Salary Grade: 4 The Bundled Care Coordinator facilitates seamless care transitions across the care continuum for patients undergoing primary unilateral hip/knee total joint replacement.

The Bundled Care

Coordinator will act as the primary contact and resource for patients undergoing total joint replacement in order to coordinate timely access to care and ensure patients’ needs are met at care transitions. This position will facilitate communication between patients, families and members of the healthcare team; provide evidence-supported education and/or connect patients to other members of the healthcare team, as required; and support data collection and reporting related to patient and program outcomes. Acts as primary contact and liaison between patients, families and hospital and/or community resources.

Builds effective working relationships with patients, families and community partners. Uses appropriate mechanisms to locate and access current and relevant information about the patient’s care plan. Engages patients and families to discuss care options and patient preferences and needs.

Uses a patient centered approach to identify factors that might present barriers to care across the total joint replacement care continuum. Advocates for the individual needs of patients and supports patient choice in health care decision‑making. Ensures patients and families have information and resources needed to make informed decisions and be active participants in their care across the care continuum, especially at care transitions.





Supports patients to take ownership of their care throughout joint replacement journey. Facilitates and/or supports the collection of patient‑level administrative and patient‑reported outcome data, including Patient Reported Outcomes Measures (PROMs) and additional mandatory reporting requirements, as needed. Submits data reporting related to patients undergoing total joint replacement and additional program outcomes, as required.

Track patients across the TRJ care continuum. Work with finance/health records to approve and track invoices from community partners. Coordinate the Patient and Family Advisory Committee, all associated meetings and related initiatives/projects.

Assist with other program priority initiatives or projects in collaboration with leadership team. Seeks and maintains current information about available resources for patients and families, in both the acute care setting and community. Assists in promoting and sustaining continuous quality improvement initiatives to drive change.

Degree in a health related field Regulated Health Professional and Member of respective College in valuable standing, i.e. College of Nurses of Ontario,



College of Physiotherapy specifically total joint replacement. Minimum of 3 years’ experience working with patients on the total joint replacement care continuum preferred.

Direct work experience in project management/event coordination Demonstrated success in project delivery and execution of project management methods.

Experience using excel and electronic documentation software.

Experience with communications, writing/editing and/or graphics.

Experience with collection, tracking and submission of data. Knowledge of QBPs and ICD coding an asset. Ability to work independently and in collaboration with the inter‑professional team to deliver quality patient and family centred care.

Excellent interpersonal and customer service skills. Demonstrated ability in building and maintaining relationships. Comfortable using virtual, electronic and personal communication platforms. Knowledge of continuum of care for patients undergoing total joint replacement.

Knowledge of best practices and care pathways for patients undergoing total joint replacement, including Rehabilitative Care Alliance Frameworks. Ability to easily convey information to patients and families about their care, including best practice frameworks.

Windsor Regional

Hospital is an equal opportunity employer. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005, upon request, accommodation will be provided by WRH throughout the recruitment, selection and/or assessment process to applicants with disabilities. #

📌 Bundled Care Coordinator (Windsor)
🏢 Talent Pool Builder
📍 Windsor