CARE AND BE CARED FOR – THIS IS YOUR HOME Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker (MSW), dietitian, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? As a Care Coordinator , you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners. Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centred care – and be supported by our collaborative team that includes over 9,000 regulated health care and other professionals.

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness andwork-life balance. Under the general direction of the Manager, Patient Services and in accordance with the Ontario Health atHome Champlain standards, legislation, policies and guidelines, the Care Coordinator is responsible for client assessment, determination of eligibility, admission, service planning and authorization, implementation, monitoring, reassessment, adjustment and discharge planning of all client service programs (home care and placement), including the provision of community resource information and referral. As a member of the Community Team, the Care Coordinator will work collaboratively with patients, families, caregivers, and hospital partners to develop a care plan to support a safe transfer from hospital to home for both complex and non-complex patients.





Care Coordinators must prioritize work based on the ever changing needs of patients and hospital workplace while meeting the Ontario Health atHome Champlain Guidelines of Care.

The Care

Coordinator will participate in various meetings to support care planning and communication with partners within the circle of care, including family meetings, care conferences, bullet rounds, and joint discharge rounds. Identification and Engagement – Assesses referred clients for admission and establishes a helping relationship with eligible clients and their families while honoring the client’s values and preferences Goal Setting and Service Planning – Establishes a care and service plan balancing client’s needs, choices and available resources. Develops a care plan in collaboration with the client, other health care professionals, care providers or family, stating priorities, services authorized, mutual goals and anticipated duration of service Accessing Resources and Linking – Collaborates and partners with the networks of service providers.

Service

Implementation – Initiates and authorizes the implementation of the care plan Accountability, Monitoring and Reassessment – Reviews and maintains care plan in compliance to quality standards, outcome measures, quality indicators Discharge Planning – Conducts discharges from service process and/or redirects clients and families to alternative resources Congregate Care Team East Hours of work: 8:30am-4:30pm – Monday to Friday Length of Temporary Assignment: Office Location:



Labelle Degree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; Degree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; Degree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario. We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.

Knowledge of health care delivery system and community resources within the Champlain region Medical conditions and cognitive/psychiatric disorders Client centered, multi-disciplinary team approach to client care Ability to negotiate and implement an effective goal-oriented, client-centered care plan Fluency in English and French is an asset Monday to Friday – 8:30am to 4:30pm (35hrs/week) Membership in a world class defined benefit pension plan We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care. If you’re interested in driving excellence in care and service delivery , and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.

Equity, Inclusion, Diversity and Anti-Racism Commitment Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. Accommodations for persons with disabilities required during the recruitment process are available upon request.

📌 Care Coordinator, Temporary Full-Time, Congregate Care Team East, Labelle (Ottawa)
🏢 UNAVAILABLE
📍 Ottawa