Care Coordinator

**Job Description**:
**CARE AND BE CARED FOR - THIS IS YOUR HOME**:
Are you a registered nurse (RN, BScN) with experience and training specific to palliative care. Are you seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.

Utilizing knowledge of pediatric medical issues, the Care Coordinator is responsible for coordinating the care for medically fragile and medically complex children in home and school settings, ensuring and facilitating the achievement of quality, clinical and cost outcomes. Providing effective care coordination by assessing, goal-setting, authorizing, monitoring, reassessing, alternate planning andplanning for disengagement to meet the needs of clients referred.

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-centered 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. **This is a permanent full time opportunity based out of Woodstock, Ontario**

**What will you do?**
- In collaboration with patients and their families, assess care needs, determine eligibility for services, and develop individual care and service plans for the complex population
- Link patients with community service providers to maintain the patient’s safety in their own home while prioritizing the prevention of hospital admission or ED visits
- Coordinate and monitor care plan delivery
- Establish a helping relationship with patients and their families
- Balance patient needs and choices with available resources, ensuring patients’ values and preferences are respected

**What must you have?**
- A regulated health professional, preferably with a bachelor’s degree in nursing.
- A member in good standing with a current, active registration or licence to practice in Ontario as a Registered Nurse (RN, BScN).
- A strong clinical background with knowledge of pediatric medical issues.
- Extensive knowledge of the health and social services network.
- Minimum of 5 years related professional experience.
- Knowledge and understanding of the shared philosophy and quality improvement program known as Client Driven Care.
- A strong team player.
- Excellent interpersonal and partnership skills.
- Excellent computer skills.
- Knowledge and sensitivity to multi-cultural needs and issues.
- A sound knowledge of the long term care system and community resources.
- Comprehensive experience in needs assessment.
- A valid driver’s licence and access to a reliable vehicle
- Proficient in a Windows environment
- 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.

**What would give you the edge?**
- Experience working with diverse patient groups, e.g., multicultural, homeless, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics
- Case management experience or recent related community experience
- Competent with RAI assessment tools
- Ability to speak French or another second language

**What 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 opportunitiesMembership in a world class defined benefit pension plan

**Who we are**

**We are Ontario Health atHome, ready to serve every person in Ontario.** We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.

**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 Commitment**
- We thank all applicants for their interest; however, only those selected for an interview will be contacted_._