Digital Navigator (Permanent Full-Time)
Top Benefits
About the role
VHA Home HealthCare (VHA) is one of the largest not-for-profit home care providers in Ontario. Our team is made up of close to 3,000 caring and committed professionals who love what they do. Our providers tell us: “Home care is where I can truly make a difference. There is such a sense of accomplishment from helping people live independently at home.” Our teams work together to provide high quality, client-centred care to those who need it most in their homes, schools, retirement homes and other community settings. Many of our team members manage their own schedules in the community and they say, “The freedom and flexibility can’t be beat.” Providers form meaningful bonds with the clients and families they serve over time and are supported by a diverse regional team and beneficial home office programs. Team members tell us “I love the inclusive culture. I feel welcome and at home.”
View more comments from our clients and their family members.
Pay Range $70,000-$87,000
If you're a Registered Nurse (RN) looking for a unique opportunity, this role is for you! The Digital Navigator (DN) plays a critical role in delivering safe, coordinated, and digitally enabled care for patients transitioning from hospital to home or receiving high-intensity bundled home care. Acting as the central clinical command hub, the DN uses remote monitoring technologies, real-time triage, and proactive outreach to identify early clinical deterioration, intervene rapidly, support caregivers, prevent Emergency Department (ED) visits, and ensure patients remain stable in the community.
This role provides virtual oversight, continuous assessment, and digital care navigation to enhance patient and caregiver experience while optimizing clinical outcomes.
Key Areas of Accountability
- Perform real-time, rapid triage of new referrals, patient concerns, symptom escalations, and urgent requests.
- Serve as the primary virtual point of contact between scheduled visits, ensuring continuous communication and monitoring.
- Conduct virtual nursing assessments on a regular basis and as clinical status changes.
- Evaluate patient stability through vitals, symptoms, monitoring alerts, and caregiver input.
- Monitor incoming alerts and symptom flags from digital tools (e.g., COPD worsening, falls risk changes, vitals deviations).
- Call patients and caregivers daily—or more frequently if required—to support ongoing symptom monitoring.
- Document findings and clinical interpretations in the EMR and monitoring platforms in real time.
- Implement immediate interventions (education, medication guidance within scope, symptom management advice) to stabilize patients at home using established escalation pathways where applicable.
- Guide caregivers through urgent care situations to prevent unnecessary ED transfers.
- Lead or co-lead care team huddles to review patient conditions, discuss care plans, and identify system-level issues.
- Work with the Home Care Specialist (HCS) to adjust service intensity, visit frequency, modality (virtual vs. in-person), and introduce additional supports (CSS, technology, behavioural supports).
- Support transitions between levels of care when patients’ conditions change.
- Provide ongoing coaching to caregivers during periods of acute instability or when responsive behaviours escalate.
- Educate patients and caregivers on symptom monitoring, medication adherence, equipment use, behavioural strategies, and safety measures.
- Identify clinical risks early and escalate appropriately using established escalation pathways where applicable.
- Report incidents, complaints, and adverse events in accordance with VHA policy.
- Ensure all documentation is accurate, timely, and compliant with legal, regulatory, and privacy standards.
- Contribute to the evaluation and refinement of digital tools, RCM workflows, and care models based on real-world learnings.
- Troubleshoot basic device or platform issues with patients and caregivers.
- Support device deployment, onboarding, and ongoing use.
Required Qualifications
- Current registration and good standing as a Registered Nurse (RN) with the College of Nurses of Ontario (CNO).
- Minimum 3 years of clinical nursing experience, preferably in community/home care, acute care, geriatrics, or high-acuity settings.
- Experience with: COPD, CHF, diabetes, dementia or cognitive decline responsive behaviours, and medically complex or fragile patients
- Proficiency with EMRs, telehealth systems, mobile apps, and digital monitoring tools.
- Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to adapt to new technologies.
- Strong clinical assessment and triage skills.
- Excellent communication, de-escalation, and caregiver engagement skills.
- Experience with virtual care, telehealth, remote monitoring, or digital health platforms is preferred.
