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Southlake Health is seeking a Nurse Coordinator to lead coordination, delivery, and ongoing management of the Southlake@home programs. You will work with patients, families, physicians, and community providers to assess eligibility, coordinate discharge planning, and ensure safe transitions from hospital to home.
This role emphasizes integrated, population-health focused care, with a focus on reducing hospital days and ALD pressures through effective transitions and collaboration with OH@home
Job Category: Nursing
Hospital Location: Newmarket ON
Job Type: Temporary (Fixed Term), Full time
Number of Positions: 1
Union: ONA RN
Minimum - Maximum Hourly Rate: $55.03 - $69.81
Reporting to the Manager, Community Programs, the Nurse Coordinator plays a key role in the coordination, delivery, and ongoing management of Southlake Health’s established Southlake@home programs. Working collaboratively with patients, families, caregivers, physicians, interprofessional hospital teams, Ontario Health @Home (OH@home), and contracted community service providers, the Nurse Coordinator identifies and assesses eligible patients and facilitates safe, timely transitions from hospital to home.
The Nurse Coordinator serves as a central point of contact between the hospital, patients, families, and community care partners, ensuring seamless communication, coordinated care planning, and continuity of services throughout the patient’s participation in Southlake@home. The role supports multiple specialized hospital-to-home pathways, providing individualized, patient- and family‑centred care that responds to increasingly complex clinical and functional needs.
The Nurse Coordinator is responsible for facilitating referrals, assessing program eligibility, coordinating discharge planning, confirming appropriate community services and equipment, and monitoring patient progress in collaboration with contracted service providers. When a patient’s clinical or functional needs change, the Nurse Coordinator works with the appropriate healthcare professionals to reassess care requirements, facilitate timely escalation when indicated, and coordinate transitions to alternative services, including OH@home, where ongoing support is required.
As an integral member of Community Programs, the Nurse Coordinator supports patient flow, reduces avoidable hospital days and Alternate Level of Care (ALC) pressures, and promotes safe, effective care in the home. The position contributes to quality improvement, program evaluation, and the continued expansion of Southlake@home, supporting Southlake Health’s commitment to integrated, population health‑focused care and strengthening the connection between hospital and community services
This is a temporary 9 month contract.
The care coordinator will liaise with the community providers on a daily basis and participate in joint problem solving. Will provide case management to ensure the provider interventions are meeting the patient’s goals, to refer to CLHIN home care in matters related to Long term care applications where required and to facilitate the transitions to CLHIN home and community care program as required. Knowledge of Quality Improvement methodologies such as PDSA cycles is an asset. Prior knowledge and experience working on the implementation of new care/clinical pathways and or Best Practice Guidelines is an asset. Data collection may be required. Providing information on community resources and facilitating referrals to Community Support Services is a requirement of this role.
Southlake Health is fully committed to a culture of belonging and an inclusive environment that encourages every team member to lead within their role, generate innovative ideas that reinforce our mission and goal to create a healthy workplace where our community can thrive.
Regular and reliable attendance is an expected requirement of this position.
We are committed to a selection process and work environment that is inclusive and barrier‑free. Accommodation will be provided in accordance with the Ontario Human Rights Code. Applicants who may require accommodation during the selection process are encouraged to notify the Human Resources Department when contacted for an interview. The People, Culture and Experience team will work together with the hiring committee to arrange reasonable and appropriate accommodation for the selection process, which will enable you to be assessed fairly and equitably.
We prioritize a people‑first workplace culture which emphasizes equity and inclusion throughout our hiring process. To ensure fairness and transparency, all applications are reviewed and assessed by our dedicated team of recruiters and hiring managers, not by artificial intelligence (AI). We value the unique perspective each candidate brings to our organization.
It is the responsibility of all Southlake Health employees to work safely and promote health and safety in the workplace. Employees must adhere to the duties of workers, as stipulated in Section 28 of the OH&S Act, as well as all Southlake OH&S policies and procedures. Must be able to perform all necessary bona fide duties for the position, as outlined in the position guide. Must review and be capable of performing duties as outlined in the Job Demands Analysis for the position as a condition of offer. Proven ability to attend work regularly as per the Attendance Support Policy.
Southlake Health is fully dedicated to employment equity, diversity, and inclusion in our recruitment practices. We welcome candidates who identify with equity‑seeking groups, including women, racialized individuals, Indigenous Peoples, persons with disabilities, and those from the 2SLGBTQ+ community. Any information provided will be kept confidential and used appropriately in our recruitment process.
Southlake Health is committed to having a workforce that is reflective of the diversity of York Region and strongly encourages applications from all qualified individuals, and from those who can provide different perspectives and contribute to a further diversification of ideas.
Only candidates selected for an interview will be contacted. Thank you for your submission. We appreciate your interest in joining Southlake Health!