Care Coordinator, Temporary Full Time, Central Ottawa Civic, Bells Corners

Job Description

Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietitian, or speech language pathologist seeking a rewarding careers that cares for others, in a  professional practics that cares for you? You're in the right place.

As a Care Coordinator, you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners. 

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 8,000 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.

What will you do?

Under the general direction of the Manager, Patient Services, the Care Coordinator is responsible for managing a caseload of diverse patients who are living and/or dealing with a variety of health concerns.  The Care Coordinator, through in person visits, assesses the patient's care needs and develops, implements, and updates (as required) a care plan that is informed by the patient's health and psychosocial needs; and, where possible, accommodates patient and caregiver wishes. He/she also determines eligibility for and arranges for Ontario Health atHome Champlain-approved health care services and refers patients and caregivers to other community resources and programs.

As a member of the Community Care Team, the Care Coordinator will provide a broad scope of connection in their caseload geography, linking with care and services beyond community care while partnering closely with patients, families, caregivers, service providers and other community health providers supporting the patient in their home environment.

The Care Coordinator may also provide support to Primary Care teams strengthening the relationship and improving communication and access to care for shared patients as well as new patients.

Primary Responsibilities:

Completes comprehensive patient assessments using a validated assessment tool, including patient's clinical, physical and psychosocial needs, and caregiver needsAssesses the patient's and caregiver's understanding of, and learning needs related to diagnosis, treatment, available resources, illness adjustment, and coping mechanismsAssists patient and caregiver in setting appropriate goals (individual, joint, short or long term)Collaborates with patient, caregiver and the care team to develop an individualized care and service plan reflective of the patient's identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomesCoordinates the delivery of Home and community care services to patients and their caregiversCoordinates vendor and resource utilization involving medical equipment, supplies and servicesFacilitates understanding and cooperation among members of the patient's multidisciplinary healthcare team; communicates with members of the patient's health care team to maximize patient outcomesInitiates and authorizes the implementation of the care plan through contracted providersProvides regular reports to Physicians, service providers, patients, caregivers and other authorized parties as requiredCase documentation in accordance with Ontario Health atHome Champlain policies

Team/Department: Central Ottawa Civic

FTE: 1.0

Length of Temporary Assignment: February 5, 2027

Starting Salary: $44.480 to $47.517

Affiliation: OPSEU

Reporting to: Manager, Patient Services

Office Location: Bells Corners

Caseload Geography: Central Ottawa

What must you have?

Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; orDegree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; orDegree or diploma in Occupational Therapy and registered with the College of Occupational Therapy of Ontario; orDegree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; orDegree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; orDegree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario.Related professional experience (community based experience preferred) which is normally attained over a period of two years

What would give you the edge?

Works with diverse patient groups with varying levels of comprehension and language capabilityManages difficult conversations/situations such as advance care planning and goals of care in a healthy and effective mannerWorks effectively in both a team environment and independently as requiredVerbal and written communication skills to establish working relationships and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare communityListening and facilitation skills to work with patients and their caregiversDiplomacy in dealing with sensitive and/or confidential issuesRelationship building skills to develop and maintain health and community stakeholder partnerships.Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Outlook, etc.)A valid driver's license and access to a vehicle is requiredVulnerable Sector Check completed within the last six months

Hours of Work

Mon - Fri : 8:30 am to 4:40 pm

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 opportunities​Membership in a world class defined benefit pension plan​ Salary: $44.480 to $47.517

Who are we?

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

Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.

All applications will be reviewed; however, only those selected for an interview will be contacted. Ontario Health atHome Champlain welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in any aspects of the selection process.

Ontario Health atHome has implemented a mandatory vaccination policy across the province that requires all staff to be fully vaccinated against COVID-19. Applicants being considered for employment will be required to provide proof of vaccination documentation confidentially to Human Resources upon hire. Any medical or human rights exemption requests will be reviewed and validated prior to an offer of employment.

This job posting is for an existing vacancy.

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