140-25-3 Indigenous Transitions Facilitator

**Applicants from Six Nations and other First Nations will be given preference to deliver programs and services in a First Nations community.**

**JOB** SUMMARY**: The **Indigenous Transitions Facilitator**reports to and works under the direction and supervision of the Home and Community Care Manager, the Senior Manager of Primary and Clinical Care and the Director of Wellbeing.

To assist the Wellbeing Department in researching, developing, educating and developing strategies for improved discharges for Indigenous people from hospital to home. The Indigenous Transitions Facilitator is the first point of contact for community members being discharged to services on Six Nations.

The Indigenous Patient Facilitator will have a caseload of clients currently in the hospital system awaiting discharge, assisting them with system navigation and coordinating proactive continuity of care, collaborating on referrals within the circle of care partners, assisting them with seamless care transitions and provider intersection. This role will strengthen linkages in the delivery of comprehensive individualized wrap around services and ensure the early engagement of client identified caregivers in the development of their care plan. They will also determine any education or training required to support the client in their living arrangement of choice upon discharge from a regional facility. Upon discharge, the Indigenous Transitions Facilitator will transfer the client over to the appropriate Home and Community Care Case Manager.

**Type**

Full-Time

**Closing Date**

September 3, 2025

**Hours of Work**

35hrs/week

**Wage**

$70,400/yr - $88,000/yr

*A competitive compensation package will be offered commensurate with qualifications. *

**BASIC QUALIFICATIONS**:

- Bachelor’s or Master’s degree in Nursing, Occupational Health or Social Work
- Minimum of 2 years’ experience working in a hospital setting that includes case management, system navigation, community resources
- Knowledge of relevant legislation, including the Excellent Care for All Act (ECFAA), Freedom of Information and Privacy Protection Act (FIPPA), Personal Health Information Act (PHIPA), Health Care Consent Act (HCCA), Fixing Long Term Care Act (FLTCA)
- Must have First Aid, CPR and WHMIS
- Computer skills in Microsoft Office, MS Word and Excel. Experience with EMR systems, such as PS Suites and Clinical Connect, would be considered an asset.
- Must be familiar with relevant local and area services, hospital or community-based case management and health resources.
- Must be familiar with government funding and legislation related to public services

**SUBMISSION PROCEDURE: (Choose one method ONLY)**:
**Method #1: Online**
- Please visit: My Job Search to access our job board and follow the directions to apply.- Cover letter including your band name and number (if applicable). Please indicate in your letter how your education and experience qualifies you for this position.
- Recent resume clearly identifying that you meet the Basic Qualifications of this position as stipulated above.
- Copy of your education diploma/degree/certificate and transcript.

**Method #2: GREAT** - Applications must include all of the following**:

- Printed, filled in and authorized Six Nations of the Grand River Application for Employment Form.
- Cover letter including your band name and number (if applicable). Please indicate in your letter how your education and experience qualifies you for this position.
- Recent resume clearly identifying that you meet the Basic Qualifications of this position as stipulated above.
- Photocopy of your education diploma/degree/certificate and transcript.
- Place all documents listed above in a sealed envelope and mail to or drop off at:
**Indigenous Transitions Facilitator - Full-Time - 140-25-3**

c/o Reception Desk

Grand River Employment & Training (GREAT)

P.O. Box 69, 16 Sunrise Court

Ohsweken, Ontario N0A 1M0

**POSITION TITLE**: Indigenous Transitions Facilitator

**REPORTING RELATIONSHIP**:
Reports to and works under the direction and supervision of the Home and Community Care Manager, the Senior Manager of Primary and Clinical Care and the Director of Wellbeing.

**PURPOSE & SCOPE OF THE POSITION**:
To assist the Wellbeing Department in researching, developing, educating and developing strategies for improved discharges for Indigenous people from hospital to home. The Indigenous Transitions Facilitator is the first point of contact for community members being discharged to services on Six Nations.

The Indigenous Transitions Facilitator will have a caseload of clients currently in the hospital system awaiting discharge, assisting them with system navigation and coordinating proactive continuity of care, collaborating on referrals within the circle of care partners, assisting them with seamless care transitions and provider intersection. This role will strengthen linkages in the delivery of comprehensive individualized wrap around se