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Care Coordinator – Intake Palliative RN (TFT)

Closing Date:
Open until position filled
Job Summary:
Initial Assignment:     141 Weber Street South, Waterloo; Intake EH, 12:30 pm – 8:30 pm.



Reporting to the Manager of Client Services, the incumbent will be responsible for:

  • conducting eligibility and service needs assessments for clients referred to CCAC for in home or placement services;
  • developing, initiating and co-ordinating individualized care plans for eligible clients, and providing ongoing resource management and discharge planning as appropriate;
  • conducting alternate planning for non-eligible clients, and providing program interpretation/education to hospital and community agency staff, long term care facilities, physicians, clients and families;
  • assessment of referred clients to obtain information in order to identify a client's functional & cognitive status, strengths, values, abilities, preferences, resources, supports and needs
  • actively participate as a member of the HPC Team with both internal and external care provides including palliative care physicians and family physicians
  • effective clinical judgement to triage, prioritize level of client care needs for HPC services and problem solve clinical issues with care providers
  • performing other duties as assigned.




Knowledge and application of case management principles and practices acquired through membership in good standing as a Registered Nurse.  Proven skills in the areas of case management, assessment, communication, interviewing, problem solving, interpersonal and leadership within a team based setting is required.  Minimum of one year of community care coordination experience is preferred.  The ability to work independently in a highly organized manner is required.  Experience in Hospice Palliative Care and familiarity with the HPC basket of available services preferred. This position also requires proficiency in the use of a personal computer in a windows networked environment, using Word and database software.  Proficient documentation and computer skills is needed, as access to outside documentation systems may be required. The ability to travel throughout Waterloo Region and Wellington County is required.

This position may be required to provide relief at other CCAC locations or teams as needed and may be part of the on call rotation as per the provisions of the ONA collective agreement.

If you are interested in this position, please submit a cover letter, along with a detailed resume, outlining how your skills, qualifications and experience meet the position requirements, quoting posting #14/0/02 before 4:30 p.m. on February 28, 2014 to Human Resources (e-mail: We thank all applicants in advance; however, we will be communicating only with those selected for an interview. 


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.