Integrated Primary Care Coordinator

Job summary

The Integrated Primary Care Coordinator will identify unattached individuals and connect them to primary care services while fostering collaboration among local health organizations. They will also lead community outreach activities and support project reporting and physician engagement initiatives.

Job details

The Carefirst Family Health Team (FHT) is seeking full-time permanent Integrated Primary Care Coordinator to join our innovative, interdisciplinary team dedicated to delivering high-quality, community-based care. About Us Carefirst FHT is committed to delivering exceptional, comprehensive primary care through a collaborative, team-based model that includes family physicians, nurse practitioners, nurses, social workers, service navigators, dieticians, physiotherapists, and medical receptionists. We have a robust Chronic Disease Management and Prevention program, including a Diabetes Education Program, and are actively involved in many of the Ontario Health Team’s primary care initiatives. Our “Hub & Spoke Model” and strong community partnerships ensure coordinated, high-quality, patient‑centred care across the continuum. We work closely with Carefirst Seniors & Community Services Association to provide truly integrated services. On‑site & Integrated Programs/Services include: * Ontario Health atHome (formerly Home and Community Care Support Services) * MINT Memory Clinic * Ontario Structured Psychotherapy (OSP) Program * Specialist Clinics: psychiatry, cardiology, endocrinology, optometry, geriatric medicine, gynecology, chiropody, rheumatology, physiotherapy, and audiology Clinic Locations We currently operate five well-established clinics across Scarborough, Markham, Richmond Hill, and Stouffville and continue to expand in Markham to support continued growth and community needs. Current clinic locations: * 300 Silver Star Blvd, Scarborough (Midland / McNicoll) * 420 Hwy 7 East, Richmond Hill (West Beaver Creek / Hwy 7) * 360 Highway 7 East, Richmond Hill (Highway 7 / Chalmers Rd) * 105 Gibson Centre, Markham (Steeles Ave East/Warden Ave) * 37 Sandiford Drive, Stouffville (Stouffville Main St/Sandiford Dr) Upcoming new clinic locations: * Unionville Commons Seniors Hub, Markham (Unionville Main Street/Highway 7 East) Employees will be assigned to a location that aligns with the operation needs, with occasional rotation to support clinic operations. We are currently seeking an Integrated Primary Care Coordinator to fill a new position at our Family Health Team. As a primary care coordinator, you will be part of the Carefirst Family Health Team while working as an integral member of the EYRND OHT. The goals of the position are to locate unattached individuals in the EYRND communities and connect them to ongoing primary care. Additionally, this individual will improve the communication and collaboration amongst primary care organizations throughout the community, including Carefirst Family Health Team, Markham Family Health Team, Health For All Family Health Team and their partners to create a more unified and stronger system. This position will serve as a liaison between various internal and external stakeholders. The successful candidate must have excellent communication and interpersonal skills and experience interacting with patients, general public, and health care providers. You will work in a team with the EYRND OHT to develop, plan, and execute strategies related to primary care navigation, attachment and engagement. Working with project managers from EYRND OHT, you will conduct community facing activities with audiences including community organizations, primary care, and the general public. You will connect with individual community members and partners, support navigation to the most fitting primary care resources, and work with partnering primary care practices to facilitate primary care attachment. You will also have the opportunity to participate in ongoing program development and quality improvement activities. About EYRND OHT The Eastern York Region North Durham Ontario Health Team (EYRND OHT) unites primary care, acute care, and community partners — including Carefirst Family Health Team, Markham Family Health Team Physicians, and Health For All Family Health Team — to strengthen patient attachment to primary care and improve collaboration across the local health system for enhanced patient-centerd care in the local communities of Markham, Stouffville, Thornhill, Brock and Uxbridge. See: https://www.eyrnd.ca/ [https://www.eyrnd.ca/] Terms: Full-time, permanent position with Carefirst FHT, on a 2-year secondment to EYRND OHT (subject to renewal) Pay range: $60,000 - $75,000 annually Responsibilities: Primary Care Attachment * Contribute to primary care attachment by developing, planning, and executing strategies to identify unattached patients, including working closely with Health Care Connect. * Act as a key contact and resource for community service providers, and/or the public for primary care navigation and attachment. * Participate in community engagement and outreach events. * Collaborate closely with all Ontario Health Team partners including the acute care partner and its emergency department in identifying and connecting with unattached patients. * Coordinate with participating partners to identify eligible patients, refer to primary care practices, and follow-up as required. Project Coordination and Integration * Develop and maintain partnerships in support of region-wide primary care strategies that responds to evolving local population health needs * Support with gathering and reporting the progress of primary care projects and milestones. * Support partnering practices as required to deliver on the reporting obligations set out in partnership agreements. * Other project coordination activities as identified. Primary Care Engagement * Support physician engagement and recruitment to participate in primary care priorities. * Support communications for primary care providers. * Other primary care engagement activities as identified * Perform other duties and projects as assigned. Requirements: * 5 years relevant experience is preferred * Undergraduate degree in a health-related field; having a clinical background is an asset; Master degree is considered an asset. * Experience with physician and community engagement * Strong knowledge of Ontario health care system is an asset * Excellent communication and interpersonal skills, with the ability to adapt to different audiences and build relationships with health care providers and other stakeholders * Actively takes advantage of change opportunities and recommends new or revised strategies * Actively identifies efficiencies for project implementations * Demonstration of continuing education and professional development * Demonstrated good attendance and performance records with the ability to maintain these same standards * Strong analytical skills and experience with project reporting (i.e. project risk, data, etc.) * Excellent facilitation, decision making and conflict management skills. * Solution oriented with the ability to identify problems, determine escalations as required, propose solutions, and follow through with implementing accepted solutions * Ability to be flexible and creative and take different approaches to relationship management. * Fluency in English (verbal and written) is required; ability to communicate in additional languages is considered an asset * Demonstrates initiative and the ability to function both independently and as a team member * Demonstrates a commitment to a healthy and safe workplace for self and others (staff, patients, families, etc.) by taking all reasonable precautions and working in compliance with organizations related policies, health and safety legislation and best practices and completing relevant mandatory education as required * Valid vulnerable sector police record check, completed within one year * A valid driver’s license and access to dependable transportation is essential for community outreach or engagement related activities Benefits: * Dental Care * Extended Health Care * HOOPP * Comprehensive Orientation Program * Training and Education Subsidy Application Deadline: October 31, 2026 Interested applicants may apply through Carefirst’s careers page, Indeed, or by emailing hr@carefirstontario.ca [hr@carefirstontario.ca] Carefirst is an equal opportunity employer. We are also committed to an environment that is barrier free. If you require accommodation during the hiring process, please inform us in advance to arrange a reasonable and appropriate accommodation. While we thank all candidates for their interest, only those selected for an interview will be contacted.

