Language Pathologists of OntarioOntario College of Social Workers and Social Services WorkersA University degree preferred. An equivalent combination of education and experience may be considered.Minimum two years recent experience in community health or a related field (acute, hospice, home and community care settings). If allied health professional, relevant clinical medical experience required.Palliative experience preferred.Knowledge of community resources and demonstrated ability to collaborate and establish/strengthen care teamsKnowledge and experience in Care Coordination, including clinical strength in assessment, care planning, system navigation, health outcomes monitoring, direct support (., self-management principles), collaboration with key system partnersDemonstrated skill and experience in providing care in a manner that is culturally responsive and effective with individuals from various backgrounds and diversity.Computer literacy and keyboarding skills requiredValid driver’s license and access to a reliable motor vehicleInsurance that includes driving for business purposes and minimum liability of $1,000,000.Ability to speak French or other languages an asset.What would give you the edge?Experience working with diverse patient groups, ., multicultural, homeless, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatricsCase management experience or recent related community experienceWhat do we offer?We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer: ​Attractive comprehensive compensation packages and benefits​Valuable development opportunities​Membership in a world class defined benefit pension plan​We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.Who are we?We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.Why join us? If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.Equity, Inclusion, Diversity and Anti-Racism CommitmentOntario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.We thank all applicants for their interest; however, only those selected for an interview will be contacted.