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Care Coordinator - Stratford (permanent FT)

Closing Date:
Open until position filled
Job Summary:

The South West Community Care Access Centre (CCAC) serves 60,000 people each year, across a vast region from Tobermory in the north to Long Point and Port Glasgow in the south. Our role is to get people the home and community care they need to stay well, heal at home and stay safely in their homes longer. We also help people transition through the system and to other living arrangements. We do it by working in partnership with patients, families, providers, community organizations, and others.


Care Coordinator


A permanent full-time position is available in the Stratford location. Possessing the skills, the knowledge and credentials (Registered Nurse, Registered Occupational Therapist, Physical Therapist or Master of Social Work), as well as experience and sound judgment, the Care Coordinator contributes to the success of patient-driven care throughout South Western Ontario.

As a Care Coordinator, you'll leverage your nursing expertise and knowledge of community resources to assess patient needs, determine their eligibility for services and subsequently develop, evaluate and/or revise plans of service for patients. Recognized as a valued member of the Patient Care Team, you'll be accountable for coordinating the delivery of care to patients across a continuum of care, facilitating and ensuring the achievement of quality clinical outcomes.


Reporting to the Patient Care Manager, responsibilities include:

  • Carrying out a variety of patient care and relationship management duties
  • Prioritize new referrals and take timely action, identifying individuals who would benefit from CCAC services, and connecting with them to determine eligibility for services such as LTC, Adult Day Programs, etc.
  • In collaboration with the patient, assess their needs and goals, and incorporate these into care planning, ensuring that the plan includes access to alternative resources
  • Make referrals to a wide variety of community supports, based on specific needs or circumstances, and assist patients and their families through the process
  • Create a transitional plan in collaboration with the patient and system partners (hospital, primary care and community health care providers)
  • Establish and maintain effective relationships with patients and their circle of care – families, service providers, physicians and other partners – to ensure the delivery of the highest quality patient care
  • Represent the South West CCAC on multidisciplinary teams, committees and community agency working groups


Qualifications and experience include:

  • Current, active registration or licence to practise in Ontario as a Registered Nurse (RN, BScN), Registered Occupational Therapist, Physical Therapist or Master of Social Work
  • Sound knowledge of the long-term care system and community resources, and experience to assess requirements and develop plans of care
  • Recent clinical experience and experience with mental health and addictions nursing
  • Knowledge of: - the roles of health care professionals - the evolving role of CCACs - the issues and priorities within the health care sector and how they impact patient care delivery
  • Practical knowledge of privacy and other relevant legislation, e.g., the Long Term Care Act
  • Effective planning, organization and evaluation skills to manage multiple patients, provide information reports and take corrective action
  • Strong communication and interpersonal skills
  • Ability to use MS Office applications and databases
  • Valid driver's license and access to a reliable vehicle
  • Proficiency in French is an asset


To apply for this position, please visit  Application deadline is May 8, 2017.

We thank all applicants; however, only those invited for an interview will be contacted. 

Accommodations are available for applicants with disabilities throughout the recruitment process. If you require accommodations for interviews please inform Human Resources. 

We welcome applications from people of diverse backgrounds.

About the CCAC

Community Care Access Centres (CCACs) connect people across Ontario with quality in‐home and community‐based health care. CCACs provide information, access to qualified care providers and community‐based services to help people come home from hospital or live independently at home.