Case Manager

Job Description

**We are looking for**: a full-time, permanent Case Manager

**Salary**: Commensurate with experience

**Hours of Work**: 34 hours per week. This is a hybrid work from home role.

**Reports to**: Manager, Client Services

**Responsibilities**:
Applications

Assessments
- Conduct initial, follow up and ongoing in-home assessments for clients in both, the HSSP and HCCSS programs
- Complete all correlating documentation, including assessment forms, subsidiarity forms, consents and case notes with client and caregiver input as required
- Establish care plans based upon client health and functioning level; support network and home environment, etc.
- Collaborate with HCCSS Care Coordinator for complex HCCSS clients
- Complete reassessments as determined by funder requirements
- Completion of timely APR assessments and work collaboratively with the HCCSS care coordinator to facilitate client care
- Participate in case conferences as required
- Advocate on behalf of client to ensure his/her needs are met

Case Management
- Create care plans in collaboration with the client and caregivers
- Respond to client calls and inquiries regarding services
- Assist clients to secure both internal and external resources and services required
- Provide counseling and informal support as required
- Assist clients to navigate the healthcare system and provide support through transitions
- Ensure the client record is kept up to date in accordance with college and agency guidelines

Education
- Plan and implement support groups for clients and caregivers
- Assist in planning and implementation of education for internal staff and external stakeholders as required
- Participate in external training relevant to the department

Risk, Health and Safety Management
- Determine competency and provide training to PSWs on authorized Delegated Acts, as authorized by funder.
- Identify and report health and safety incidents and concerns in a timely manner to the appropriate supervisors and/or funders, documenting incidents in EasyCare and escalating appropriately to the designated supervisors as outlined in the Client Safety Reporting policy (C.01.38).
- Participating in health and safety processes and procedures
- Participating in maintaining a safe workplace environment by cultivating a positive safety culture and encouraging best practices to promote both staff and client safety and well-being
- Participating in all health and safety training initiatives on a regular basis.
- Taking proactive action against client incidents within your scope of practice.
- Developing a plan to identify, manage and/or minimize client safety risks or situations in adherence with risk management operations policies
- Assessing the severity of an adverse client safety/risk event and determining the best follow-up and developing an action plan following the event. Collaborating with funder (ex. HCCSS) and following any additional processes as required.
- Calling emergency services (911) when the client is at an immediate risk of harming themselves or others, or if there is a serious injury and/or imminent harm.
- Evaluating any potential hazards and identifying clients at risk for adverse health and safety events, taking preventative measures when necessary to minimize reoccurrence.
- Reporting all safety events impacting clients, caregivers and families in a timely and honest disclosure.

**Qualifications**:

- A degree or diploma in nursing and registered in good standing with CNO
- Minimum of 1-3 years of clinical experience is required. Clinical experience in community care, home care, or case management experience is preferred
- Must have experience working with a geriatric population, Holocaust Survivors and/or survivors of trauma
- A strong knowledge of community health providers and home care options and other local services is required
- Understanding of and commitment to the Social Determinants of Health and the ability to coordinate efforts of an interdisciplinary team to contribute to client wellbeing
- Must be able to work well independently and within a dynamic team
- Excellent organizational, communication (verbal and written), computer literacy, and interpersonal skills.
- Strong advocacy skills and a patient-centered focus, strong decision making, problem recognition, problem solving skills, negotiation and conflict resolution skills
- Ability to perform routine work independently
- Computer proficiency including a thorough knowledge of MS Word and Excel computer software
- Proficient in English as well as one or more of the following: Russian, Hebrew, Yiddish, Polish, Hungarian is an asset
- Must be willing to travel. The client population is dispersed throughout GTA (Bathurst and St Clair to approximately Bathurst and Steeles) This position will require a valid driver’s license and vehicle.

Additional information

We are committed to an environment that is barrier free. If you require accommodation, please inform us in adv