Community Health and Wellness, Wellbeing Contract (12 months) JOB SUMMARY: Reports to and works under the direction and supervision of the Manager- Seniors Support Hub, Department of Well-Being, Six Nations Elected Council, which includes matters pertaining to the policies and procedures of Six Nations Elected Council. PURPOSE & SCOPE OF THE POSITION: The First Link Care Navigator will coordinate and integrate supports and services for persons living with dementia and their care partners. In this direct client service role, they will be the key “go-to” person for families after a dementia diagnosis, with responsibility for identifying needs, supporting self-management goals, and strengthening the communication and care planning linkages between providers and across sectors along the continuum of care. The First Link Care Navigator will strive to ensure that every person diagnosed with dementia and their care partners have timely access to information, learning opportunities and support when and where they need it in order to achieve the following outcomes: increase system capacity to provide families facing a dementia diagnosis with system navigation support work to improve client experience for the person living with dementia and their care partner(s) greater care partner capacity and competency to effectively manage their role and reduce incidence of crisis situations enhanced capacity for the person living with dementia to remain in their own home and community for as long as possible Type Contract (12 Months) Closing Date October 1 2026 Hours of Work 35 hrs./week Wage $34.73/hr *A competitive compensation package will be offered commensurate with qualifications. * BASIC QUALIFICATIONS: Minimum Bachelor degree in social work, gerontology, nursing or other related health care discipline. Registered health professional designation. Master’s level education preferred. 3 to 5 years client service experience in the health and/or social service sectors First Link Care Navigator – Contract – 178-26-4 c/o Reception Desk Grand River Employment & Training (GREAT) POSITION DESCRIPTION – Department of Well-Being POSITION TITLE: First Link Care Navigator Based out of Six Nations of the Grand River Territory REPORTING RELATIONSHIP: Reports to and works under the direction and supervision of the Manager- Seniors Support Hub, Department of Well-Being, Six Nations Elected Council, which includes matters pertaining to the policies and procedures of Six Nations Elected Council. PURPOSE & SCOPE OF THE POSITION: The First Link Care Navigator will coordinate and integrate supports and services for persons living with dementia and their care partners.



In this direct client service role, they will be the key “go-to” person for families after a dementia diagnosis, with responsibility for identifying needs, supporting self-management goals, and strengthening the communication and care planning linkages between providers and across sectors along the continuum of care. The First Link Care Navigator will strive to ensure that every person diagnosed with dementia and their care partners have timely access to information, learning opportunities and support when and where they need it in order to achieve the following outcomes: increase system capacity to provide families facing a dementia diagnosis with system navigation support work to improve client experience for the person living with dementia and their care partner(s) greater care partner capacity and competency to effectively manage their role and reduce incidence of crisis situations enhanced capacity for the person living with dementia to remain in their own home and community for as long as possible KEY DUTIES & RESPONSIBILITIES: Technical Functions: Support clients in navigating the system to access appropriate learning opportunities, support services, care and resources as identified in their individualized plan of service Pro-actively facilitate linkages, communication, information exchange and coordination between clients and service providers along the continuum of care Facilitate regular and ongoing care conferences between clients and care partners and all members of client and care partner care team. This may include in-person meetings and use of a range of technology options and/or accommodations, including language translation services, video conferencing, etc. In collaboration with internal and external parties, engage in problem solving and develop strategies to address/overcome barriers in effective coordination and integration of supports and services Leverage and maintain positive working relationships with physicians, health care professionals, health and community support service providers (e.G. hospitals, primary care, mental health, BSO, long-term care, retirement homes, police/EMS, specialized geriatrics, community Health Links),



and other relevant partners through proactive outreach activities Support awareness of First Link to health professionals, service providers and other relevant community stakeholders in collaboration with internal and external partners Participate in internal and external committees on an ad hoc basis Communications Functions: Proactively manage incoming First Link referrals to facilitate early intervention and ensure that clients living with dementia and their care partners have a named point of contact for care navigation support as early as possible before and/or after diagnosis Gather information, conduct or review relevant assessments, and meet with clients to identify current and future needs, goals and level of risk. Establish appropriate intervention plans to meet bio/psycho/social needs using a person or family-centred approach Identify needs related to care coordination across service providers and outline responsibilities of all parties Monitor and provide proactive follow-up for clients and care partners to ensure ongoing collaboration across services/providers and to identify opportunities for new or emerging care options to meet changing needs and to address service/support gaps Provide supports to clients and care partners as they transition through use of different parts of the health, social and residential care systems Administrative Functions : Collect, maintain and report required quantitative and qualitative data to support province-wide monitoring, evaluation and reporting In collaboration with the Alzheimer Society of Ontario and LHINs, participate in planning and implementation of evaluation to examine the overall effectiveness of First Link referral, intake, navigation, care coordination, and proactive follow-up functions, to ensure a timely response to emerging needs Maintain confidential, accurate and current client records, including complete and thorough documentation for each client contact, in compliance with relevant privacy legislation and in accordance with professional standards and internal policies Ensure that client consents, privacy, and confidentiality are maintained in compliance with legislation, qualified standards/regulations and internal policies Maintain an advanced level of knowledge of Alzheimer’s disease and other dementias, including clinical manifestations, behaviours, current care practices, treatment options, placement options, available community resources, and all relevant legislation Assist with the development and maintenance of policies, procedures and resources to support First Link referrals, intake, system navigation, care coordination, and follow-up activities Participate in knowledge

📌 178-26-4 First Link Care Navigator (Ohsweken)
🏢 Six Nations Of The Grand River
📍 Ohsweken