Primary Health Care Coordinator - Permanent Part-Time CCH-2409
Top Benefits
About the role
Position: Permanent Part-Time – Primary Health Care Coordinator
Job ID: CCH-2509
Bargaining Status: C.U.P.E. Local 4891
Hours of Work: 21 hours per week, at least one evening per week is required.
Service Area: Primary Health Care
Reports To: Manager, Medical Services
Salary: $37,233 – $44,860 per annum (prorated for 0.60 FTE)
About CommunitiCare Health
We are a community health care agency that provides a full range of community health care and support services, making us a distinctive agency in Toronto offering a blend of community support services, community mental health and addictions services, supportive housing, inter-professional primary care and home care services. We are community governed. We continually look for ways to serve our clients and our community better and to provide enhanced access to equitable care.
Position Statement/Summary
This is an innovative role seeking to evolve the way in which Primary Health Care Services are provided in Ontario through streamlined and coordinated care with the Toronto Central LHIN. The Primary Health Care Coordinator actively collaborates with clients, caregivers, primary care, and allied providers within the organization and with external partners. This position will develop and execute coordinated care plans (CCP) based on client care goals to improve the care/supports for those clients with complex health needs to help maintain their well-being and independence in the community. The Primary Health Care Coordinator, with the assistance of Community Health Workers, mental health case managers and Toronto Central LHIN home and community care staff for wider system navigation, supports and coaches clients and their families/support persons in actively coordinating care within Primary Health Care as well as externally with other agencies. In addition, the Primary Health Care Coordinator creates formalized care teams consisting of multiple types of providers both internal and external to CommunitiCare Health. The Primary Health Care Coordinator also functions as a liaison between internal and external service providers, specialty medical clinics and the client and their family/support person.
The Primary Health Care Coordinator works within a framework that appreciates the impact of the social determinants on wellbeing and health as well as places an active emphasis on disease prevention and health promotion.
Key Responsibilities
- Coordinate client care on an on-going basis:
- Develop comprehensive coordinated care plans (CCPs), taking a dynamic approach.
- Be the point of contact for clients with respect to any care coordination issues and health needs.
- Ensure implementation, evaluation, and revision of the CCPs, while monitoring care and progress towards goals and advise care team members of any new information as relevant to their role in the care for the client.
- Engage the formalized care team as required to manage care transitions or address changes in care status or client needs.
- Provide support and guide clients in making appropriate decisions to enable independence through various communication and coaching methods.
- Offer emotional support to clients and their families/support person.
- Works closely with care coordinators, case manager and mental health partners to ensure coordinated, quality, and timely care and follow-up.
-
Performs physical assessments, treatment, triage, health education, and other clinical activities, for care coordination clients, according to the College of Nurses of Ontario standards and full scope of nursing practice.
-
Assist CCH's providers in identifying complex clients requiring CCPs.
-
Reach out, connect with and support CCH's clients experiencing high clinical health service utilization to better support them through inter-professional care (internal and external) via CCPs.
-
Ensure effective referral relationships across community agencies, social supports, and other service providers.
-
Facilitate positive relationship building and communication between clients, families, support person and their providers.
-
Provide education to the clients and training to Primary Health Care staff, as needed, to assist with navigating health care and social services.
-
Maintain complete and accurate client records and any other required documentation.
-
Incorporate and strengthen collaborative and interdisciplinary work.
-
Provide instruction, support and consultations regarding CCPs to staff, students, and volunteers.
-
Provide itinerant services working from different locations to create greater access to populations facing barriers to care.
-
Work during both regular and extended hours in locations identified by Communiticare Health (on-site and off-site).
-
Travel between sites and services and accompany clients to appointments as needed.
-
Respect and value the diversity of communities and individuals.
-
Contributes to programs and services cycle of planning and evaluation, and participates in center-wide planning, committees, and team meetings as appropriate.
-
Participates in inter-professional research with colleagues - internal and external to the Centre, as appropriate.
-
Maintains all licenses, certificates, and standards related to the ability to practice as an MD in Ontario.
-
Perform duties as assigned by the supervisor.
Qualifications
· Registered Nurse with appropriate regulatory college registration.
· Experience in Case Management/Care Coordination.
· Experience working with individuals facing multiple barriers, including individuals with complex health and/or mental health issues in a community setting.
· Experience working from a team-based model and within an inter-professional team.
· Strong assessment and clinical skills.
· Commitment to and knowledge of community health care and community outreach strategies.
· Open-minded, non-judgmental with a commitment to upholding the rights and dignity of all people and respecting their diversity.
· An ability to engage, motivate and coach clients to meet their goals.
· Training in therapeutic/counselling modalities, including CBT, mindfulness, relaxation, DBT, and coaching.
