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Registered Nurse, Care Coordinator Complex Team

Closing Date:
Open until position filled
5/1/2017
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.

Registered Nurse, Care Coordinator Complex Team

A permanent Job Share (.5 FTE) Registered Nurse (Care Coordinator) position, with an initial assignment to work in the Complex and Complex Palliative population, is available with the South West CCAC's Owen Sound location.  The Care Coordinator will be responsible for working in close collaboration with all system partners to provide a team approach to care for this population. The Care Coordinator will support these patients with linkages to the broader health care system with the aim of maintaining the patient's safety in their own home. Emphasis will be on preventing admission to hospitals or visits to the Emergency Department (ED) and possibly delaying/avoiding admission to Long-Term Care.

The Care Coordinator will be required to provide a RAI-HC assessment within one (1) week of a patient's discharge from ED or hospital and a minimum of every 90 days. Emphasis will be placed on flexibility, excellent relationship management, strong system navigation, and knowledge of the community and available supports. Ability to work as an effective member of an integrated health care team is essential and the Care Coordinator selected must have a strong history of collaboration with community support service agencies in joint service planning. The Care Coordinator will have significant interaction with hospital partners and our CCAC hospital teams, therefore, must have a comfort working within a hospital environment in order to support effective transition of patients from hospital to home.

Interested applicants will have demonstrated a passion for the continuous growth and evolution of community health care and the ability to embrace change. Demonstrated leadership in moving from concept to implementation and enthusiasm for working within new frameworks is a must. In-depth knowledge of chronic disease self-management and population-based health is required. Applicants must demonstrate willingness to travel. Hours of work will be according to the Collective Agreement.

Qualifications and experience include:

  • Regulated Health Professional preferably with a Bachelor's Degree in Nursing
  • Member in good standing with a current, active registration or licence to practise in Ontario as a Registered Nurse (RN, BScN)
  • In-depth knowledge of the health and social services network
  • Minimum of 5 years recent, related professional experience
  • Demonstrated competency in RAI-HC assessments preferred
  • Knowledge and understanding of the shared philosophy and quality improvement program known as Flexible Client Driven Care preferred
  • Strong team player
  • Excellent interpersonal and partnership skills
  • Excellent computer skills
  • Knowledge and sensitivity to multi-cultural needs and issues
  • Sound knowledge of the long term care system and community resources
  • Comprehensive experience in needs assessment
  • Valid Driver's License and access to a vehicle
  • Proficiency in French is an asset

To apply for this position, please visit www.ccacjobs.ca.  Application deadline is May 1, 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.