Couchiching Health at Home Coordinator

Job Number:

J

Job Title:

Couchiching Health at Home Coordinator

Department:

CHaH

Job Type:

Casual

Job Category:

Healthcare Professional

Open Positions:

1

Date Posted:

November 7, 2025

Closing Date:

November 18, 2025

Hours of Work:

7-7 7 days per week

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Company Biography

The Coordinator provides an integrated patient-centered approach to care that focuses on enhancing and coordinating the care for patients living within Couchiching area.

The goal of the Coordinator is to create seamless care coordination for patients. The care coordinator will ensure that each patient has a Coordinated Care Plan (CCP) and ongoing care coordination. The coordinator is responsible for working with home and community care to assess the patient's eligibility for in home services and ensure the appropriate documentation is submitted to the CHRIS system.

The coordinator is responsible for the continued evaluation and monitoring of the patients health status, need for healthcare services (including home services) and eligibility for additional community and home support services in collaboration with home and community care.

PRIMARY RESPONSIBILITIES:

• Develop a coordinated care plan for each patient assigned, facilitate the implementation of the multi-disciplinary service plan to meet the patient's needs in the community
• Provide navigation for patients and families, including linking patients to community and health service resources.
• Assess, negotiate and problem solve.
• Utilize effective interpersonal communication skills, demonstrating mutual respect for all involved parties
• Ensure the fiscally responsible use of appropriate resources to achieve the desired outcomes by mobilizing and integrating formal and informal patient support networks.
• Effective link patients and families with appropriate resources.
• Collaborate with hospital and community teams to promote and plan for early discharge
• Engage patients and families in information sharing
• Complete comprehensive patient assessments, using validated assessment tools.
• Performs a through assessment including patient's goals for care, physical and emotional health, cognitive status, coping abilities, economic resources and environmental conditions.
• Communicate with patients, families and other members of the healthcare team
• Complete all documentation as required
• Meet with patient/family at regular intervals including in all relevant care settings.

Position Summary

The Coordinator provides an integrated patient-centered approach to care that focuses on enhancing and coordinating the care for patients living within Couchiching area.

The goal of the Coordinator is to create seamless care coordination for patients. The care coordinator will ensure that each patient has a Coordinated Care Plan (CCP) and ongoing care coordination. The coordinator is responsible for working with home and community care to assess the patient's eligibility for in home services and ensure the appropriate documentation is submitted to the CHRIS system.

The coordinator is responsible for the continued evaluation and monitoring of the patients health status, need for healthcare services (including home services) and eligibility for additional community and home support services in collaboration with home and community care.

PRIMARY RESPONSIBILITIES:

• Develop a coordinated care plan for each patient assigned, facilitate the implementation of the multi-disciplinary service plan to meet the patient's needs in the community
• Provide navigation for patients and families, including linking patients to community and health service resources.
• Assess, negotiate and problem solve.
• Utilize effective interpersonal communication skills, demonstrating mutual respect for all involved parties
• Ensure the fiscally responsible use of appropriate resources to achieve the desired outcomes by mobilizing and integrating formal and informal patient support networks.
• Effective link patients and families with appropriate resources.
• Collaborate with hospital and community teams to promote and plan for early discharge
• Engage patients and families in information sharing
• Complete comprehensive patient assessments, using validated assessment tools.
• Performs a through assessment including patient's goals for care, physical and emotional health, cognitive status, coping abilities, economic resources and environmental conditions.
• Communicate with patients, families and other members of the healthcare team
• Complete all documentation as required
• Meet with patient/family at regular intervals including in all relevant care settings.

Qualifications

Education:

• A regulated healthcare professional (required)

Experience:

• Minimum of two (2) years in a leadership role
• Acute care experience required
• Community care experience preferred
• Experience working with different patient populations

Competencies:

• Excellent interpersonal skills
• Exceptional organizational skills
• Adaptability to rapidly shift workload and priorities
• Demonstrate facilitation and problem solving skills
• Demonstrate ability to be self directed and thrive in a dynamic environment
• Maintains positive and collaborative working relationships with partners and other members of the team
• Supports continuous quality improvement initiatives
• Demonstrate strong computer skills and data collection skills
• Demonstrate excellence in communication, both written and verbal
• Demonstrate problem assessment skills

Other:

• Must have a valid driver's license and a reliable vehicle to provide client care/services off-site

• Demonstrates commitment to continued professional and personal growth and development through Continuing Education Programs and Self Directed Learning Opportunities.

• Please note that employee/union group associated with this position will be assigned based on the successful candidate's regulated health professional designation.

Our Employees Enjoy

• a professional practice environment
• a collaborative atmosphere with emphasis on teamwork
• wellness initiatives
• continuing education grants
• employee recognition and assistance programs
• a competitive salary and benefits package
• equal opportunities for growth and development

Employment Equity

OSMH is committed to diversity and equity in the workplace and welcomes applications from all qualified individuals, including women, visible minorities, Indigenous peoples, persons with disabilities, LGBTQ2S persons and others who may contribute to a diverse workplace.

Accomodation in the Workplace

Orillia Soldiers' Memorial Hospital is a respectful, caring, and inclusive workplace. We are committed to championing accessibility, diversity, equal opportunity and maintaining a barrier-free selection process for job applicants. Requests for accommodation can be made at any stage of the recruitment process providing the applicant has met the requirements for the open position. Applicants need to make their requirements known to the Human Resources department when contacted. All requests are handled confidentially.

Health & Safety Responsibilities

OSMH is committed to providing a safe, healthy and supportive working environment by treating team members and patients with compassion accountability respect and engagement.

All team members must adhere to OSMH's Occupational Health and Safety policies, procedures and protocols, as well as the duties of workers as stipulated in the Occupational Health and Safety Act.

Team members must be able to perform all bona fide and essential duties of the position which may include cognitive and physical demands.

As a condition of employment, new employees are required to complete an employment health assessment and must be cleared by the Occupational Health and Safety Team prior to orientation.

Closing Statement

OSMH is a minimal fragrance workplace. We kindly ask all applicants to refrain from using scented products should they have the occasion to interview with the hospital. As a condition of employment OSMH requires professional references, verification of academic training, professional accreditation and evidence of course completion. It is also a condition of employment that all new employees will be required to present an original vulnerable sector check within 90 days of commencing employment and must sign an Offense Declaration upon receipt of an offer of employment.

If you are interested in joining our team, please apply online before 11:59 pm on the posting close date. Incomplete submissions will not be considered. We thank all applicants, however only those selected for an interview will be contacted.

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