As a Care Coordinator, you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners.

Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centered care – and be supported by our collaborative team that includes over 8,000 regulated health care and other professionals.

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.

Primary Responsibilities

Completes comprehensive patient assessments using a validated assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs

Assesses the patient’s and caregiver’s understanding of, and learning needs related to diagnosis, treatment, available resources, illness adjustment, and coping mechanisms

Assists patient and caregiver in setting appropriate goals (individual, joint, short or long term)

Collaborates with patient, caregiver and the care team to develop an individualized care and service plan reflective of the patient’s identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomes

Coordinates the delivery of Home and community care services to patients and their caregivers

Coordinates vendor and resource utilization involving medical equipment, supplies and services

Facilitates understanding and cooperation among members of the patient’s multidisciplinary healthcare team; communicates with members of the patient’s health care team to maximize patient outcomes

Initiates and authorizes the implementation of the care plan through contracted providers

Provides regular reports to Physicians, service providers, patients, caregivers and other authorized parties as required





Case documentation in accordance with Ontario Health atHome Champlain policies

Team/Department: Central Ottawa Civic

FTE: 1.0

Length of Temporary Assignment: January 29, 2027

Starting Salary: $44.480 to $47.517

Affiliation: ONA

Reporting to: Manager, Patient Services

Office Location: Labelle

Required Qualifications

Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; or

Degree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; or

Degree or diploma in Occupational Therapy and registered with the College of Occupational Therapy of Ontario; or

Degree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; or

Degree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; or

Degree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario.

Related professional experience (community based experience preferred) which is normally attained over a period of two years

Preferred Qualifications

Works with diverse patient groups with varying levels of comprehension and language capability

Manages difficult conversations/situations such as advance care planning and goals of care in a healthy and effective manner

Works effectively in both a team setting and independently as required

Verbal and written communication skills to establish working relationships and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare community





Listening and facilitation skills to work with patients and their caregivers

Diplomacy in dealing with sensitive and/or confidential issues

Relationship building skills to develop and maintain health and community stakeholder partnerships.

Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Outlook, etc.)

A valid driver’s license and access to a vehicle is required

Vulnerable Sector Check completed within the last six months

Hours of Work
Mon - Fri : 8:30 am to 4:40 pm

Benefits

Attractive comprehensive compensation packages and benefits

Valuable development opportunities

Membership in a world class defined benefit pension plan

Salary: $44.480 to $47.517

Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.

All applications will be reviewed; however, only those selected for an interview will be contacted. Ontario Health atHome Champlain welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in any aspects of the selection process.

Ontario Health atHome has implemented a mandatory vaccination policy across the province that requires all staff to be fully vaccinated against COVID-19. Applicants being considered for employment will be required to provide proof of vaccination documentation confidentially to Human Resources upon hire. Any medical or human rights exemption requests will be reviewed and validated prior to an offer of employment.

This job posting is for an existing vacancy.

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📌 Care Coordinator, Temporary Full Time, Central Ottawa General, Labelle (Quebec City)
🏢 Ontario Health atHome
📍 Quebec City