Integrated Care Coordinator

5 days ago

Hamilton, Ontario, Canada Hamilton Health Sciences Full time

M-F, On-Call Weekends

1. Undergraduate Degree in Regulated Health Professional.
2. 3 to 5 years demonstrated expertise in chronic disease management, mental health and addictions, complex and dysfunctional family systems, older adults who are frail and/or palliative, medication and symptom management for Heart Failure and COPD.
3. Able to exchange knowledge related to specific health conditions and the continuum of services across sectors, and resources to enhance patient self-management and quality of care.
4. High degree of autonomy and independent decision-making on a daily basis related to work with clients, HHS and Home Care staff, Specialty Physicians, Primary Care Physicians and staff at other Hamilton and HNHB LHIN hospitals and community service agencies.
5. Prioritization of work based on client needs and program goals and development.
6. Excellent communication and leadership skills such as; problem solving, critical thinking, negotiating and conflict resolution.
7. Responsible for establishing and maintaining relationships with other health care professionals in designated specialty functions to ensure quality of care.
8. Excellent interpersonal, communication, organizational and decision making skills required.

Hamilton Health Sciences fosters a culture of patient and staff safety, whereby all employees are guided by our Mission, Vision, Values, and Values Based Code of Conduct. Hamilton Health Sciences is a teaching hospital and all staff and physicians are expected to support students and other learners.

To be considered for this opportunity applicants must apply during the posting period. All internal and external applicants may ONLY apply via the Careers website. This job posting is for an existing vacancy.  

 

Hamilton Health Sciences is an equal opportunity employer and we will accommodate any needs under the Canadian Charter of Rights and Freedom, Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code. Hiring processes will be modified to remove barriers to accommodate those with disabilities, if requested. Should any applicant require accommodation through the application processes, please contact Human Resources at , Ext for assistance. If the applicant requires a specific accommodation because of a disability during an interview, the applicant will need to advise the hiring manager when scheduling the interview and the appropriate accommodations can be made.

This competition is open to all qualified applicants, however, qualified internal applicants will be considered first. Past performance will be considered as part of the selection process. If you are a previous employee of Hamilton Health Sciences, please note\: the circumstances around an employee's exit will be considered prior to an offer of employment. Proficiency in both Official Languages, French and English, is considered an asset.

If this position is temporary, selection for this position will be as per the outlined Collective Agreements:

Article 30 (k), CUPE Collective Agreement

Article 10.7 (d), ONA Collective Agreement

Article b) (ii), OPSEU 273 Collective Agreement

Article 14.04, OPSEU 209 Collective Agreement

Article 2.07 and Article 13, PIPSC RT Collective Agreement

The Community & Population Health Services (CPHS) portfolio is accountable for the Integrated Comprehensive Care (ICC) Program, Inpatient Adult Psychiatry Consultation Liaison Team, the Alternate Health Facilities (AHF) at the Satellite Health Facility (SHF) and St. Joseph's Villa (SJV). Behavioural Supports Ontario (BSO), McMaster Family Health Team (McMaster Family Practice, Stonechurch Family Health Centre and Canadian Blood Services) are aligned with this portfolio.

Integrated Care Coordinator (ICC), as a member of the Integrated Comprehensive Care and Bundled Funding Program will provide patient centered system navigation, intensive case management and coordination of services to a selected group of clients as they access care within Hamilton Health Sciences and with partner organizations. The ICC will identify and facilitate access to the right services from the right provider at the right time based on assessed needs by working collaboratively with an inter-professional team, family members, support network, and a variety of informal and formal service providers. The ICC coordinator acts as a key resource to ICC Home Care staff and hospital staff regarding the ICC program and patients.

The ICC will coordinate seamless care transitions and will be responsible for exchanging knowledge related to respective health conditions and the continuum of services and resources to enhance client self-management and quality of care. The ICC will follow patients through the various care settings to ensure continuity of care. The ICC will also act as a liaison between Clients and providers of other Community Support Services. ICC program leverages cutting edge technology to support patient care and seamless transitions from hospital to community and ongoing community management.

