Couchiching Health at Home Coordinator

**Company Biography**

Orillia Soldiers’ Memorial Hospital (OSMH) is located in the City of Orillia - a beautiful community nestled along the shores of Lake Simcoe and Lake Couchiching. Orillia offers an environment where a health work/life balance is easy to achieve as exceptional urban amenities, natural resources, points of interest, and recreational opportunities abound.

People have always been OSMH’s greatest strength. Our committed team has helped our community for over a century. We offer an environment where each individual works interdependently towards common goals: we value _Trust, Courage and Teamwork_. We are an organization where individuals’ contributions are valued and there are many opportunities for personal growth and development.

**Position Summary**

The Coordinator provides an integrated patient-centered approach to care that focuses on enhancing and coordinating the care for patients living within Couchiching area.

The goal of the Coordinator is to create seamless care coordination for patients. The care coordinator will ensure that each patient has a Coordinated Care Plan (CCP) and ongoing care coordination. The coordinator is responsible for working with home and community care to assess the patient’s eligibility for in home services and ensure the appropriate documentation is submitted to the CHRIS system.

The coordinator is responsible for the continued evaluation and monitoring of the patients health status, need for healthcare services (including home services) and eligibility for additional community and home support services in collaboration with home and community care.

PRIMARY RESPONSIBILITIES:

- Develop a coordinated care plan for each patient assigned, facilitate the implementation of the multi-disciplinary service plan to meet the patient’s needs in the community
- Provide navigation for patients and families, including linking patients to community and health service resources.
- Assess, negotiate and problem solve.
- Utilize effective interpersonal communication skills, demonstrating mutual respect for all involved parties
- Ensure the fiscally responsible use of appropriate resources to achieve the desired outcomes by mobilizing and integrating formal and informal patient support networks.
- Effective link patients and families with appropriate resources.
- Collaborate with hospital and community teams to promote and plan for early discharge
- Engage patients and families in information sharing
- Complete comprehensive patient assessments, using validated assessment tools.
- Performs a through assessment including patient’s goals for care, physical and emotional health, cognitive status, coping abilities, economic resources and environmental conditions.
- Communicate with patients, families and other members of the healthcare team
- Complete all documentation as required
- Meet with patient/family at regular intervals including in all relevant care settings.

**Qualifications**

**Education**:

- A regulated healthcare professional (required)

**Experience**:

- Minimum of two (2) years in a leadership role
- Acute care experience required
- Community care experience preferred
- Experience working with different patient populations

Competencies:

- Excellent interpersonal skills
- Exceptional organizational skills
- Adaptability to rapidly shift workload and priorities
- Demonstrate facilitation and problem solving skills
- Demonstrate ability to be self directed and thrive in a dynamic environment
- Maintains positive and collaborative working relationships with partners and other members of the team
- Supports continuous quality improvement initiatives
- Demonstrate strong computer skills and data collection skills
- Demonstrate excellence in communication, both written and verbal
- Demonstrate problem assessment skills

Other:

- Must have a valid driver’s license and a reliable vehicle to provide client care/services off-site
- Demonstrates commitment to continued professional and personal growth and development through Continuing Education Programs and Self Directed Learning Opportunities.

**Our Employees Enjoy**
- a professional practice environment
- a collaborative atmosphere with emphasis on teamwork
- wellness initiatives
- continuing education grants
- employee recognition and assistance programs
- a competitive salary and benefits package
- equal opportunities for growth and development

**Employment Equity**

**Accomodation in the Workplace**
- Orillia Soldiers’ Memorial Hospital is a respectful, caring, and inclusive workplace. We are committed to championing accessibility, diversity, equal opportunity and maintaining a barrier-free selection process for job applicants. Requests for accommodation can be made at any stage of the recruitment process providing the applicant has met the requirements for the open position. Applicants need to make their requirements known to the Human Resources department when contacted. All requests are