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Ontario Health atHome

Provincial coordinator of home and community care

Float Care Coordinator

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Part-timeOttawa, ON, CanadaCA$44.48 - CA$47.52In-person

About the Job

Requirements

  • Registered Nurse with a Bachelor of Science in Nursing or diploma and registration with the College of Nurses of Ontario, or a degree or diploma in Physiotherapy with registration with the College of Physiotherapy of Ontario, or a degree or diploma in Occupational Therapy with registration with the College of Occupational Therapy of Ontario, or a degree in Social Work with registration with the Ontario College of Social Workers and Social Service Workers, or a degree in Speech Therapy with registration with the College of Audiologists and Speech-Language Pathologists of Ontario, or a degree in Foods and Nutrition or equivalent with registration with the College of Dietitians of Ontario.
  • At least two years of related professional experience is required.
  • Employees must submit proof of COVID-19 vaccination status before their start date.
  • Fluency in English and French is an asset.
  • A Vulnerable Sector Check completed within the last six months is required.
  • Valid N95 mask-fit test results or documentation of a medical exception from within the past two years is required.

Responsibilities

  • Assess referred clients for admission and establish a helping relationship with eligible clients and their families while honoring client values and preferences.
  • Perform multidimensional assessments and identify the need for crisis intervention or prevention strategies.
  • Establish care and service plans that balance client needs, choices, and available resources.
  • Develop care plans with clients, health care professionals, care providers, or family members, specifying priorities, authorized services, mutual goals, and anticipated service duration.
  • Collaborate and partner with service-provider networks to access and link clients to resources.
  • Initiate and authorize implementation of care plans.
  • Review and maintain care plans in compliance with quality standards, outcome measures, and quality indicators.
  • Conduct discharge-from-service processes and redirect clients and families to alternative resources.
  • Assess client care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers, and other health care practitioners.
  • Coordinate admission, service planning and authorization, implementation, monitoring, reassessment, adjustment, and discharge planning for home-care and placement programs, including providing community-resource information and referrals.
  • Work with patients, families, caregivers, and hospital partners to develop care plans that support safe transfers from hospital to home for complex and non-complex patients.
  • Prioritize work according to changing patient needs and the hospital environment while meeting Ontario Health atHome Champlain Guidelines of Care.
  • Participate in family meetings, care conferences, bullet rounds, and joint discharge rounds to support care planning and communication with partners in the circle of care.

Desired Qualifications

  • Knowledge of the health care delivery system and community resources within the Champlain region.
  • Knowledge of medical conditions and cognitive or psychiatric disorders.
  • Knowledge of a client-centered, multidisciplinary approach to client care.
  • Proficiency with computerized processes, including mobile laptop technology.
  • Effective time-management and organizational skills.
  • Effective decision-making and problem-solving in crisis situations.
  • Ability to negotiate and implement effective, goal-oriented, client-centered care plans.
  • Ability to organize daily workload amid frequent interruptions.

About the Company

Ontario Health atHome

Provincial coordinator of home and community care

Ontario Health atHome coordinates in-home and community-based care for patients across Ontario and manages access to long-term care home placement. Its teams assess care needs, arrange services, and connect patients and caregivers with nursing, personal support, rehabilitation, and other community resources. The organization works with hospitals, primary care providers, Ontario Health Teams, and contracted service providers to plan care and support transitions between settings. It also helps people find health and social services, navigate supportive living options, and receive palliative care in their chosen setting. The agency was formed in June 2024 by amalgamating the fourteen Home and Community Care Support Services organizations.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Not listed
Founded
2024

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