Reporting to the Senior Manager, Home and Community Care, the Hospital Care Coordinator in collaboration with the patient, physician, caregiver and/or family, develops treatment goals, service and discharge plans in a fiscally responsible manner through in hospital face-to-face assessments. In partnership with the hospital, the Care Coordinator promotes awareness of the services of the LHIN and acts as an entry point to the community health care system. In the event of ineligible patients, the Care Coordinator also identifies/determines alternative sources of assistance.
Variable hours including rotating days, evenings, weekends and statutory holidays. Scheduled hours and days require flexibility in order to meet the needs of the Central LHIN and its patients. Initial area and/or schedule may change in order to facilitate the needs of the Central LHIN in accordance with the Collective Agreement.
As per collective agreement.
Degree in Nursing (BScN) preferred.
Current registration with the appropriate regulating college.
Two years’ experience in care coordination, or advocacy and discharge planning with long term care placements in a healthcare setting.
Experience working with ALC (Alternative Level of Care) patients discharged to long term care placements.
A keen understanding and one (1) year of experience with the LTC placement process including completion of the interRAI-HC (Resident Assessment Instrument), capacity evaluation and behavioural assessment tool.
Knowledge of community and government resources and relevant legislation.
Excellent assessment, negotiation and problem solving skills.
Excellent interpersonal, communication, organization and time management skills.
Bilingualism (English/French) considered an asset.
Excellent team player who is capable of working both independently and interdependently.
Ability to build and maintain relationships with hospital staff and manage conflicting priorities.
Must be able to practice in a culturally sensitive manner.
Ability to work in a fast-paced, physically demanding hospital environment.
Ability to wear protective masks as required.
Accurate and efficient keyboarding skills and ability to use a mouse.
Regular attendance at work is required.