Care Coordinator, Bilingual, Regular Full Time, Intake: Labelle, Cornwall, Pembroke

Local Health Integration Networks; Cornwall, Eastern Ontario; Hybrid; CAD 44,000 - 48,000; Full time

Job summary

A leading healthcare organization is seeking a Bilingual Care Coordinator to manage patient care needs and referrals. This role involves assessing patient requirements, developing care plans, and coordinating services, all while being part of a supportive team focused on patient-centered care. The ideal candidate will have a background in nursing or related health fields and demonstrate strong communication and relationship-building skills.

Benefits

Competitive compensation and benefits

Development opportunities

Membership in a defined benefit pension plan

Qualifications

• Registered Nurse with registration in Ontario.
• Degree or diploma in relevant health fields with registration.
• Over two years of related professional experience, preferably community-based.

Responsibilities

• Assess patient needs and develop individualized care plans.
• Coordinate delivery of home and community care services.
• Complete comprehensive patient assessments using validated tools.

Skills

Communication

Facilitation

Relationship-building

Independence

Teamwork

Education

Registered Nurse (BScN or diploma)

Degree or diploma in Physiotherapy, Occupational Therapy, Social Work, Speech Therapy, or Dietetics

Tools

Microsoft Office

Job description

Job Description

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

As a Bilingual 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 healthcare practitioners.

Whether you work in our office, in the community, or a healthcare facility – you will play a lead role in providing connected, accessible, patient-centered care – and be supported by our collaborative team that includes over 8,000 regulated healthcare 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 is responsible for managing a caseload of diverse patients with various health concerns. The Care Coordinator will assess patient needs via phone, develop, implement, and update care plans based on health and psychosocial needs, and accommodate patient and caregiver wishes where possible. They will also determine eligibility for Ontario Health atHome Champlain-approved services and refer patients to community resources.

As part of the Intake Care Team, the Care Coordinator will assess and develop individual care plans over the phone, utilizing a multidisciplinary approach to achieve health outcomes. This is an in-office, non-visiting role where referrals are prioritized based on complexity, urgency, and needs, following Ontario Health guidelines.

Primary Responsibilities:

• Complete comprehensive patient assessments using validated tools, considering clinical, physical, psychosocial, and caregiver needs.
• Assess understanding and learning needs related to diagnosis, treatment, resources, and coping mechanisms.
• Assist patients and caregivers in setting goals and developing individualized care plans.
• Coordinate delivery of home and community care services.
• Manage vendor and resource utilization for medical equipment, supplies, and services.
• Facilitate communication among the healthcare team to maximize patient outcomes.
• Implement care plans through contracted providers.
• Provide regular reports to physicians, service providers, patients, and caregivers.
• Document case details per Ontario Health policies.

Team/Department: Intake

Hours of work: Rotating shifts of 8 or 12 hours, between 8 am and 8 pm, 7 days/week, totaling 70 hours biweekly (Note: 12-hour shifts until June 7, 2025).

FTE: 1.0

Starting Salary: $44,480 to $47,517

Affiliation: OPSEU

Reporting to: Manager, Patient Services

Office Locations: Cornwall, LaBelle, Pembroke

Must Have:

• Registered Nurse (BScN or diploma) with registration in Ontario.
• Degree or diploma in Physiotherapy, Occupational Therapy, Social Work, Speech Therapy, or Dietetics with registration in respective colleges.
• Related professional experience, preferably community-based, typically over two years.

Preferred Skills:

• Experience working with diverse patient groups and managing sensitive conversations.
• Ability to work independently and in teams.
• Excellent communication, facilitation, diplomacy, and relationship-building skills.
• Proficiency in computer software and Microsoft Office.
• Valid driver’s license and access to a vehicle.
• Fluency in English and French.
• Recent Vulnerable Sector Check.

Additional Information:

Flexible work options, hybrid in-office and telework model.

What We Offer:

• Competitive compensation and benefits.
• Development opportunities.
• Membership in a defined benefit pension plan.

Who We Are:

Ontario Health atHome is committed to equitable, inclusive, and diverse service delivery, partnering with various healthcare entities to provide patient-centered care across Ontario.

Why Join Us?

If you are passionate about delivering excellent care and seeking growth and connection opportunities, join us.

Our Commitment: We promote equity, inclusion, diversity, and anti-racism. Accommodations are available upon request. All applicants will be reviewed, and only those selected for interviews will be contacted. A mandatory COVID-19 vaccination policy is in place, with accommodations for exemptions.