Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietitian, or speech language pathologist seeking a rewarding careers that cares for others, in a skilled practics that cares for you? Under the general direction of the Manager,Patient Services, the Care Coordinator is responsible for managing a caseload of diverse patients who are living and/or dealing with a variety of health concerns.

The Care

Coordinator, through phone conversations, assesses the patient’s care needs and develops, implements, and updates (as required) a care plan that is informed by the patient’s health and psychosocial needs

- He/she also determines eligibility for and arranges for Ontario Health atHome Champlain-approved health care services and refers patients and caregivers to other community resources and programs. As a member of the Intake Care Team, the Care Coordinator will be responsible for assessing and developing individual patient care plans over the phone for service provision. Based on patient needs the Care Coordinator will utilize a multi-disciplinary team approach to achieve optimal health outcomes. This is an in office, non-visiting role where referrals are prioritized based on the complexity, urgency and needs of each patient while adhering to Ontario Health atHome Champlain guidelines for care and services. 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
- 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 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 Case documentation in accordance with Ontario Health atHome Champlain policies A rotating shift schedule comprised of eight-hour shifts with various start times between the hours of 8am and 8pm, seven days/week for a total of 70-hours biweekly Office Location: Degree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers
- Degree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario
- 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 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 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 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.) Fluency in English and French is required. Membership in a world class defined benefit pension plan We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centered care. If you’re interested in driving excellence in care and service delivery and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home. 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. Accommodations for persons with disabilities required during the recruitment process are available upon request.

📌 Bilingual Care Coordinator, Regular Full-Time, Intake: Labelle, Cornwall, Pembroke (Ottawa)
🏢 Ontario Health atHome
📍 Ottawa