- Shift Schedule (Hours are subject to change based on operational needs): Monday to Sunday - Various rotating 8 and 12 hours shifts
- Employment Status: Temporary Full-time
- Department: OT Home Case Mgmt
- Length of temporary contract: Approx. 1 year
- Site Location: Multi-Site (Oakville, Milton, Georgetown)

Company Description

Halton Healthcare’s vision of Exemplary patient experiences, always, goes beyond just the patient experience; it has shaped our entire culture and remains at the core of every interaction in our organization, from our patients & families to our staff, physicians and volunteers.

At Halton Healthcare you will thrive in a healthcare culture and environment that embraces inclusion, diversity and belonging with ‘exemplary patient care, always’ at the heart of everything we do.

We empower our people to be the very best they can be so they can make a difference for our patients and the communities we serve.

Halton Healthcaretakes great pride in providing quality, compassionate healthcare services to our rapidly growing communities. As a progressive and vibrant healthcare organization, we arecommitted to being an innovative center of excellence in community hospital care.

Job Description

Be a key part of the Community Integration and Primary Health Care Program by helping patients with complex health and social needs transition seamlessly from hospital to home. As a Halton@Home Patient Care Navigator, you’ll collaborate with an interdisciplinary team, provide compassionate care, and ensure that patients receive the right support at the right time. Your work will directly impact patient outcomes, reduce hospital readmissions,



and contribute to a strong, community-focused health care system.

What You’ll Do:

- Coordinate Transitions to Home: Identify and assess patients eligible for the Halton@Home Program, ensuring timely discharge and smooth transitions from hospital to community care.
- Create Patient-Centered Care Plans: Develop, implement, and monitor personalized care plans in collaboration with patients, families, and our dedicated health care team. Recommend and facilitate the multi-disciplinary supports needed to meet the patient's needs in the community.
- Advocate for Patients: Act as a liaison between patients, families, and community service providers, ensuring they have the resources and support needed for a successful recovery at home. Monitor service delivery andfollow up after discharge to identify and address opportunities.
- Contribute to Program Growth: Share your insights and ideas to help evolve the Halton@Home Program, improving patient care and community resources through continuous feedback and collaboration.
- Collaborate Across the Community: Build strong relationships with community organizations, primary care providers, and home care services to ensure a coordinated, patient-focused approach to care.

Qualifications





Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.

Professional Registration:

- Bachelors degree in a Health Discipline is required
- Masters degree in a Health Discipline is preferred
- Current membership in positive standing with a regulatory health professional body in Ontario

Work Experience:

- 2–5 years of recent work experience in a hospital setting, with liaison experience in community health settings.
- 3 years of recent related experience in Emergency Department (ED), acute care, post acute care, discharge planning, and/or community health care settings.
- Experience in performing case management or care navigation functions, particularly in acute, post acute, and community settings.
- Demonstrated knowledge and expertise related to a variety of health, functional and social challenges, particularly in areas such as geriatrics, chronic disease management, complex family systems, and the care of the frail elderly.
- Evidence of program design and resource development skills, including knowledge of evaluation methodologies.

Knowledge and Competencies:

- Comprehensive knowledge of community resources and health care delivery systems across acute and community settings.
- Demonstrated ability to respond to patients with flexibility, adaptability, and a commitment to patient-centered, holistic care.
- Strong understanding of collaborative practices, including building relations

📌 Halton@Home Patient Care Navigator (Canada)
🏢 Halton Healthcare
📍 Canada