Transition Navigator, Temporary Full Time, Transitions Home Program, RTC

Job Code: 21074
Status
: Temporary Full Time (up to 12 months)

Location
: Providence Care Hospital

Union
: OPSEU 4104 Service Clerical

Wage
: $ $37.06

Posting Period: December 20, December 29, 2025
Position Summary
This position with the Providence Care – Transitions Home Program will be engaged in community work and involves commuting across the Southeastern Ontario region. The Transitions Home Program (THP) works at achieving timely access to care while enhancing clients' functional outcomes following discharge from PCH and PTCC. The Transition Navigator will deliver safe, effective, client centered care to clients in their home.

The Transition Navigator, reporting to the Program Manager, acts as a fundamental resource to program staff, clients, caregivers and community partners. In collaboration with the program staff, the Transition Navigator triages referrals, assesses clients, supports transition home, provides health teaching and consultation, monitors care plan delivery, connects clients with appropriate supports, and follows up with the client/caregiver post discharge from the THP.

The Transition Navigator is accountable for maintaining the Standards of Practice and Ethics of the College of Nurses of Ontario. The Transition Navigator will provide clinical education and experience for student nurses and will participate in formal teaching and research in conjunction with Queen's University. As a member of the clinical team, the Transition Navigator participates in discipline-specific and inter-professional activities that are directed towards a client-centered environment, contributes to quality, operational efficiency, professional, and program development. The focus of the Transition Navigator is to support clients in a safe initial transition home and to assist with remaining healthy at home, while also benefitting from supportive rehabilitative care. The Transition Navigator will provide support to the client/family and team members from intake through post-discharge, with a shared goal of decreasing Alternate Level of Care (ALC) days, while also reducing unnecessary hospital readmissions.

Skills And Qualifications Required

• Registered Practical Nursing Diploma
• Active, unrestricted license to practice with the College of Nurses of Ontario (CNO)
• Current CPR certification
• Minimum of 4 years' experience practicing as a Registered Practical Nurse
• Experience working with rehabilitation patients or clients
• Experience collaborating with home and community care teams, including coordinating community-based services
• Previous experience working in a hospital setting
• Experience in student supervision considered an asset

Position Responsibilities

• Monitors and triages client referrals and manages client wait list in collaboration with administrative staff
• Reviews medical records and communicate with referral source, team members and community partners to ensure smooth transition from hospital to home and support to remain at home
• Provides consultation supports for other members of the THP team
• Reviews discharge medications and provide education/ health teaching regarding diagnosis/illness, including symptom monitoring and follow up
• Prepares clients/caregivers for discharge and reviews needs to maintain health at home.
• Participates in nursing education and counseling for clients, families and caregivers

Why Work At Providence Care Hospital

• Specialized sub-acute Care in rehabilitation, mental health services, complex medical management and palliative care
• A hospital striving for excellence in care, education and research
• Committed to people centred approach to care delivery
• Competitive salaries with percentage in lieu of benefits & vacation
• Healthcare of Ontario Pension Plan (HOOPP)
• State of the Art Building with on-site parking
• On-site café and cafeteria with a variety of food options
• Corporate and unit/service specific orientation for new hires
• Focus on Healthy Workplace & Culture of Quality
• Employee & Family Assistance Program
• Education, mentorship and bursary opportunities
• Fully affiliated with Queen's University and St. Lawrence College and other academic institutions
• Located on the shores of Lake Ontario surrounded by park land and walking trails