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Ontario Health atHome

Coordinated home and community healthcare

Health Care Connector

Full-TimeDeadline 10/4/27
$38.55 - $41.74/hr
Mid
Waterloo, ON, Canada
In PersonTravel throughout Waterloo Region and Wellington County is required.
Medical, Clinical & Veterinary

About the job

Requirements
  • Membership in good standing with the College of Nurses of Ontario as a Registered Practical Nurse, with 3–5 years of experience and/or additional relevant training and education.
  • Skills in assessment, communication, interviewing, problem solving, interpersonal relations, and leadership within a team-based setting.
  • Ability to work independently in a highly organized manner.
  • Demonstrated experience in comprehensive assessment using different or combined approaches.
  • Professional, appropriate, effective, and tactful written, verbal, and nonverbal communication skills.
  • Ability to assist patients in completing the Ministry of Health screener and conduct other interactions using cultural and language interpretation services as required.
  • Proficiency operating a personal computer in a networked environment, using a variety of computer software and data-entry skills, including Excel and database software.
  • Knowledge of technology use in a community setting, including laptops in the home, cell phones, and remote networking.
  • Ability to travel throughout Waterloo Region and Wellington County.
  • Proof of COVID-19 vaccination is required before the start date as a condition of employment.
Responsibilities
  • Assist patients in navigating the health care system by connecting them with a primary health care provider.
  • Maintain contact with patients on the Ontario Health atHome WW Health Care Connect priority list and keep them informed about prospects for attachment.
  • Guide and support patients in accessing alternative primary care and other community and health care resources.
  • Assess patients to determine vulnerability and complexity according to Health Care Connect classifications, and facilitate appropriate referrals as required, including to Information & Referral, Care Coordination, urgent care clinics, and alternate primary care models.
  • Support meaningful long-term attachment to primary care providers by facilitating transitions to traditional primary care providers throughout Ontario Health atHome WW.
  • Establish relationships with the inter-professional team and provide navigation assistance to physicians with complex and vulnerable patients.
  • Establish and maintain effective relationships with health service providers, primary health care providers, and other appropriate agencies.
  • Access, maintain, and amend the inventory of primary care providers available to accept new patients in Ontario Health atHome.
  • Provide program interpretation and education to hospital and community agency staff, physicians, patients, and families about Care Connector supports, and advocate for increased registration and participation in Health Care Connect as appropriate.
  • Report and update statistical information for appropriate stakeholders as needed.
  • Maintain the privacy of patient information and confidentiality of patient and primary care provider registration databases.
  • Document according to Ministry of Health and Ontario Health atHome WW policies, procedures, and practices for the Health Care Connector role and in alignment with professional college documentation standards.
  • Work in a multidisciplinary team with community partners to promote positive working relationships.
  • Take reasonable steps to ensure a healthy and safe work environment and participate in continuous quality improvement.
  • Perform other duties as assigned.
Desired Qualifications
  • Experience and expertise in mental health and supporting vulnerable complex patients.
  • Experience working with diverse patient groups, including multicultural, homeless, palliative, acquired brain injury, mental health, geriatric, and pediatric populations.
  • Case management experience or recent related community experience.
  • Fluency in French is preferred; ability to speak French or another second language is an asset.

About the company

Ontario Health atHome coordinates publicly funded home and community care for patients across Ontario. Its care coordinators assess needs, arrange services and connect people with nursing, therapy, personal support and other resources delivered outside hospitals. The organization also helps patients and families navigate transitions between hospital, home and community settings. Operating within Ontario’s public health system, it manages access and coordination rather than functioning as a private home-care franchise or a single clinical provider. Service delivery depends on clinical, operational and administrative teams working across its care settings.

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