#INVHACorp
What makes VHA’s compensation unique?
- Benefits and pension plan for permanent eligible employees
- Compensation for education and professional development
- VHA is a leading learning organization so we can provide you with comprehensive orientation and training at the start and throughout your career
- Mentorship and peer support
- Career development opportunities
- Employee and family assistance program
- Wellness resources
- Perks & discounts
- Staff & service provider events
Accommodation and VHA’s commitment to DEI At VHA Home HealthCare (VHA), we passionately strive to uphold our commitments to being an Equal Opportunity Employer. We champion inclusion and diversity in all parts of our organization and are strong believers that a diverse workforce is key to the ongoing and future success of VHA. We aim to review all applicants with fair and unbiased recruitment practices where opportunities are presented based on merits, skills, and experience. VHA is committed to providing reasonable accommodation and our services are accessible and sensitive to the needs of diverse groups. If you require any accommodation, please let us know in advance as we are happy to comply.
How to Apply? Our online application should take about 5 to 10 minutes to complete.
VHA is accredited with Exemplary Standing by Accreditation Canada; an RNAO Best Practice Spotlight Organization designate; and a founding member agency of United Way Greater Toronto.
Thank you to everyone who applies. We will review applications as they are received. We’ll only be contacting those selected for further discussion.
In every role and at every level, we lead with purpose, build bonds that matter, and we’re passionate about providing spectacular care.
About VHA Home HealthCare
Founded in 1925, we’re a not-for-profit, charitable organization made up of over 3,000 diverse professionals-nurses, personal support workers, rehab therapists, home support workers, extreme cleaners, and office support staff.
Together, we provide high quality care, with great heart, to vulnerable populations in the communities we serve. This includes seniors, families, new parents, newborn babies, people with physical and mental disabilities, children with medically complex needs, and the terminally ill.
We provide service 24 hours a day, seven days a week to clients in their homes, in schools, in retirement homes and other locations in the community. In every role and at every level, we lead with purpose, build bonds that matter, and we’re passionate about providing spectacular care.
Digital Navigator (Permanent Full-Time)
Top Benefits
About the role
VHA Home HealthCare (VHA) is one of the largest not-for-profit home care providers in Ontario. Our team is made up of close to 3,000 caring and committed professionals who love what they do. Our providers tell us: “Home care is where I can truly make a difference. There is such a sense of accomplishment from helping people live independently at home.” Our teams work together to provide high quality, client-centred care to those who need it most in their homes, schools, retirement homes and other community settings. Many of our team members manage their own schedules in the community and they say, “The freedom and flexibility can’t be beat.” Providers form meaningful bonds with the clients and families they serve over time and are supported by a diverse regional team and beneficial home office programs. Team members tell us “I love the inclusive culture. I feel welcome and at home.”
View more comments from our clients and their family members.
Pay Range $70,000-$87,000
If you're a Registered Nurse (RN) looking for a unique opportunity, this role is for you! The Digital Navigator (DN) plays a critical role in delivering safe, coordinated, and digitally enabled care for patients transitioning from hospital to home or receiving high-intensity bundled home care. Acting as the central clinical command hub, the DN uses remote monitoring technologies, real-time triage, and proactive outreach to identify early clinical deterioration, intervene rapidly, support caregivers, prevent Emergency Department (ED) visits, and ensure patients remain stable in the community.
This role provides virtual oversight, continuous assessment, and digital care navigation to enhance patient and caregiver experience while optimizing clinical outcomes.
Key Areas of Accountability
- Perform real-time, rapid triage of new referrals, patient concerns, symptom escalations, and urgent requests.
- Serve as the primary virtual point of contact between scheduled visits, ensuring continuous communication and monitoring.
- Conduct virtual nursing assessments on a regular basis and as clinical status changes.
- Evaluate patient stability through vitals, symptoms, monitoring alerts, and caregiver input.
- Monitor incoming alerts and symptom flags from digital tools (e.g., COPD worsening, falls risk changes, vitals deviations).
- Call patients and caregivers daily—or more frequently if required—to support ongoing symptom monitoring.
