Community Health and Wellness, WellbeingContract (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 supportwork 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 situationsenhanced capacity for the person living with dementia to remain in their own home and community for as long as possibleTypeContract (12 Months)Closing DateOctober 1 2026Hours of Work35 hrs./weekWage$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 sectorsFirst Link Care Navigator – Contract – 178-26-4c/o Reception DeskGrand River Employment & Training (EXCELLENT)POSITION DESCRIPTION – Department of Well-BeingPOSITION TITLE: First Link Care NavigatorBased out of Six Nations of the Grand River TerritoryREPORTING 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 supportwork 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 situationsenhanced capacity for the person living with dementia to remain in their own home and community for as long as possibleKEY 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 servicePro-actively facilitate linkages, communication,



information exchange and coordination between clients and service providers along the continuum of careFacilitate 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 servicesLeverage 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 activitiesSupport awareness of First Link to health professionals, service providers and other relevant community stakeholders in collaboration with internal and external partnersParticipate in internal and external committees on an ad hoc basisCommunications 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 diagnosisGather 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 approachIdentify needs related to care coordination across service providers and outline responsibilities of all partiesMonitor 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 gapsProvide supports to clients and care partners as they transition through use of different parts of the health, social and residential care systemsAdministrative Functions:Collect, maintain and report required quantitative and qualitative data to support province-wide monitoring, evaluation and reportingIn 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 needsMaintain 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 policiesEnsure that client consents, privacy, and confidentiality are maintained in compliance with legislation, professional standards/regulations and internal policiesMaintain 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 legislationAssist with the development and maintenance of policies, procedures and resources to support First Link referrals, intake, system navigation, care coordination, and follow-up activitiesParticipate in knowledge transfer and exchange and collaborate with Alzheimer Societies across Ontario to support the delivery of best practices and ongoing quality improvementPerform other duties consistent with the job classification,



as requiredOther Functions:Performs related duties respective of educational qualifications and skill as may be required by ManagerProvides support for the Six Nations Emergency Measures Plan by ensuring awareness of the Emergency Measures Plan and assistance as instructed by the Director of Health ServicesIt is the responsibility of the employee to be aware of and adhere to all policies and procedures, including those that relate to client safety, staff safety and risk managementWORKING CONDITIONS:Work requires travel and considerable out-of-office contactWork has a high public profile, extensive public contact and is subject to deadlines and interruptions.Work requires the ability to prioritize tasks, work independently with minimal supervision, and cope with many demands and time constraints.Work may at times be subject to unscheduled hours.WORKING RELATIONSHIPS:With ManagerReceives direction, guidance and discusses plans, priorities to ensure tasks are done efficiently and effectively, receives instruction and supervision.With the Alzheimer Society TeamProvides support and works to facilitate collaboration across programs. Discusses plans and priorities to support Indigenous clients.With Senior Support Hub StaffLiaises, cooperates and provides encouragement; maintains control through teamwork and direction.With Other StaffMaintains co-operative relationships with all staff.With External AgenciesRepresents and promotes Six Nations of the Grand River interests relative to the Department of Well-Being, maintains awareness of legislative policy and program changes; seeks to develop sound,professional working relationships.With the PublicRepresents and promotes the interests of Six Nations of the Grand River; works in a courteous, co-operative, positive and proactive manner; provides information asrequested.KNOWLEDGE AND SKILLS: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 sectorsOther Related Skills:Strong working knowledge and understanding of dementia issues in a First Nations CommunityFamiliar with the Six Nations Community and services available in the areaExperience working directly with people living with Alzheimer's disease or other dementias and their care partnersExperience and knowledge in management of chronic and complex health conditionsKnowledge of available community services/supports and clinical, social and residential care optionsUnderstanding of roles and linkages across primary care, community care and specialized geriatric servicesStrong knowledge of client-centred philosophyKnowledge of clinical practices and training models related to dementia (i.E.: P.I.E.C.E.S. and U-First!)Experience in assessment and care planning/coordinationExperience working in settings requiring inter-professional collaborationExcellent communication (verbal and written)Exceptional interpersonal skills, including shared decision-making and facilitationAbility to prioritize workload and manage competing tasksAbility to take initiative and be resourcefulExcellent problem-solving and change management skillsProficiency in technology (e.G.: Microsoft office and case management and care coordination systems)Demonstrated ability to work independently and within a teamExpertise and experience in cultural sensitivity and diversityValid driver's license with and access to a reliable vehicleCPR and First Aid Certificate preferredIMPACT OF ERROR:Errors in judgement and in the conduct of duties could lead to loss of credibility, poor public relation, confusion, duplication of effort and misinformation being given to the Director of Well-Being, Human Services Committee, Six Nations Elected Council, Government Agencies and the public.CONTROL:Guiding principles set by Department of Well-Being and Six Nations Elected Council. Works within the administrative policies and procedures established by the Six Nations Elected Council for the Department of Well-Being and other legislation provided by the respective governments.

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