Home First Liaison

**Home First Liaison**:
Competition #

8140

Job Title

Home First Liaison

Department

Access & Flow

Status

Permanent

Work Type

Full-time

Affiliation

Non Union

Shift Assignment

Days

Bilingualism Required

Yes

Police Check Requirement

N/A

Site

RLHC-Non Union Non Managment

Salary Information

$42.72 - $54.96 / hour

Application Closing Date

June 11, 2025

**KEY FUNCTION**:
Coordinate discharge and transition, and ensure patients are safely discharged or transferred to their appropriate destination. Establish and maintain a systematic review and assessment of bed availability. Ensure appropriate designation and management of Alternate Level of Care (ALC) patients.

**REPORTING**:
Under the general direction of the Manager, System Transformation.

**DUTIES**:

- Determine the expected date of discharge; ensure all necessary assessments, investigations and other procedures are completed; ensure that discharge proceeds on the scheduled date.
- Participate in implementing and coordinating a patient-centered care plan with patients, family members, significant others, and the multi-disciplinary team for the purpose of facilitating the patient’s movement through the continuum of care.
- Provide a link between the hospital community agencies and alternate level of care facilities.
- Educate hospital staff to the various aspects of discharge planning and available resources.
- Interact and engage patients and Substitue Decision Maker in initial and continued Home First Philosophy conversation.
- Promote early identification of barriers to achieving Estimated Date of Discharge and engage in solutions to those barrier.
- Act as a clinical resource for the acute inter-professional teams by providing information based on clinical knowledge and theory/practice related to clients with complex health care needs.
- Act as point of contact for departmental staff, other departments, programs and community stakeholders as required.
- Attend and contribute to daily meetings (bed rounds, inpatient unit bullet rounds, etc.) and be aware of daily bed pressures.
- Lead Alternate Level of Care (ALC) rounds for the organization.
- Develop strong relationships with physicians and interdisciplinary team members across the organization to develop clear plans and pathways to ensure strong support for individuals being served by the organization.
- Document action taken and progress on Patient Action Manager or chart as required.
- Engage third party participants in improvement intiatives as required.
- Coordinate with related departments and functions to ensure appropriate information flow and understanding of overall process improvement direction.
- Confirm accuracy in Alternative Level of Care (ALC) patient documentation and manage ALC Tracker in Expanse database.
- Work with multi-organizational teams to identify and prioritize opportunities to further design, develop and/or improve future state processes and standards of work related to discharge planning and ALC avoidance.
- Determine and align improvement projects with HSN’s Strategic Plan; monitor and adjust to achieve goal outcomes.
- Participate in education and training specific to current, relevant federal and provincial health and safety legislation, standards and guidelines.
- Educate and promote health, safety and wellness in the work place.
- Represent the department or program on various committees and in meetings as required.
- Perform other duties as required.

**QUALIFICATIONS**

**EDUCATION AND TRAINING**:
1. Minimum of a four (4) year Bachelor’s Degree from an accredited university.

2. Current Certificate of Registration in good standing with a regulatory college is preferred.

3. Additional specialized training in geriatrics is preferred.

4. Ministry of Labour “Worker Health and Safety Awareness in 4 Steps” training certificate is required.

**EXPERIENCE**:
1. Minimum of five (5) years’ experience working in a health care environment.
2. Experience in using utilization management principles and length of stay management strategies is preferred.
3. Experience in utilization of assessment tools (such as Appropriate Use of Antipsychotics (AUA), Barthel Index, Blaylock, etc.) is preferred.
4. Experience working with the elderly and their care givers/informal supporters is preferred.
5. Experience working with multidisciplinary teams, physicians, patients and families to improve outcomes is preferred.
6. Experience in leadership and project management is preferred.

**KNOWLEDGE/SKILLS/ABILITIES**:
1. Demonstrated ability to de-escalate crisis situations.
2. Demonstrated knowledge of risk assessement tools.
3. Demonstrated knowledge of health research and/or best practice guidelines in discharge planning and ALC avoidance.
4. Demonstrated knowledge of key system constraints based on analysis of date and trends.
5. Demonstrated excellent judgment and proven analytical skills.
6. Demonstrated training, experience or utilization of quality improvement methodo