Job Description

The Clinical Assistant, Hospital to Home provides administrative and coordination support to the manager, supervisor, and the multidisciplinary team as clients transition from hospital to home. The role helps ensure referrals, service orders, records, and communications are processed accurately, so care can begin safely and without avoidable delay. Working within established policies, privacy requirements, and role boundaries, the Team Assistant manages a high volume of information and inquiries, maintains complete records, coordinates information flow, and promptly escalates clinical, safety, service, or capacity concerns to the appropriate team member.

We are looking for:

A Full-Time Permanent Clinical Assistant, Hospital to Home

Hours of Work:

Monday – Thursday: 8:30AM to 4:30PM, Friday: 8:30AM to 3:30PM. This is a hybrid work from home role.

Reports to:

Manager, Hospital to Home and Clinical Programs

Compensation

Hiring Salary Range: The salary for this role ranges from $39,000 to $55,000 per year, depending on your skills and experience.

Circle of Care Benefits:

Hybrid Workplace:

This is a hybrid position, with a mix of3in-office work and2work-from-home days, offering a balanced hybrid schedule. Ourmain officeat 4211 Yonge Street has subsidized underground parking and islocatedconveniently on the subway line and GO transit.

Health and Dental Benefits:

A robust benefits plan with comprehensive health, dental, paramedical and vision coverage with employer paid premiums to support you and your family through all stages of life.

Retirement Savings Plan:

As part of our commitment to your long-term well-being, we provide an RRSP program through RBC with employer and voluntary employee contributions.





Learning and Development:

We support your continued growth and learning through paid training and professional developmentopportunities throughout your career.

Responsibilities

Referral Intake and Transition Support

- Enter, update, and maintain client, referral, service, and transition information in electronic databases and program trackers with accuracy, timeliness, and completeness.
- Track referral status, anticipated discharge dates, service start dates, outstanding tasks, and required follow-up.
- Review program trackers to identify clients approaching transition or discharge from the Hospital to Home program.
- At week six, notify the clinical team of upcoming discharges and the requirement to complete Transfer of Accountability documentation.
- Prepare Ontario Health atHome discharge and transition packages, ensuring required information is complete and ready for submission.
- Securely submit Ontario Health atHome discharge and transition packages using approved processes and document each submission.
- Confirm the client's discharge from the Hospital to Home program and the start date of ongoing Ontario Health atHome services.
- Record confirmed discharge and service-start information in the appropriate program tracker.
- Identify missing information, discrepancies, delays,



or potential service gaps and elevate unresolved concerns to the appropriate clinician or supervisor.
- Support timely and coordinated transitions from Hospital to Home services to ongoing community-based services.
- Communicate routine referral and transition information with hospital partners, clients and families, internal teams, and approved service providers within the scope of the role.

Team Coordination and Communication

- Provide daily administrative support to the Program Manager, Program Supervisor, and other Hospital to Home team members.
- Monitor assigned work queues, email, voicemail, and task lists to support timely follow-up and completion of assigned work.
- Prepare client lists, huddle materials, meeting minutes, action items, and other administrative materials as required.
- Assist with coordinating meetings, and other program activities as directed.
- Respond to routine inquiries from clients, caregivers, hospital teams, clinicians, and service providers within the scope of the role.
- Direct clinical questions, complex concerns, or matters outside the Team Assistant's authority to the appropriate clinician, supervisor, or program lead.
- Prepare and securely send Primary Care Provider notifications and updates supplied by nurses or the Program Supervisor. Confirm transmission and track outstanding responses as required.
- Notify the appropriate clinician or supervisor of changes that may affect discharge, transition planning, service delivery, or client safety.
- Maintain clear, timely, and professional communication with internal and external partners.
- Participate in team meetings, orientation, training, emergency preparedness act

📌 Clinical Assistant-Hospital to Home (Toronto)
🏢 Colonial Group
📍 Toronto