Integrated Care Lead - Orthopedic Surgery and Cardiology
CA$46.85 - CA$58.56/hr
Senior
Bachelor's
Toronto, ON, Canada
In Person
Medical, Clinical & Veterinary
About the job
Requirements
- An undergraduate or graduate degree in a related health profession is required.
- Current membership in good standing with an applicable or relevant regulatory health professional body in Ontario is required.
- Five years of clinical experience and five years of recent, related acute-care experience are required.
- Demonstrated experience and competence in areas of patient need relevant to orthopedic surgery and cardiology are required.
- Demonstrated willingness and ability to use new assessment tools and systems as required by the Ministry or legislated requirements.
- Ability to respond quickly to patients and situations with resourcefulness, flexibility, and adaptability is required.
- Interpersonal, communication, organizational, and decision-making skills are required.
- Leadership skills, including problem solving, critical thinking, conflict resolution, and the ability to persuade or influence others to align with patient-care objectives and outcomes, are required.
- Ability to work independently and collaboratively with an interdisciplinary team, family members, support networks, and formal and informal service providers, including home and community care, is required.
- Cultural sensitivity awareness and skills to inform and plan and facilitate coordination of patient care are required.
- Time management and stress management skills are required.
- Computer literacy and basic proficiency, with willingness to learn and adapt to new technology, are required.
- Fluency in written and spoken English is required.
- A valid driver’s license, adequate insurance with a minimum $1 million liability limit, and use of a reliable vehicle with physical damage coverage are required.
Responsibilities
- Act as the key liaison between patients, the UHN surgical team, community providers, primary care providers, and other providers to ensure all components of a patient’s care are provided.
- Develop, support, and oversee a patient’s care path through various care settings to ensure continuity of care.
- Provide mentorship, coaching, and ongoing clinical knowledge transfer to care team members, including home and community partners, regarding the IC Program and its patients.
- Provide in-person and/or remote home visits when required to facilitate patient care and/or in-home training and support for the homecare team.
- Collaborate with an inter-professional team, family members, support networks, and formal and informal service providers, including home and community care, to ensure ongoing assessment and adjustment to support patient needs.
- Coordinate seamless care transitions through appropriate and effective exchange of knowledge related to health conditions and the continuum of services and resources to enhance patient self-management and quality of care.
- Monitor whether patient- and system-level objectives of the bundle of care are met.
- Act as a subject matter expert to support program delivery, including implementation planning, evaluation, innovation, and optimization strategies.
- Lead ongoing innovation and optimization efforts by regularly monitoring program data and metrics, synthesizing data to make recommendations, and acting on trends or patterns to inform care planning.
- Work within UHN’s safety and quality policies and procedures.
- Provide cross-coverage of other IC Programs and pathways.
Desired Qualifications
- Experience in a community health setting is preferred.
- Knowledge of other surgical pathways or willingness to learn them is an asset.
- Experience and competence in case management are preferred.
- Recent comprehensive knowledge of community resources and health care delivery systems in acute and community settings is preferred.
About the company
University Health Network operates a network of hospitals and institutes that provide medical treatment, conduct scientific research, and train healthcare professionals. The organization functions by integrating clinical care with academic research in fields like cardiology and oncology, using donor funding to translate laboratory discoveries into patient bedside treatments. As Canada’s largest research hospital, it distinguishes itself through its massive scale and its ability to handle complex medical cases that require specialized expertise from its affiliation with the University of Toronto. The organization's goal is to improve community health by prioritizing patient needs and advancing medical knowledge through a combination of care, discovery, and learning.
Company Size
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Company Stage
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Total Funding
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Headquarters
Toronto, Canada
Founded
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Simplify's Take
What believers are saying
- BMO pledged $5 million on March 30, 2026 for PMATCH and the Surgical Tower.
- Geneseeq Canada joined UHN’s SHERLOCK study in July 2026, adding genomic testing scale.
- Helix’s OurGenes study brings free testing to up to 100,000 Canadians over five years.
What critics are saying
- Saleem v. UHN expanded on March 10, 2026, raising discrimination damages and morale costs.
- UHN faces chronic capacity strain until the Surgical Tower opens in late 2028.
- Reliance on philanthropy and government capital exposes UHN to funding delays and project slippage.
What makes University Health Network unique
- UHN ranked #2 globally by Newsweek on February 25, 2026.
- Princess Margaret and Toronto Western anchor Canada’s deepest cancer and complex-surgery research bench.
- UHN’s PMATCH and SHERLOCK programs fuse clinical genomics with trial-matching and precision oncology.
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Benefits
- Professional Development Budget