- Main areas of focus will be on supporting the complex and vulnerable population in accessing community resources, and obtaining meaningful Primary Care attachment within WWLHIN. While ensuring a health equity focus, this position will be responsible for supporting the complex and vulnerable population by completing comprehensive assessments to inform coordinated care plans across WWLHIN.
- Working closely with local Primary Health Care providers and with the IPC (Interprofessional care) teams who are providing nontraditional primary care to residents who are precariously or marginally housed and street involved. As well as other community partners, this position with be integral in ensuring clients are receiving the most appropriate care at the right time.
The incumbent will be responsible for:
- Assisting clients to navigate through a complex health care system by connecting people to an appropriate primary health care provider
- Maintaining contact with patients in the LHIN Health Care Connect priority list to keep them informed about prospects of attachment
- Providing information and referral assistance to patients to access alternative primary care and other community resources
- Assessment of clients to obtain information in order to identify a client’s functional & cognitive status, abilities, preferences, resources, supports and need
- Determination of eligibility for services or programs based on legislation, standards, regulations; policies and funding options
- Support meaningful long term attachment to primary care providers through facilitating transitions from care providers to traditional primary care providers throughout the WWLHIN.
- Serve as primary contact, advocate, and system resource for patients. Establish relationships with the IPC teams and provide navigation assistance to physicians with complex and vulnerable patients
- Establishing and maintaining effective relationships with health service providers, , primary health care providers and other appropriate agencies including KW4 Community Ward, and Community Health Centre (CHC) in Waterloo-Wellington region.
- Building and maintaining an inventory of primary health care providers who are available to accept new patients in the WWLHIN
- Providing program interpretation/education to hospital and community agency staff, physicians, clients and families about the Care Connector supports
- Maintains confidentiality of client records;
- Documents according to WWLHIN and professional college standards of documentation.
- Working in a multi-disciplinary team with community partners that promotes positive working relationships;
- Takes all reasonable steps to ensure a healthy and safe work environment and participates in continuous quality improvement.
- Able to work in flexible working conditions and not one primary office, including IPC team offices and a mobile primary care van with an interprofessional team.
- Performing other duties as assigned.
EDUCATION AND EXPERIENCE
Membership in good standing with the College of Nurses of Ontario as a Registered Nurse Proven skills in the areas of case management, assessment, communication, interviewing, problem solving, interpersonal relations and leadership within a team based setting are required. Minimum of one year of community case management experience is preferred. The ability to work independently in a highly organized manner is required. This position also requires proficiency in the use of a personal computer in a windows networked environment, using Word and database software. The ability to travel throughout Waterloo Wellington LHIN area is required. ,
- Proficient in the operation of a personal computer in a networked environment using a variety of computer software and data entry skills, i.e. Excel, Data Base Software, as well as various other programs.
- Knowledgeable in the use of technology in a community setting – e.g., lap top in the home, cell phone, remote networking, etc.Assessment Skills:
- Demonstrated experience in comprehensive assessment, use of different or combined approaches.
- Preference will be given to applicants who have experience and expertise in mental health, and supporting vulnerable complex patients
- Demonstrates professional, appropriate, effective, and tactful communication skills, including written, verbal and nonverbal
- Comfortable with completing assessments and patient care using translators
- Mental Health and Addictions certificate/training would be an asset
This position may be required to provide relief at other LHIN locations or teams as needed and may be part of the on call rotation as per the provisions of the ONA collective agreement.
WWLHIN strives to create a respectful, accessible and inclusive work environment. Upon individual request, hiring processes will be modified to remove barriers to accommodate those with disabilities. Should any applicant require accommodation through the application, interview or selection processes, please contact Human Resources at email@example.com for assistance.
If you are interested in this position, please submit a cover letter, along with a detailed resume, outlining how your skills, qualifications and experience meet the position requirements, quoting competition #19-O-762019 to Human Resources (e-mail: firstname.lastname@example.org). We thank all applicants in advance; however, we will be communicating only with those selected for an interview.
*** PLEASE NOTE*** Cover letters and resumes need to be submitted as a single file, acceptable files are: doc, docx, and pdf. Please include your first name, last name and job title in the file name when applying, example JohnSmith_Recruiter.
THE WATERLOO WELLINGTON LHIN IS COMMITTED TO THE PRINCIPLES OF EMPLOYMENT EQUITY