Clinical Lead, Acute Transitions and Care Coordination

St. Joseph; Hamilton; On-site; CAD 113,000 - 131,000; Full time

Job summary

St. Joseph Health System seeks an Acute Transition Coordinator to optimize patient movement across transition points, improving timeliness and safety of discharges and transfers. You will coordinate care teams, bed management, and support services to reduce delays and improve system performance.

The role requires a health-profession background, 3–5 years of leadership experience, and strong data analysis skills to monitor trends and drive continuous improvement in patient access and throughput.

Qualifications

• Undergraduate degree in related health profession (OT, BScN, PT, SW, SLP, RD, RRT) required.
• Master’s Degree in a related health discipline would be an asset.
• Minimum 3 to 5 years recent related management/leadership experience in a complex, data-driven, busy environment required.
• Demonstrated knowledge of Bed Utilization Management, Surge Triggers and hospital-wide patient flow process and best practice required.
• Demonstrated understanding of Ontario Health Repatriation and Interfacility Transfer guidelines and escalation protocols.

Responsibilities

• Coordinate real-time patient flow activities across acute care transition points, including ED admissions, inter-unit transfers, and discharge readiness.
• Act as central point of coordination between clinical teams, bed management, program leadership, support services, and external partners.
• Monitor and maintain visibility of patient readiness-to-move status, identifying barriers to transition and facilitating escalation and resolution of delays.
• Prepare updates and reports on patient flow activity, delays, and operational risks for leaders.

Skills

Leadership

Data analysis

Process improvement

Change management

Stakeholder collaboration

Throughput optimization

Problem-solving

Communication

Education

Undergraduate degree in related health profession

Master’s Degree in a related health discipline

Job description

Position DetailsJob Number:JR02342Department:Operational Command CenterJob Type:Temporary (Fixed Term), Full timeWork Environment:Contract Duration: (If applicable)12 monthsNumber of Positions:1Hourly Rate (Min / Max):$54.1605 - $62.7862ScheduleWork Days:Monday to FridayTime of Day:DaysShift:Hours - 8Shift Start: (If applicable)Reason for Posting:Posting is for a new roleApplication DatesOpening Date:2026-10-15Closing Date:2026-10-22Job DescriptionPosition SummaryThe Acute Transition Coordinator is a dedicated operational role designed to improve the timeliness and reliability of patient movement across key transition points in the acute care pathway, including Emergency Department to inpatient admission, unit ‑ to ‑ unit transfers, acute to post ‑ acute transfers and discharge readiness. This role focuses on real ‑ time coordination of patient flow activities by improving visibility of readiness ‑ to ‑ move status, supporting completion of required clinical and operational steps to ensure timely transition, and reducing delays related to discharge planning, bed assignment, and transfers. By acting as a central point of coordination between care teams, bed management, and support services, the Acute Transition Coordinator supports safer and timely care transitions, reduces avoidable wait time at transition points, and contributes to improved system performance on flow ‑ sensitive metrics aligned with Pay ‑ for ‑ Results priorities. The role is responsible for developing, implementing, monitoring, advocating and evaluating continuous improvement policies, processes and procedures related to patient flow and quality to ensure safe, accessible, effective care.ResponsibilitiesCoordinate real-time patient flow activities across acute care transition points, including Emergency Department admissions, inter-unit transfers, acute-to-post-acute transitions, and discharge readiness.Act as a central point of coordination between clinical teams, bed management, program leadership, support services, and external partners to support timely, safe, and effective patient transitions.Monitor and maintain visibility of patient readiness-to-move status, identifying barriers to transition and facilitating timely escalation and resolution of delays.Support completion of required clinical, operational, and discharge planning steps to reduce avoidable wait times and improve patient movement through the continuum of care.Collaborate with interdisciplinary teams to optimize bed utilization, support surge response, and promote alignment with hospital-wide patient flow priorities and best practices.Use data, flow metrics, and operational indicators to identify trends, monitor process performance, and support continuous improvement initiatives related to patient access, throughput, and transition efficiency.Participate in the development, implementation, monitoring, evaluation, and refinement of policies, processes, and procedures related to patient flow, bed management, and care transitions.Facilitate communication and problem-solving between units, programs, and support services to ensure timely follow-up on barriers impacting admissions, transfers, discharges, and repatriation processes.Support escalation processes related to bed utilization, surge triggers, repatriation, interfacility transfers, and other operational pressures in accordance with organizational and provincial guidelines.Promote a patient- and family-centred approach to transition planning by supporting timely communication, coordinated follow-up, and resolution of operational barriers affecting care progression.Build and maintain collaborative working relationships with internal and external stakeholders to support shared accountability for patient flow outcomes and system performance.Prepare and communicate updates, reports, and recommendations related to patient flow activity, transition delays, improvement opportunities, and operational risks to appropriate leaders and teams.QualificationsUndergraduate degree in related health profession (OT, BScN, PT, SW, SLP, RD, RRT) requiredMaster’s Degree in a related health discipline would be an assetMember in good standing with the Regulated Health Professional College and Provincial Professional Association required.Minimum 3 to 5 years recent related management/leadership experience in a complex, data-driven, busy environment required.Demonstrated experience in utilization, change management and continuous process improvement required.Demonstrated process improvement experience, including process redesign, waste reduction, and workplace reorganization.Demonstrated knowledge of Bed Utilization Management, Surge Triggers and hospital-wide patient flow process and best practice required.Demonstrated knowledge of the Ontario Health Repatriation and Interfacility Transfer guidelines and escalation protocols.Demonstrated understanding of bed management processes, utilization and the continuum of care required.Ability to listen engage collaborate negotiate facilitate and entertain creative solutions in order to enhance patient flow organizationally and mobilize teams to achieve throughputDemonstrated ability to compile and utilize complex data to analyze, monitor, communicate and maintain process improvements and patient flow required.Demonstrated understanding of infection control practices as related to bed management required.Demonstrated ability to coordinate multiple conflicting demands with frequent interruptions and emergencies required.Demonstrated ability to effectively build and maintain relationships as well as consistently collaborate with key stakeholders on a routine basis.Demonstrated excellent problem-solving and critical thinking skills required.A strong track record to excellent work performance and a reliable attendance record is required#SJHHjobsSt. Joseph’s Health System (SJHS) and its member organizations are equal opportunity employers and strives for equity, inclusiveness, and diversity in all programs, practices, facilities, and people. We foster a culture of patient and staff safety where all positions comply and work in conjunction with the Mission, Vision, and Core Values .We thank all applicants for their interest, however, only those selected for an interview will be contacted. SJHS and its member organizations are committed to a barrier-free recruitment and selection process - please inform us should accommodation be required at any point in the recruitment process ([e-mail]).