Health Careers For SOUTH EAST

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South East Local Health Integration Network

If you, or someone you care about, needs health care services at home, at school or in the community, or if you are considering supported living programs or long-term care options, home and community care at the South East Local Health Integration Network can help.
South East LHIN works with people of all ages to ensure they can make informed choices about their care, when and where they need it.

We also have useful information about local community support service agencies, and can link people to these providers to arrange services.

You can explore your care and support options through our website, or contact us at 310-2222.

Position:  Care Coordinator- Brockville / Smiths Falls

Region:  Leeds & Grenville, Lanark


As a Care Coordinator, you will be responsible for client assessment, determination of eligibility, admission, service planning and authorization, implementation, monitoring, reassessment, adjustment and discharge planning of all client service programs (in-home and placement), including the provision of community resource information and referral. You will link clients with the right information and help them achieve their short and long-term health care goals.

More specifically, as a Care Coordinator you will:
  • Assess referred patients for eligibility of services utilizing established criteria;
  • Assist in identifying complex patients within the LHIN in accordance with the Health Link definition of complex
  • Assist ineligible patients to access information/services appropriate to their needs and provides information on community resources and assistance to access the same where required;
  • Act as a primary contact for patients, communicating with patients, caregivers, contracted service providers, primary care and Health Link partners regarding service plans;
  • Collaborate with the patient, caregiver and/or family, and appropriate members of the patient’s health team related to service plan development , priority determination, authorization of services, development of mutual goals, and anticipated duration of service(s) outlined;
  • Provide Care Coordination for identified Health Link patients and coordinates the primary Care Coordinator assignment with applicable Health Link partner
  • Coordinate the delivery of quality, cost effective, equitable and timely services;
  • Collaborate with service providers and other system partners;
  • Foster overall integration with primary care to develop strong working relationships centered on integrated patient care
  • Maintain patient records which support ongoing assessment and monitoring, and meets the relevant discipline and standards, and documents both written and electronically, in accordance with the College and other standards to support the team;
  • Effectively communicate with all appropriate members of the patient’s healthcare team via established communication channels including case conferences and home visits to optimize care planning and appropriate services;
  • In collaboration with appropriate others, adjust the service plan based on changes in the patient’s needs;
  • Conduct home visits on a regular basis and as needed in accordance with patient needs and organizational policies;
  • Counsel patients on placement process utilizing established criteria and guidelines for patients seeking placement, obtains consent, completes functional, psychosocial, medical and financial documentation;
  • Advocate for the patient to facilitate positive patient outcomes;
  • Determine the patient’s continuing eligibility for services and provides counseling and referral to other providers/agencies when service is decreased or discontinued, or when additional outside agency support is required;
  • Conduct reassessments for patients awaiting placement;
  • Discharge patient from service and redirects to/facilitates alternative resources, if applicable and assists with access such services, if needed by the patient;
  • Promote, educates and interprets the role and services of the South East LHIN to individuals, groups and community agencies, and health care partners;
  • Participate in data collection activities as required;
  • Assist with the orientation of new staff/students and carries out preceptor responsibilities as required;
  • Maintain confidentiality and privacy by safeguarding patient information in accordance with legislation, professional college standards and South East LHIN policy;
  • Initiate and maintain comprehensive service records for each patient;
  • Identify and participate in ongoing professional development and staff education;
  • Performs other duties that may be assigned.

The Care Coordinator we seek will have a profile that includes:
  • Holds current appropriate unrestricted registration as a member of one of the following: the College of Nurses of Ontario, the College of Audiologists and Speech Language Pathologists of Ontario, the College of Occupational Therapists of Ontario, the College of Physicians and Surgeons of Ontario, the College of Physiotherapists of Ontario, the College of Psychologists of Ontario or is a member holding a certificate of registration as a Social Worker with the College of Social Workers and Social Services Workers of Ontario;
  • University degree preferred in Nursing, Physiotherapy, Occupational Therapy, Speech Language Pathology, Social Work;
  • Experience in community practice engaged in either case management or multi-disciplinary approach to patient care is preferred;
  • Demonstrated computer literacy is required to facilitate the use of automated patient information systems;
  • Vehicle and valid Ontario driver’s licence is required;
  • Ability to communicate effectively orally and in writing in both official languages (English and French) is considered as asset.
  • New and existing employees must have the ability to access applicable health care partner information systems as a condition of employment.
  • Committed to patient-focused care;
  • Proven ability to manage time effectively, i.e. organize work, meet deadlines, set priorities, multi-task, and delegate effectively;
  • Effective interpersonal and communication skills;
  • Demonstrated leadership skills and proven ability to work effectively both as a member of a team and independently;
  • Proven assessment, goal-setting, problem-solving, decision-making, and crisis management skills;
  • Demonstrated commitment to maintaining cooperative and collaborative relationships with partners and colleagues;
  • Willingness to be flexible and facilitate change;
  • Proficient working in a computerized environment.

Salary:  $38.03 - $45.09 per hour

Terms of Employment:  Casual; Temporary Part-Time

Deadline for Application:  Monday, December 31, 2018

How to Apply:  

Posted until filled

Applicants should submit a resume and cover letter to:

We thank all applicants for their interest; however only those selected for an interview will be contacted.

If you require a disability-related accommodation in order to participate in the recruitment process, please notify Human Resources. Accommodation will be provided in accordance with Ontario’s Human Rights Code and the Accessibility for Ontarians with Disabilities Act. The South East LHIN is an equal opportunity employer.

La version française de cette annonce est disponible sur demande.

Location:  Brockville and Smiths Falls

Profession Type:  Case Management

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Please note:
While the LHIN makes reasonable efforts to ensure that the information contained on this website is accurate, current, and reliable, it makes no warranties or representations, express or implied. The information is provided on an “as is” basis which may contain inaccuracies. Android app on Google Play Download on the iOS App Store