Patient Care Navigator

Job Description

Be a key part of the Community Integration and Primary Health Care Program by helping patients with complex health and social needs transition seamlessly from hospital to home. As a Halton@Home Patient Care Navigator, you’ll collaborate with an interdisciplinary team, provide compassionate care, and ensure that patients receive the right support at the right time. Your work will directly impact patient outcomes, reduce hospital readmissions, and contribute to a strong, community-focused health care system.

What You’ll Do:

• Coordinate Transitions to Home: Identify and assess patients eligible for the Halton@Home Program, ensuring timely discharge and smooth transitions from hospital to community care.
• Create Patient-Centered Care Plans: Develop, implement, and monitor personalized care plans in collaboration with patients, families, and our dedicated health care team.  Recommend and facilitate the multi-disciplinary supports needed to meet the patient's needs in the community.
• Advocate for Patients: Act as a liaison between patients, families, and community service providers, ensuring they have the resources and support needed for a successful recovery at home.  Monitor service delivery and follow up after discharge to identify and address opportunities.
• Contribute to Program Growth: Share your insights and ideas to help evolve the Halton@Home Program, improving patient care and community resources through continuous feedback and collaboration.
• Collaborate Across the Community: Build strong relationships with community organizations, primary care providers, and home care services to ensure a coordinated, patient-focused approach to care.

Qualifications

Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.

Professional Registration:

• Bachelors degree in a Health Discipline is required
• Masters degree in a Health Discipline is preferred
• Current membership in good standing with a regulatory health professional body in Ontario

Work Experience:

• 2–5 years of recent work experience in a hospital setting, with liaison experience in community health settings.
• 3 years of recent related experience in Emergency Department (ED), acute care, post acute care, discharge planning, and/or community health care settings.
• Experience in performing case management or care navigation functions, particularly in acute, post acute, and community settings.
• Demonstrated knowledge and expertise related to a variety of health, functional and social challenges, particularly in areas such as geriatrics, chronic disease management, complex family systems, and the care of the frail elderly.
• Evidence of program design and resource development skills, including knowledge of evaluation methodologies.

Knowledge and Competencies:

• Comprehensive knowledge of community resources and health care delivery systems across acute and community settings.
• Demonstrated ability to respond to patients with flexibility, adaptability, and a commitment to patient-centered, holistic care.
• Strong understanding of collaborative practices, including building relationships internally and with community partners.

Skills and Attributes:

• Demonstrated ability to work independently and collaboratively with interdisciplinary teams, family members, support networks, and a variety of formal and informal service providers.
• Strong leadership skills, including problem-solving, critical thinking, conflict resolution, and negotiation abilities.
• Excellent interpersonal, communication, organizational, and decision-making skills.
• Exceptional time management and stress management skills.
• Comfortable working in an evolving program with changing responsibilities over time.
• Fluency in English (verbal and written).

Technical Skills:

• Proficiency in electronic medical record (EMR) systems; experience with Meditech and CHRIS (preferred).
• Computer literacy and proficiency required.  This includes, but is not limited to proficiency with Microsoft 365 applications (eg Outlook, Excel, Word, Powerpoint, Sharepoint, OneDrive, etc).

Other Requirements:

• Positive attendance record.

Additional Information

Location: Tri-Site, travel will be required

Hours: Monday - Sunday, Various rotating 8 and 12 hours shifts (Hours subject to change based on operational requirements) 

Salary: $47.039 to $60.979 per hour

Date Posted:  November 5, 2026

Internal applications due by:  November 12, 2026

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Halton Healthcare is an equal opportunity employer who is committed to integrating diversity, equity and inclusion throughout our operations, policies and culture. If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you. Please attach your current resume directly to this posting.

Please note that while this job is posted on Halton Healthcare's career page, it may also appear on third-party job boards.  These external platforms may use automated tools, including artificial intelligence, for candidate screening and matching.  We do not control or influence these processes.  To ensure your application is reviewed by our team, we recommend applying directly through our Halton Healthcare careers site.  

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Halton Healthcare is committed to providing accommodations for applicants with disabilities.  In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.

The Ontario Public Hospitals Act mandates that hospitals establish health surveillance programs for all individuals working within the hospital. This regulation requires proof of immunity for certain diseases and as a result, Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health, Safety & Wellness team, prior to their start date, as a condition of employment.  This includes demonstrating compliance with Halton Healthcare’s Immunization Policies.

All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare.  Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.

All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.