Indigenous Care Transitions Navigator

Kingston General Hospital Inc.; Kingston; On-site; CAD 65,000 - 90,000; Full time

Job summary

Kingston Health Sciences Centre is seeking an Indigenous Transitions Facilitator to support Indigenous patients and families in navigating health and social services and accessing culturally safer care.

The role works across hospital and community settings to reduce barriers to care, promote equity, and connect patients with wraparound supports addressing physical, emotional, mental, social, cultural, and spiritual needs.

Qualifications

• Post-secondary diploma or degree in nursing, social work, or a related health discipline that meets registration requirements.
• Current registration in good standing with the applicable Ontario regulatory college.
• Minimum three (3) years of recent clinical experience in a healthcare setting.
• Lived Indigenous experience is required, with understanding Indigenous cultures and barriers to care.
• Strong clinical assessment, critical thinking, problem-solving, and decision-making skills.

Responsibilities

• Respond to referrals and serve as a key contact for Indigenous patients during discharge planning and care transitions.
• Coordinate services across hospital and community care pathways.
• Develop discharge plans with patients and families, including caregiver education and support needs.
• Support medication reconciliation and explain medications and follow-up care.
• Assess eligibility for home care and coordinate with Indigenous health services and NIHB.

Skills

Communication

Advocacy

Cultural safety

Interdisciplinary collaboration

Care coordination

Education

Post-secondary diploma or degree in nursing, social work, or a related health discipline

Tools

Electronic Health Records (EHR)

Clinical documentation systems

Job description

Kingston Health Sciences Centre is seeking an Indigenous Transitions Facilitator to support Indigenous patients and families in navigating health and social services and accessing culturally safer care.

The role works across hospital and community settings to reduce barriers to care, promote equity, and connect patients with wraparound supports addressing physical, emotional, mental, social, cultural, and spiritual needs.