Halton@Home Patient Care Navigator

Halton Healthcare; Oakville; In loco; CAD 65.000 - 84.000; Tempo pieno

Descrizione del lavoro

Halton Healthcare in Ontario seeks a Halton@Home Patient Care Navigator to support complex health and social needs as patients transition from hospital to home. Work with an interdisciplinary team to ensure timely discharges and appropriate supports for recovery.

You will coordinate transitions, develop personalized plans, advocate for patients, and collaborate with community providers to enhance program outcomes and community resources.

Competenze

• Bachelor’s degree in a Health Discipline is required.
• Masters degree in a Health Discipline is preferred.
• Current membership in good standing with a regulatory health professional body in Ontario.

Mansioni

• Coordinate transitions from hospital to home.
• Create patient-centered care plans with the care team.
• Advocate for patients with community service providers.
• Contribute to program growth through feedback and collaboration.
• Collaborate with community organizations to ensure coordinated care.

Conoscenze

Communication skills

Leadership

Time management

Interdisciplinary teamwork

Patient-centered care

Formazione

Bachelor's degree in health discipline

Master's degree in health discipline

Regulatory health professional body in Ontario

Strumenti

EMR systems (Meditech)

EMR CHRIS

Microsoft 365 (Outlook, Excel, Word)

Descrizione del lavoro

• Shift Schedule (Hours are subject to change based on operational needs): Monday to Sunday - Various rotating 8 and 12 hours shifts
• Employment Status: Temporary Full-time
• Department: OT Home Case Mgmt
• Length of temporary contract: Approx. 6 months
• Site Location: Multi-Site (Oakville, Milton, Georgetown)

Company Description

Halton Healthcare’s vision of Exemplary patient experiences, always, goes beyond just the patient experience; it has shaped our entire culture and remains at the core of every interaction in our organization, from our patients & families to our staff, physicians and volunteers. We believe in exemplary PEOPLE experiences always!

At Halton Healthcare you will thrive in a healthcare culture and environment that embraces inclusion, diversity and belonging with ‘exemplary patient care, always’ at the heart of everything we do.

We empower our people to be the very best they can be so they can make a difference for our patients and the communities we serve.

Halton Healthcaretakes great pride in providing quality, compassionate healthcare services to our rapidly growing communities. As a progressive and vibrant healthcare organization, we arecommitted to being an innovative center of excellence in community hospital care.

Job Description

Be a key part of the Community Integration and Primary Health Care Program by helping patients with complex health and social needs transition seamlessly from hospital to home. As a Halton@Home Patient Care Navigator, you’ll collaborate with an interdisciplinary team, provide compassionate care, and ensure that patients receive the right support at the right time. Your work will directly impact patient outcomes, reduce hospital readmissions, and contribute to a strong, community-focused health care system.

What You’ll Do:

• Coordinate Transitions to Home: Identify and assess patients eligible for the Halton@Home Program, ensuring timely discharge and smooth transitions from hospital to community care.
• Create Patient-Centered Care Plans: Develop, implement, and monitor personalized care plans in collaboration with patients, families, and our dedicated health care team. Recommend and facilitate the multi-disciplinary supports needed to meet the patient's needs in the community.
• Advocate for Patients: Act as a liaison between patients, families, and community service providers, ensuring they have the resources and support needed for a successful recovery at home. Monitor service delivery andfollow up after discharge to identify and address opportunities.
• Contribute to Program Growth: Share your insights and ideas to help evolve the Halton@Home Program, improving patient care and community resources through continuous feedback and collaboration.
• Collaborate Across the Community: Build strong relationships with community organizations, primary care providers, and home care services to ensure a coordinated, patient-focused approach to care.

Qualifications

Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.

Professional Registration:

• Bachelors degree in a Health Discipline is required
• Masters degree in a Health Discipline is preferred
• Current membership in good standing with a regulatory health professional body in Ontario

Work Experience:

• 2–5 years of recent work experience in a hospital setting, with liaison experience in community health settings.
• 3 years of recent related experience in Emergency Department (ED), acute care, post acute care, discharge planning, and/or community health care settings.
• Experience in performing case management or care navigation functions, particularly in acute, post acute, and community settings.
• Demonstrated knowledge and expertise related to a variety of health, functional and social challenges, particularly in areas such as geriatrics, chronic disease management, complex family systems, and the care of the frail elderly.
• Evidence of program design and resource development skills, including knowledge of evaluation methodologies.

Knowledge and Competencies:

• Comprehensive knowledge of community resources and health care delivery systems across acute and community settings.
• Demonstrated ability to respond to patients with flexibility, adaptability, and a commitment to patient-centered, holistic care.
• Strong understanding of collaborative practices, including building relationshipsinternally and with community partners.

Skills and Attributes:

• Demonstrated ability to work independently and collaboratively with interdisciplinary teams, family members, support networks, and a variety of formal and informal service providers.
• Strong leadership skills, including problem-solving, critical thinking, conflict resolution, and negotiation abilities.
• Excellent interpersonal, communication, organizational, and decision-making skills.
• Exceptional time management and stress management skills.
• Comfortable working in an evolving program with changing responsibilities over time.
• Fluency in English (verbal and written).

Technical Skills:

• Proficiency in electronic medical record (EMR) systems; experience with Meditech and CHRIS (preferred).
• Computer literacy and proficiency required. This includes, but is not limited to proficiency with Microsoft 365 applications (eg Outlook, Excel, Word, Powerpoint, Sharepoint, OneDrive, etc).

Other Requirements:

Additional Information

Location: Tri-Site, travel will be required

Hours:Monday - Sunday, Various rotating 8 and 12 hours shifts (Hours subject to change based on operational requirements)

Salary:$47.039 to $60.979 per hour

Date Posted: November 5, 2026

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Halton Healthcare is an equal opportunity employer who is committed to integrating diversity, equity and inclusion throughout our operations, policies and culture. If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you.

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Halton Healthcare is committed to providingaccommodations for applicants with disabilities. In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.

The Ontario Public Hospitals Actmandates that hospitals establish health surveillance programs for all individuals working within the hospital.This regulation requires proof of immunity for certain diseases and as a result, Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health, Safety & Wellness team, prior to their start date, as a condition of employment. This includes demonstrating compliance with Halton Healthcare’s Immunization Policies.

All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare. Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.

All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.