· Demonstrated ability to work within an inter-professional team environment and strong interpersonal skills.
· Proficiency in the use of computers, and various software applications and client information management systems.
· Excellent communication, decision-making, problem-solving, conflict management skills to effectively advocate on behalf of clients.
· Familiarity and understanding of Population Health and Equity in Health Care including an understanding of Anti-Racism and appreciation of Anti-Racism in the Ontario and Canadian context, and in particular Anti-Black Racism and Anti-Indigenous Racism.
· Second language, relevant to catchment area populations, is an asset.
Additional Requirements & Information
This job posting is intended to reflect the general duties of the position and suggest the general level of skill and complexity. There may be additional duties related to specific CCH sites and programs that will be outlined by the successful candidate’s supervisor.
Given the unique nature of our work environment and the complex individuals we serve, all CCH employees are expected to comply with all CCH policies and procedures, and the Occupational Health and Safety Act, R.S.O. 1990, c. O.1.
Job offers are conditional upon:
-
Proof of identity;
-
Proof of eligibility to legally work in Canada;
-
Submission of a satisfactory Vulnerable Sector Screening, at the successful candidate’s expense, which indicates that you are suitable for employment with CCH and meet CCH’S safety requirements; and
-
Positive reference checks satisfactory to CCH.
Note to External Applicants
We thank all the applicants for their interest and advise that only those selected for an interview will be contacted.
As part of our hiring practices, we encourage and particularly welcome resumes from traditionally marginalized communities. This includes but is not limited to consumers/survivors, people of colour, indigenous peoples, persons with disabilities, and members of the 2SLGBTQI+ community.
If you have any requirements for accommodation due to disability, please advise Human Resources during the recruitment and selection process. We will work with you to best meet your needs as per the resources available to us.
CommunitiCare Health is a scent-free environment.
How to Apply
Submit to: Human Resources, jobs@communiticare.org
Please indicate the Job Reference Number (CCH-2509) in the email subject line
Job Types: Part-time, Permanent
Pay: $37,233.00-$44,860.00 per year
Benefits:
- Casual dress
- Company pension
- Dental care
- Disability insurance
- Extended health care
- Paid time off
- Vision care
Work Location: In person
About CommunitiCare Health
We are a community health care agency that provides a full range of community health care and support services, making us a distinctive agency in Toronto offering a blend of community support services, community mental health and addictions services, supportive housing, inter-professional primary care and home care services.
Primary Health Care Coordinator - Permanent Part-Time CCH-2409
Top Benefits
About the role
Position: Permanent Part-Time – Primary Health Care Coordinator
Job ID: CCH-2509
Bargaining Status: C.U.P.E. Local 4891
Hours of Work: 21 hours per week, at least one evening per week is required.
Service Area: Primary Health Care
Reports To: Manager, Medical Services
Salary: $37,233 – $44,860 per annum (prorated for 0.60 FTE)
About CommunitiCare Health
We are a community health care agency that provides a full range of community health care and support services, making us a distinctive agency in Toronto offering a blend of community support services, community mental health and addictions services, supportive housing, inter-professional primary care and home care services. We are community governed. We continually look for ways to serve our clients and our community better and to provide enhanced access to equitable care.
Position Statement/Summary
This is an innovative role seeking to evolve the way in which Primary Health Care Services are provided in Ontario through streamlined and coordinated care with the Toronto Central LHIN. The Primary Health Care Coordinator actively collaborates with clients, caregivers, primary care, and allied providers within the organization and with external partners. This position will develop and execute coordinated care plans (CCP) based on client care goals to improve the care/supports for those clients with complex health needs to help maintain their well-being and independence in the community. The Primary Health Care Coordinator, with the assistance of Community Health Workers, mental health case managers and Toronto Central LHIN home and community care staff for wider system navigation, supports and coaches clients and their families/support persons in actively coordinating care within Primary Health Care as well as externally with other agencies. In addition, the Primary Health Care Coordinator creates formalized care teams consisting of multiple types of providers both internal and external to CommunitiCare Health. The Primary Health Care Coordinator also functions as a liaison between internal and external service providers, specialty medical clinics and the client and their family/support person.
The Primary Health Care Coordinator works within a framework that appreciates the impact of the social determinants on wellbeing and health as well as places an active emphasis on disease prevention and health promotion.
Key Responsibilities
- Coordinate client care on an on-going basis:
- Develop comprehensive coordinated care plans (CCPs), taking a dynamic approach.
- Be the point of contact for clients with respect to any care coordination issues and health needs.
- Ensure implementation, evaluation, and revision of the CCPs, while monitoring care and progress towards goals and advise care team members of any new information as relevant to their role in the care for the client.
- Engage the formalized care team as required to manage care transitions or address changes in care status or client needs.