What you’ll do

The Integrated Primary Care Coordinator will identify unattached individuals and connect them to primary care services while fostering collaboration among local health organizations. They will also lead community outreach activities and support project reporting and physician engagement initiatives.

Requirements

Candidates should possess an undergraduate degree in a health-related field and approximately 5 years of relevant experience. Strong communication, analytical, and relationship-building skills are essential for navigating the Ontario healthcare system and managing stakeholder partnerships.

Benefits

• Dental Care
• Extended Health Care
• HOOPP
• Comprehensive Orientation Program
• Training and Education Subsidy

Listed skills

• Project management · Preferred
• Stakeholder Management · Preferred
• Communication · Preferred
• interpersonal skills · Preferred
• Relationship Building · Preferred
• Facilitation · Preferred
• Decision Making · Preferred
• Problem solving · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Primary Care Coordination
• Project Management
• Community Engagement
• Stakeholder Management
• Communication
• Interpersonal Skills
• Relationship Building
• Analytical Skills
• Project Reporting
• Facilitation
• Decision Making
• Conflict Management
• Problem Solving
• Healthcare Navigation
• Clinical Background
• Community Outreach
• Chronic Disease Management
• Project Documentation
• Support Services
• Relationship Management
• Solution-Oriented
• Project Implementation
• Follow Through
• Valid Driver's License
• Planning
• Quality Improvement
• Program Development
• Physical Therapy
• Acute Care
• Psychiatry
• Audiology
• Cardiology
• Podiatry
• Diabetes Mellitus
• Emergency Departments
• Endocrinology
• English Language
• Optometry
• Geriatrics
• Gynecology
• Innovation
• Psychotherapy
• Interpersonal Communications
• Milestones (Project Management)
• Operations
• Population Health
• Primary Care
• Project Coordination
• Project Risk Management
• Rheumatology

Job areas

• Healthcare
• Social Services
• Management & Leadership
• Consulting
• Administrative
• Primary Service Coordinator
• Care Coordinator
• Social Work Associate Professionals
• Medical and Health Services Managers

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