Nurse Coordinator - Southlake@Home, Temporary Full Time

Southlake Health; Newmarket; Hybrid; CAD 114,000 - 145,000; Full time

Benefits offered by this job

Hybrid work

HOOPP pension plan

On-site gym memberships

Wellness programs

Job summary

Southlake Health is seeking a Nurse Coordinator to lead the Southlake@home transitions. You will coordinate care, liaise with patients, families and providers, and ensure safe hospital-to-home transitions.

Reporting to the Manager, Community Programs, you will support discharge planning, referrals and ongoing program evaluation in a fast-paced environment across hospital and community settings.

Qualifications

• Bachelor of Science in Nursing (BScN) or equivalent.
• Registered with the appropriate college in good standing.
• Experience coordinating care, advocating for patients and discharge planning.

Responsibilities

• Coordinate discharge planning and transitions from hospital to home.
• Liaise daily with community providers and problem-solve collaboratively.
• Monitor patient progress and escalate as needed with care teams.

Skills

Care coordination

Discharge planning

Communication

Bilingual English/French

Education

BScN

Current registration with professional college

Job description

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

Why Join Our Team?

A people-first workplace environment that prioritizes belonging, wellness, and psychological safety. Hybrid, virtual, and in-person working environment (where applicable). Progressive health and dental benefit plans. HOOPP pension plan with employer and employee premium sharing. Enhanced wellness initiatives, including virtual fitness classes and on-site gym memberships.

About The Role

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.

What You Bring

• Degree in a regulated health profession (BScN) and relevant LHIN experience.
• Current registration with the appropriate regulating college
• Two years’ experience in care coordination, advocacy and discharge planning in a healthcare setting.
• Knowledge of community and government resources and relevant legislation.
• Excellent assessment, negotiation and problem-solving skills.
• Excellent interpersonal, communication, organization and time management skills.
• Bilingualism (English/French) is considered an asset.
• Excellent team player who is capable of working both independently and interdependently.
• Ability to build and maintain relationships with hospital staff and manage conflicting priorities.
• Must be able to practice in a culturally sensitive manner.
• Ability to work in a fast-paced, physically demanding hospital environment.
• Ability to wear protective masks as required.
• Accurate and efficient keyboarding skills and ability to use a mouse.
• Regular attendance at work is required
• Demonstrated excellence in communication, both written and verbal
• Demonstrated problem assessment skills
• Demonstrated commitment to customer service and teamwork
• Demonstrated individual leadership skills

What You’ll Be Doing

• 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.
• Regular and reliable attendance is an expected requirement of this position.

Accommodation and Selection Process

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 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.

Use of Artificial Intelligence (AI)

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.

Health & Safety Workplace Responsibilities

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.

Anti-Oppression/Anti-Racism at Southlake Health

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.

Company Recognition

We’re proud to be recognized as one of Greater Toronto’s Top Employers for 2026, one of Canada’s Most Admired Corporate Cultures for 2025, and one of the World’s Best Hospitals for seven years in a row – recognitions that reflect the strength of our people and our workplace culture. For over 100 years, Southlake Health has been dedicated to building healthy communities through innovative care. While many things have changed over the years, our unwavering pride in our people, place, and performance has stood the test of time. With a passionate family of 6,000 medical professionals, staff, volunteers, and students, we work together every day to deliver exceptional care close to home. We are here for everyone who walks through our doors, no matter where they are in their life journey. Our commitment extends beyond our walls, reaching every community we serve. Driven by our heartfelt dedication, we believe that everyone deserves the best care and the best experience. As we look to the future, our vision remains clear: to grow alongside our communities. This vision is anchored in our commitment to put people first—pushing boundaries and embracing the latest medical advancements while ensuring we meet individuals where they are in life. Every innovation, treatment technique, and interaction is centered on our desire to provide the leading-edge care that patients expect and deserve.