Transitions Facilitator - (24349) Transitions Facilitator Regular / Temporary Full / Part Time Full-Time Temporary End Date (Anticipated) Job Posting Reason The Indigenous Transitions Facilitator role aligns with strategic direction from Indigenous Services Canada, and with the foundational strategic priorities identified in the Letters of Relationship between RVH and Barrie and Area Native Advisory Circle – Indigenous Health Circle (BANAC - IHC).

The Indigenous Transitions

Facilitator (ITF) is a key member of the interdisciplinary team responsible for supporting timely and safe discharges of Indigenous patients from hospital to home or the most appropriate community setting. Develop and facilitate individualized care planning and discharge processes to optimize patient flow across the organization Serve as the primary point of contact for Indigenous patients and families during hospital discharge planning Provide education, navigation, and support to patients and families around home care services, financial resources, and available community supports Medication reconciliation and health teaching Assess patient eligibility for homecare and community programs based on established criteria Collaborate with interdisciplinary teams to determine estimated discharge dates and coordinate community supports Liaise with external providers and system partners, including Home and Community Care services such Ontario Health atHome and First Nation Homecare Programs, Jordan’s Principle and Non-Insured Health Benefits (NIHB)



to develop and implement comprehensive plans of care that meet post-acute needs Registered Health Qualified with current and unencumbered registration with the College of Nurses of Ontario (CNO) or relevant regulatory body medical/surgical, emergency, and/or community) preferred Demonstrated experience in discharge planning, case management, and utilization management aligning with Health Quality Ontario’s Transitions Between Hospital and Home, Care for People of All Ages Quality Standard Strong knowledge of community-based resources, supports, and systems Lived experience within an Indigenous community, combined with knowledge of Indigenous cultural practices Ability to adapt to change and take initiative on projects with minimal supervision Proficiency in Microsoft Office and Outlook; working knowledge of Meditech and financial/healthcare reporting systems an asset Equity & Inclusion RVH is committed to recruitment and selection practices anchored in principles of equity and inclusion that contribute to an anti-oppressive, respectful, and culturally safe workplace. We invite applications from individuals who belong to groups that have been historically marginalized on the grounds identified by the Ontario Human Right Code, including but not limited to race, disability, age, gender expression, gender identity, sexual orientation,



religion, family or marital status, and status as a First Nation, Métis, or Inuk person.

RVH is dedicated to ensuring every applicant has a fair and equitable opportunity to demonstrate their knowledge, skills, and abilities throughout our recruitment and selection process. We encourage applicants with a disability or circumstance that could be supported with an accommodation to contact People Recruitment at [email protected]. RVH does not use artificial intelligence (AI) to screen, assess, or select applicants.

Equity & Inclusion RVH is committed to recruitment and selection practices anchored in principles of equity and inclusion that contribute to an anti-oppressive, respectful, and culturally safe workplace. We invite applications from individuals who belong to groups that have been historically marginalized on the grounds identified by the Ontario Human Right Code, including but not limited to race, disability, age, gender expression, gender identity, sexual orientation, religion, family or marital status, and status as a First Nation, Métis, or Inuk person. RVH is dedicated to ensuring every applicant has a fair and equitable opportunity to demonstrate their knowledge, skills, and abilities throughout our recruitment and selection process.

We encourage applicants with a disability or circumstance that could be supported with an accommodation to contact People Recruitment at [email protected]. RVH does not use artificial intelligence (AI) to screen, assess, or select applicants.

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