- Document findings and clinical interpretations in the EMR and monitoring platforms in real time.
- Implement immediate interventions (education, medication guidance within scope, symptom management advice) to stabilize patients at home using established escalation pathways where applicable.
- Guide caregivers through urgent care situations to prevent unnecessary ED transfers.
- Lead or co-lead care team huddles to review patient conditions, discuss care plans, and identify system-level issues.
- Work with the Home Care Specialist (HCS) to adjust service intensity, visit frequency, modality (virtual vs. in-person), and introduce additional supports (CSS, technology, behavioural supports).
- Support transitions between levels of care when patients’ conditions change.
- Provide ongoing coaching to caregivers during periods of acute instability or when responsive behaviours escalate.
- Educate patients and caregivers on symptom monitoring, medication adherence, equipment use, behavioural strategies, and safety measures.
- Identify clinical risks early and escalate appropriately using established escalation pathways where applicable.
- Report incidents, complaints, and adverse events in accordance with VHA policy.
- Ensure all documentation is accurate, timely, and compliant with legal, regulatory, and privacy standards.
- Contribute to the evaluation and refinement of digital tools, RCM workflows, and care models based on real-world learnings.
- Troubleshoot basic device or platform issues with patients and caregivers.
- Support device deployment, onboarding, and ongoing use.
Required Qualifications
- Current registration and good standing as a Registered Nurse (RN) with the College of Nurses of Ontario (CNO).
- Minimum 3 years of clinical nursing experience, preferably in community/home care, acute care, geriatrics, or high-acuity settings.
- Experience with: COPD, CHF, diabetes, dementia or cognitive decline responsive behaviours, and medically complex or fragile patients
- Proficiency with EMRs, telehealth systems, mobile apps, and digital monitoring tools.
- Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to adapt to new technologies.
- Strong clinical assessment and triage skills.
- Excellent communication, de-escalation, and caregiver engagement skills.
- Experience with virtual care, telehealth, remote monitoring, or digital health platforms is preferred.
#INVHACorp
What makes VHA’s compensation unique?
- Benefits and pension plan for permanent eligible employees
- Compensation for education and professional development
- VHA is a leading learning organization so we can provide you with comprehensive orientation and training at the start and throughout your career
- Mentorship and peer support
- Career development opportunities
- Employee and family assistance program
- Wellness resources
- Perks & discounts
- Staff & service provider events
Accommodation and VHA’s commitment to DEI At VHA Home HealthCare (VHA), we passionately strive to uphold our commitments to being an Equal Opportunity Employer. We champion inclusion and diversity in all parts of our organization and are strong believers that a diverse workforce is key to the ongoing and future success of VHA. We aim to review all applicants with fair and unbiased recruitment practices where opportunities are presented based on merits, skills, and experience. VHA is committed to providing reasonable accommodation and our services are accessible and sensitive to the needs of diverse groups. If you require any accommodation, please let us know in advance as we are happy to comply.
How to Apply? Our online application should take about 5 to 10 minutes to complete.
VHA is accredited with Exemplary Standing by Accreditation Canada; an RNAO Best Practice Spotlight Organization designate; and a founding member agency of United Way Greater Toronto.
Thank you to everyone who applies. We will review applications as they are received. We’ll only be contacting those selected for further discussion.
In every role and at every level, we lead with purpose, build bonds that matter, and we’re passionate about providing spectacular care.
About VHA Home HealthCare
Founded in 1925, we’re a not-for-profit, charitable organization made up of over 3,000 diverse professionals-nurses, personal support workers, rehab therapists, home support workers, extreme cleaners, and office support staff.
Together, we provide high quality care, with great heart, to vulnerable populations in the communities we serve. This includes seniors, families, new parents, newborn babies, people with physical and mental disabilities, children with medically complex needs, and the terminally ill.
We provide service 24 hours a day, seven days a week to clients in their homes, in schools, in retirement homes and other locations in the community. In every role and at every level, we lead with purpose, build bonds that matter, and we’re passionate about providing spectacular care.