Transition Planner, Discharge Coordination

4 days ago


Toronto, Canada St. Joseph's Health Centre, Toronto Full time

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph's Health Centre and St. Michael's Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post‑acute through rehabilitation, palliative care and long‑term care, while investing in world‑class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Transition Planner. St. Joseph's Health Centre (SJHC) is seeking one (1) full‑time Transition Planner for the Medicine program. Focusing on delivering an exceptional patient experience and creating seamless transitions throughout the episode of care, the Transition Planner drives the discharge plan. The Transition Planner provides much‑needed continuity of information and compassion to patients, families and care teams. The Transition Planner shapes patient, families and team expectations through exceptional communication of high‑quality information. Working closely as a member of unit‑based, multi‑professional teams, the Transition Planner drives the discharge planning process from admission to discharge. As part of a growing, centralized Transition team, the Transition Planner contributes to and collaborates with internal and external transition partners. As a subject‑matter expert, the Transition Planner also contributes to knowledge translation of Transition Planning best practices across teams and departments. Qualifications Bachelor's degree in a health‑related discipline; Master's preferred Registration in good standing with relevant professional college or regulatory body in Ontario. Demonstrated 3–5 years recent discharge planning experience required. Strong knowledge of alternate levels of care, including home and community resources, particularly long‑term care facilities, complex continuing care facilities, HTSD and LTLD rehabilitation programs, palliative care facilities and/or services, and transitional care services. Demonstrated experience in complex discharge planning Strong communication and interpersonal skills and the ability to negotiate with patients/families and clinical teams Demonstrated knowledge and skills in discharge planning, conflict resolution and creative problem solving Demonstrated skill in patient and family‑centred transition planning including strong advocacy skills Excellent organizational and coordination skills and the ability to prioritize multiple competing workload demands Ability to work co‑operatively and constructively with other team members and develop effective strong partnerships with community agencies/facilities. Commitment to continuous learning, skill development and knowledge translation NOTE: Please note all unionized and non‑unionized candidates are welcome to apply. Should a Registered Nurse be the successful candidate, the position will be in accordance to the ONA collective agreement. Unity Health Toronto is committed to creating an accessible and inclusive organization. We strive to provide a recruitment process that is barrier‑free and in compliance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. We understand that you may require an accommodation at any stage of the recruitment process. When you are contacted, please inform the Talent Acquisition Specialist and we will work with you to meet your accommodation needs. We want to emphasize that all accommodation requests are handled with the utmost confidentiality, respecting your privacy and dignity. #J-18808-Ljbffr



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