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First Link Care Navigator
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**PURPOSE**:
The First Link Care Navigator - Regional Focus will coordinate and integrate supports and services around the person living with dementia and their care partner. In this direct client service role, they will be the key “go-to” person for families after a dementia diagnosis, with responsibility for identifying needs, supporting self-management goals, and strengthening the communication and care planning linkages between providers and across sectors along the continuum of care. The First Link Care Navigator will strive to ensure that every person diagnosed with dementia and their care partners have timely access to information, learning opportunities and support when and where they need it in order to achieve the following outcomes:
- increase system capacity to provide families facing a dementia diagnosis with system navigation support
- improved client experience and health for the person with dementia and their care partner(s)
- greater care partner capacity and competency to effectively manage their role and reduce incidence of crisis situations
- enhanced capacity for the person living with dementia to remain in their own home and community for as long as possible
**WORKING LOCATIONS**:
Alzheimer Society of Thunder Bay has a full time position strategically located to service the District of Thunder Bay. _**This position must be filled by a resident in or close to one of the following rural communities - Nipigon, Schrieber, Terrace Bay, Marathon, Manitouwadge, Geraldton, or Long Lac and will serve residents of these communities including surrounding First Nation communities.**_
Please note regular travel within the above regions is required.
**QUALIFICATIONS**
**Education**:
- Bachelor’s degree in social work, nursing, gerontology or other related health care discipline.
- Master’s level education would be an asset
- Please note a combination of education and experience will be considered.
**Experience**:
- 3 to 5 years direct client service experience in the health and/or social service sectors, preferably in the seniors’ care sector
- Experience working directly with people living with Alzheimer’s disease or other dementias and their care partners would be preferred
- Experience and knowledge in management of chronic and complex health conditions
- Knowledge of locally available community services/supports and clinical, social and residential care options
- Understanding of roles and linkages across primary care, community care and specialized geriatric services
- Strong knowledge of client-centred philosophy
- Knowledge of clinical practices and training models related to dementia (e.g.: P.I.E.C.E.S. and U-First)
- Experience in assessment and care planning/coordination
- Experience working in settings requiring inter-professional collaboration
**Other Knowledge, Skills, Abilities or Certifications**:
- Excellent communication (verbal and written)
- Exceptional interpersonal skills, including shared decision-making and facilitation
- Ability to prioritize workload and manage competing tasks
- Ability to take initiative and be resourceful
- Excellent problem-solving and change management skills
- Proficiency in technology (e.g.: Microsoft office and case management and care coordination systems)
- Demonstrated ability to work independently and within a team
- Ability to forge strong partnerships across the care continuum
- Experience as a facilitator and leading education sessions and/or support groups
- Expertise and experience in cultural sensitivity and diversity
- Ability to speak French or other languages an asset
**Travel and Professional Registration Requirements**:
- Must have use of personal vehicle in safe working condition
- Must be able to travel regularly as part of the role
- Must carry a valid class G Driver’s license
- Must carry $2 Million liability coverage
- Must provide evidence of professional registration and carry professional liability coverage
**DUTIES AND RESPONSIBILITIES will include, but may not be limited to**:
**Initial Contact, Assessment and Care Planning**:
- Pro-actively manage incoming First Link referrals to facilitate early intervention and ensure that clients (people living with dementia and their care partners) have a named point of contact for care navigation support as early as possible before and/or after diagnosis
- Gather information, conduct or review relevant assessments, and meet with clients (people living with dementia and care partners) to identify current and future needs, goals and level of risk.
- Establish appropriate intervention plans with internal and external resource matching to meet bio/psycho/social needs using a person/family-centred approach
- Identify needs related to care coordination across service providers and outline responsibilities of all parties
**Navigation and Care Coordination**:
- Support clients in navigating the system to access appropriate learning opportunities, support services, care and resou
