Neighbourhood Model of Care Coordinator

Access Better Living Inc.; Timmins; On-site; CAD 50,000 - 65,000; Full time

Job summary

Access Better Living Inc. seeks a compassionate Neighbourhood Model of Care Coordinator to manage health support for seniors. This role involves health assessments, support service navigation, and promoting wellness initiatives within the community. Ideal candidates possess relevant social services education and experience in community health, making a meaningful impact in clients' lives.

Qualifications

• 2+ years’ experience working with older adults.
• Knowledge of social determinants of health.
• Proficiency in crisis response situations.

Responsibilities

• Conduct health assessments and support service navigation.
• Promote community wellness and personal support services.
• Collaborate with care teams to ensure client outcomes.

Skills

Communication

Organizational skills

Interpersonal skills

Crisis response

Education

Diploma or degree in social services

Education in community health or gerontology

Tools

Electronic health records

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

The NMCCoordinator, as a key member of the Lead Health Provider team responsible forsupporting community members with health system navigation and coordination ofsupports addressing holistic care needs, while promoting independence andincreasing client ability to self-manage care.

We are seeking a compassionate andorganized Neighbourhood Model of Care NMC Coordinator to lead and coordinatecare and community support for seniors living in an designated building. Thisrole supports early intervention, risk mitigation, and service navigation,acting as a consistent, trusted point of contact for clients, families, andservice providers.

KeyResponsibilities:

• Conduct health assessments todetermine identified community member needs.

· Provideinformation and support referrals to external community resources.

· Onboardcommunity members who qualify for NMC personal support services and monitortheir changing health needs.

· PromoteNMC personal support services and link with community services to presentphysical, mental and financial literacy programs encourage community members totake an active role in their health and wellness needs

• Provide tailoredperson-centered support for community members including systemsnavigation, care coordination, communication, and collaboration with thecommunity member’s circle of care to ensure best outcomes for wellness.
• Highly organized and excels atkeeping client files and information accurate, complete, and confidential.
• Research, identify, implement, and promote wellnessinitiatives that support a healthy, resilient, and engaged community.
• Participate in monthly meetings with the NENeighbourhood Model of Care Team.
• Participate in a monthly structured meeting with OntarioHealth at Home and the Housing Provider to review and develop communitywellness events and collaborate in ethical problem-solving involvingsituations of concern.
• Contributeto the planning, monitoring, review and evaluating of Neighbourhood Modelof Care programs/services for continuous quality improvement.

Qualifications:

• Diploma or degree in socialservices, community health, gerontology, or related field
• 2+ years’ experience workingwith older adults or vulnerable populations in a community setting
• Knowledge of the socialdeterminants of health, seniors’ wellness, and community care systems
• Excellent communication,interpersonal, and organizational skills
• Ability to work independentlyand respond effectively in crisis situations
• Proficiency with electronichealth records and mobile documentation tools, good working of knowledgeof Excel, Word and Outlook
• Valid driver’s license and Useof own personal Vehicle with two (2) million dollar liability Insurance.

Assets:

• Experience with seniors livingin congregate housing or independent living settings
• Knowledge of local health andsocial service networks
• Multilingual abilities andcultural competency are strong assets

Why Join Us?

At Access Better Living Inc., we believein empowering people to age in place with dignity, choice, and connection. As aNeighbourhood Model Coordinator, you will be part of a dynamic team that valuesinnovation, community partnership, and person-centred care.

To Apply:

Submit your resume and cover letter byFriday July 11, 2025 4:00pm to [e-mail] or in person to 690 Riverpark Road,Timmins Ontario Unit 503

C/o Chiejine Dibia – Personnel ManagerAccess Better Living Inc.

Please reference Neighbourhood Model ofCare NMC Coordinator – in your application.

We welcome applications from candidatesof all backgrounds and are committed to creating an inclusive workplace.

690 Riverpark Rd 690 Riverpark Rd, Timmins, ON P4P 1B4, Canada

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