- Provide support and guide clients in making appropriate decisions to enable independence through various communication and coaching methods.
- Offer emotional support to clients and their families/support person.
- Works closely with care coordinators, case manager and mental health partners to ensure coordinated, quality, and timely care and follow-up.
-
Performs physical assessments, treatment, triage, health education, and other clinical activities, for care coordination clients, according to the College of Nurses of Ontario standards and full scope of nursing practice.
-
Assist CCH's providers in identifying complex clients requiring CCPs.
-
Reach out, connect with and support CCH's clients experiencing high clinical health service utilization to better support them through inter-professional care (internal and external) via CCPs.
-
Ensure effective referral relationships across community agencies, social supports, and other service providers.
-
Facilitate positive relationship building and communication between clients, families, support person and their providers.
-
Provide education to the clients and training to Primary Health Care staff, as needed, to assist with navigating health care and social services.
-
Maintain complete and accurate client records and any other required documentation.
-
Incorporate and strengthen collaborative and interdisciplinary work.
-
Provide instruction, support and consultations regarding CCPs to staff, students, and volunteers.
-
Provide itinerant services working from different locations to create greater access to populations facing barriers to care.
-
Work during both regular and extended hours in locations identified by Communiticare Health (on-site and off-site).
-
Travel between sites and services and accompany clients to appointments as needed.
-
Respect and value the diversity of communities and individuals.
-
Contributes to programs and services cycle of planning and evaluation, and participates in center-wide planning, committees, and team meetings as appropriate.
-
Participates in inter-professional research with colleagues - internal and external to the Centre, as appropriate.
-
Maintains all licenses, certificates, and standards related to the ability to practice as an MD in Ontario.
-
Perform duties as assigned by the supervisor.
Qualifications
· Registered Nurse with appropriate regulatory college registration.
· Experience in Case Management/Care Coordination.
· Experience working with individuals facing multiple barriers, including individuals with complex health and/or mental health issues in a community setting.
· Experience working from a team-based model and within an inter-professional team.
· Strong assessment and clinical skills.
· Commitment to and knowledge of community health care and community outreach strategies.
· Open-minded, non-judgmental with a commitment to upholding the rights and dignity of all people and respecting their diversity.
· An ability to engage, motivate and coach clients to meet their goals.
· Training in therapeutic/counselling modalities, including CBT, mindfulness, relaxation, DBT, and coaching.
· Demonstrated ability to work within an inter-professional team environment and strong interpersonal skills.
· Proficiency in the use of computers, and various software applications and client information management systems.
· Excellent communication, decision-making, problem-solving, conflict management skills to effectively advocate on behalf of clients.
· Familiarity and understanding of Population Health and Equity in Health Care including an understanding of Anti-Racism and appreciation of Anti-Racism in the Ontario and Canadian context, and in particular Anti-Black Racism and Anti-Indigenous Racism.
· Second language, relevant to catchment area populations, is an asset.
Additional Requirements & Information
This job posting is intended to reflect the general duties of the position and suggest the general level of skill and complexity. There may be additional duties related to specific CCH sites and programs that will be outlined by the successful candidate’s supervisor.
Given the unique nature of our work environment and the complex individuals we serve, all CCH employees are expected to comply with all CCH policies and procedures, and the Occupational Health and Safety Act, R.S.O. 1990, c. O.1.
Job offers are conditional upon:
-
Proof of identity;
-
Proof of eligibility to legally work in Canada;
-
Submission of a satisfactory Vulnerable Sector Screening, at the successful candidate’s expense, which indicates that you are suitable for employment with CCH and meet CCH’S safety requirements; and
-
Positive reference checks satisfactory to CCH.
Note to External Applicants
We thank all the applicants for their interest and advise that only those selected for an interview will be contacted.
As part of our hiring practices, we encourage and particularly welcome resumes from traditionally marginalized communities. This includes but is not limited to consumers/survivors, people of colour, indigenous peoples, persons with disabilities, and members of the 2SLGBTQI+ community.
If you have any requirements for accommodation due to disability, please advise Human Resources during the recruitment and selection process. We will work with you to best meet your needs as per the resources available to us.
CommunitiCare Health is a scent-free environment.
How to Apply
Submit to: Human Resources, jobs@communiticare.org
Please indicate the Job Reference Number (CCH-2509) in the email subject line
Job Types: Part-time, Permanent
Pay: $37,233.00-$44,860.00 per year
Benefits:
- Casual dress
- Company pension
- Dental care
- Disability insurance
- Extended health care
- Paid time off
- Vision care
Work Location: In person
About CommunitiCare Health
We are a community health care agency that provides a full range of community health care and support services, making us a distinctive agency in Toronto offering a blend of community support services, community mental health and addictions services, supportive housing, inter-professional primary care and home care services.