Care Coordination Lead, Community Health

UNAVAILABLE; Toronto; On-site; CAD 58,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits

Professional development opportunities

Defined benefit pension

Job summary

Ontario Health atHome is seeking a Care Coordinator (RN, PT, OT or RSW) to assess patient needs and determine eligibility for services. You will connect patients with community resources, coordinate care plans, and collaborate with a multidisciplinary team to deliver patient-centered care across office, community or facility settings.

Responsibilities include linking patients to providers, monitoring care delivery, and maintaining accurate documentation.

Qualifications

• Membership, in good standing, with the applicable regulatory body (RN/Physiotherapist/OT/RSW).
• 2+ years of recent experience in community health or related field.
• Knowledge of the health care delivery system and community resources.
• Excellent interpersonal, communication, assessment, problem-solving and decision-making skills.
• Effective time management, prioritization and organizational skills; ability to work independently and in a multidisciplinary team.
• Ability to complete required documentation and forms accurately.
• Valid driver’s license and access to a reliable vehicle.
• Proficient in a Windows environment.
• COVID-19 vaccination status as required by policy.

Responsibilities

• Assess care needs, determine eligibility for services, and develop care/service plans with patients and families.
• Link patients to service providers and coordinate care plan delivery.
• Establish and maintain a helping relationship with patients and families.
• Balance patient needs with available resources, respecting values and preferences.

Skills

Interpersonal skills

Communication skills

Assessment skills

Problem-solving

Decision-making

Time management

Organizational skills

Tools

Windows OS

Job description

Ontario Health atHome is seeking a Care Coordinator (RN, PT, OT or RSW) to assess patient needs and determine eligibility for services. You will connect patients with community resources, coordinate care plans, and collaborate with a multidisciplinary team to deliver patient-centered care across office, community or facility settings.

Responsibilities include linking patients to providers, monitoring care delivery, and maintaining accurate documentation.