Complex/Palliative Care Coordinator (Southwestern Ontario)

Home and Community Care Support Services South West is seeking Complex Care Coordinators!

What is a Care Coordinator?

Care Coordinators are clinicians who utilize knowledge, skills, and judgement from diverse bodies of research to provide patients with safe, compassionate, and evidence-informed care. They are expert assessors of the multiple components of individual patient health, and knowledgeable health system navigators. Care Coordinators are advocates and leaders, and they balance needs and expectations with available resources to ensure fiscal responsibility.

More broadly, the Care Coordinator facilitates the journey through Ontario’s health care system by assessing referred patients, determining their health care needs and eligibility, and ensuring they receive the services and care they need, where and when they need them.

If you are an experienced Registered Nurse looking for a different kind of practice environment, you’re looking in the right place!

What will you do as a Complex Care Coordinator?

Whether working in an office as an invaluable resource and subject matter expert, or working from a home office and traveling a defined region to conduct home visits, you will have the opportunity to impact lives in your community, enjoy a balanced lifestyle, and be part of a great team that makes care happen.

Complex Care Coordinators have extensive knowledge regarding the management of palliative care patients in the community across diverse and often complex settings. They act as a patient advocate to affirm life, and offer supports that help patients live as actively as possible until death, with optimal quality of life.

More specifically, Complex Care Coordinators

• Assist patients to seek information regarding MAID in the home and community care setting.
• Anticipate and predict the needs of the person who has been diagnosed with a life-limiting condition based on known disease trajectories.
• Perform a thorough review of systems with a palliative focus to assess a patient’s current clinical care needs, and communicate findings to appropriate members of the health care team.
• Act as a subject matter expert for colleagues and external partners with respect to palliative care needs of patients in the community.
• Use standardized instruments regularly and appropriately to screen and assess symptoms and needs (i.e., Edmonton System Assessment Scale).
• Link patients with community service providers to maintain the patient’s safety in their own home while prioritizing the prevention of hospital admission or ED visits, and possibly delaying or avoiding admission to long-term care.

What must you have?

• Ability to use a computer in a Windows-based environment.
• Pain and symptom management needs of palliative care patients.
• Common prognosis and trajectories of life-limiting conditions.
• Strong assessment and decision-making skills.
• Good time management skills, with the ability to work independently and co-operatively in a busy and fast-paced multidisciplinary environment.
• Training/certification specific to palliative care (i.e., Fundamentals, LEAP, CAPCE, etc.).
• Best practices surrounding palliative care.
• A valid driver’s license and access to a reliable vehicle.
• Effective conflict resolution and problem solving skills.
• Good initiative and the ability to be self-directed.
• Membership, in good standing, with the College of Nurses of Ontario.
• EDITH protocol, Symptom Response Kits and DNR-C paperwork, and PPS Scale.
• Knowledge of
• Superior interpersonal and communication skills; high Emotional Intelligence is a must.
• Minimum 5 years of relevant experience in community health or a related field.

What would give you an advantage?

• Experience and proficiency with RAI-HC or RAI-PC assessment tools.
• Experience working with diverse patient groups (i.e., multicultural, unhoused, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics).
• Ability to speak French or another second language.

Who we are

Home and Community Care Support Services South West is one of 14 Home and Community Care Support Services organizations in Ontario with a focused mandate to deliver local health care services such as home and community care and long-term care home placement. These organizations were previously known as Local Health Integration Networks at a time when they also led local health care planning and funding, and those functions are now part of Ontario Health. Learn more at www.healthcareathome.ca/southwest.

Our organization is a recipient of the 2019 Canada’s Healthy Workplace Month Great Employers Award, making it a recognized organization in supporting employee health and safety.

How do I apply?

Please visit www.HealthCareAtHomeJobs.ca to submit your resume and cover letter. Application deadline is 31 July 2023 at 2359 hours.

Please ensure your cover letter clearly identifies the following

• Locations at which you are willing and able to work (i.e., Woodstock, St Thomas, London, Stratford, Seaforth, Hanover, Owen Sound).
• Types of employment you would consider (i.e., part time, full time, or casual [you are scheduled for work based on your provided availability]).

We are committed to a culture that values diversity and inclusion. We welcome and encourage applications from people with disabilities, and are committed to providing accommodation as part of our hiring process. If you have special requirements, please advise Human Resources during the recruitment process.

Home and Community Care Support Services values the health and safety of its employees and is committed to the prevention of COVID-19 exposure and transmission of infection to employees, patients, caregivers, volunteers, visitors and residents. As a requirement of Home and Community Care Support Services’ Mandatory COVID-19 Vaccination Policy, all employees must be considered fully vaccinated for COVID-19.

Check out the video in the link below for more about working at Home and Community Care Support Services

https//youtu.be/Jk-C_223h1g