The ICC will be responsible for ensuring cost effective client care by utilizing resources efficiently and collecting necessary data on client care to support the evaluation of outcomes of integrated care delivery.

  • Integrated Care Coordinator

    1 week ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    Integrated Care Coordinator (ICC), as a member of the Integrated Comprehensive Care and Bundled Funding Program will provide patient centered system navigation, intensive case management and coordination of services to a selected group of clients as they access care within Hamilton Health Sciences and with partner organizations. The ICC will identify and...

  • Integrated Care Coordinator

    1 week ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    M-F, On-Call WeekendsThe Community & Population Health Services (CPHS) portfolio is accountable for the Integrated Comprehensive Care (ICC) Program, Inpatient Adult Psychiatry Consultation Liaison Team, the Alternate Health Facilities (AHF) at the Satellite Health Facility (SHF) and St. Joseph's Villa (SJV). Behavioural Supports Ontario (BSO), McMaster...

  • Integrated Care Coordinator

    7 days ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    Integrated Care Coordinator (ICC), as a member of the Integrated Comprehensive Care and Bundled Funding Program will provide patient centered system navigation, intensive case management and coordination of services to a selected group of clients as they access care within Hamilton Health Sciences and with partner organizations. The ICC will identify and...

  • Care Coordinator

    1 week ago

    Hamilton, Ontario, Canada Ontario Health atHome Full time

    Are you an experienced Registered Nurse, Physiotherapist, Occupational Therapist, Social Worker, Dietician, or Speech Language Pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You're looking in the right place.As aCare Coordinator, you will assess and determine patient care needs and eligibility,...

  • System Integration Manager

    3 days ago

    Hamilton, Ontario, Canada Egis Group Full time

    Company Description Are you ready to take your career to the next level? Your future starts here. Join Egis, where your ambition meets unparalleled growth opportunities. As we continue to expand within Canada, we're looking for talented professionals like you to be a part of our innovative team. Imagine working alongside over 1,000 top-tier engineers,...

  • Social Prescribing Care Coordinator

    3 days ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    Reporting to the Manager, Health Equity, the Social Prescribing Care Coordinator is an integral member of the Health Equity Team. The role will lead the coordination and implementation of the Social Prescribing program and support requests and processes related to social prescribing from clinical programs and community partners. Support will be provided with...

  • Social Prescribing Care Coordinator

    3 days ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    The Health Equity team manages strategic initiatives to advance health equity, diversity and inclusion across the organization, system, and multiple programs. The team engages with equity deserving groups to amplify their perspectives and needs in key decision-making processes and program planning. We work to build collaborations and partnerships across the...

  • Social Prescribing Care Coordinator

    1 day ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    Hamilton Health Sciences fosters a culture of patient and staff safety, whereby all employees are guided by our Mission, Vision, Values, and Values Based Code of Conduct. Hamilton Health Sciences is a teaching hospital and all staff and physicians are expected to support students and other learners.To be considered for this opportunity applicants must apply...

  • RPN Wound Care-SWAN/IIWCC

    1 week ago

    Hamilton, Ontario, Canada St. Joseph Home Care Full time $28 - $30

    REGISTERED PRACTICAL NURSE – SWAN / IIWCC Number of Openings:1Division:NursingFull/Part Time/Casual:Full TimeProgram:Visiting NursingRegular/Temporary:RegularLocation:HamiltonUnion:LIUNAHours of Work:Days shift (8am-4pm)*approx. 75 hours bi-weekly *Weekend rotation 1/3Wages:LIUNA Union Wage Grid$27.52-$ $5.00 per hour /per wound care visitFrench Language...

  • Clinical Extern Coordinator

    3 days ago

    Hamilton, Ontario, Canada Hamilton Health Sciences Full time

    The Clinical Extern Coordinator is an integral member of the healthcare team, providing mentorship to Clinical Externs who are nursing students working as unregulated care providers in their respective units.  The Clinical Extern Coordinator is responsible for the successful implementation of the Clinical Extern Program across multiple units of the...