Welcome page Returning Candidate? Log back in! Care Coordinator, Temporary Full-Time, Congregate Care Team West: Bells Corners Job ID 2025-10247 # Positions 1 Job Type Temporary (Full-Time) Career Level Experienced Years of Experience 2 Job Description CARE AND BE CARED FOR – THIS IS YOUR HOME

 

Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker (MSW), dietitian, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.

 

As a Care Coordinator, you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners. 

 

Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centred care – and be supported by our collaborative team that includes over 9,000 regulated health care and other professionals.

 

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.

What will you do?

Under the general direction of the Manager, Home and Community Care, the Care Coordinator acts as a single point of contact to improve collaboration and communication in congregate settings, including retirement homes.  The Care Coordinator, through home visits and phone conversations, assesses the patient’s care needs and develops, implements, and updates (as required) a care plan that is informed by the patient’s health and psychosocial needs; and, where possible, accommodates patient and caregiver wishes. He/she also determines eligibility for and arranges for Ontario Health atHome-approved health care services and refers patients and caregivers to other community resources and programs.

 

As a member of the Congregate Care Team, the Care Coordinator plays an integral role in Retirement Homes or Aging in Place buildings. Care Coordinators partner closely with patients, families, caregivers, service providers and other community health and social service providers to support patients in their home environment.  The Care Coordinator regularly participates and provides guidance in meetings with key stakeholders involved at each site and fosters active direct engagement with patients and their care partners.

 

 

Primary Responsibilities:

Completes comprehensive patient assessments using a validated assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needsAssesses the patient’s and caregiver’s understanding of, and learning needs related to diagnosis, treatment, available resources, illness adjustment, and coping mechanismsAssists patient and caregiver in setting appropriate goals (individual, joint, short or long term)Collaborates with patient, caregiver and the care team to develop an individualized care and service plan reflective of the patient’s identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomesCoordinates the delivery of home and community care services to patients and their caregiversCoordinates vendor and resource utilization involving medical equipment, supplies and servicesFacilitates understanding and cooperation among members of the patient’s multidisciplinary healthcare team; communicates with members of the patient’s health care team to maximize patient outcomesInitiates and authorizes the implementation of the care plan through contracted providersProvides regular reports to Physicians, service providers, patients, caregivers and other authorized parties as requiredCase documentation in accordance with Ontario Health atHome Champlain policies

 

Team/Department: Congregate Care Team West

Hours of work: 8:30am-4:30pm – Monday to Friday

FTE: 1.0

Length of Temporary Assignment: August 8, 2025

Starting Salary: $44.480/hr to $47.517

Affiliation: OPSEU

Reporting to: Manager Patient Services

Office Location: Bells Corners 

Caseload Geography: Float Care Coordinator

 

What must you have?

Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; orDegree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; orDegree or diploma in Occupational Therapy and registered with the College of Occupational Therapy of Ontario; orDegree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; orDegree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; orDegree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario.Related professional experience (community based experience preferred) which is normally attained over a period of two yearsWe have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.

 

What would give you the edge?

Knowledge:

Knowledge of medical diagnoses and prognoses, symptom management, and cognitive/psychiatric disordersKnowledge of case management principles and best practicesKnowledgeable about resource availability, service costs, budgetary parametersKnowledge of relevant health care legislationKnowledge of care delivery in congregate settings

Skills and Abilities:

Works with diverse patient groups with varying levels of comprehension and language capabilityManages difficult conversations/situations such as advance care planning and goals of care in a healthy and effective mannerWorks effectively in both a team environment and independently as requiredVerbal and written communication skills to establish working relationships and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare communityListening and facilitation skills to work with patients and their caregiversDiplomacy in dealing with sensitive and/or confidential issuesRelationship building skills to develop and maintain health and community stakeholder partnerships.Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Outlook, etc.)A valid driver’s license and access to a vehicle is requiredVulnerable Sector Check completed within the last six months

 

Hours of Work

Monday to Friday – 8:30am to 4:30pm (35hrs/week)

 

We offer flexible work options, this position will have a hybrid model of work with a combination of in-office and telework.

 

What do we offer? 

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer: ​

Attractive comprehensive compensation packages and benefits​Valuable development opportunities​Membership in a world class defined benefit pension plan​Who are we?

We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.

Why join us?

If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.

Equity, Inclusion, Diversity and Anti-Racism Commitment

Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.

We thank all applicants for their interest; however, only those selected for an interview will be contacted.

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