Patient Care Coordinator with Community Focus

Enhance patient health at home as a Patient Care Coordinator with Ontario Health atHome. This role emphasizes assessing care needs and connecting patients with vital community services.
Based at St. Frances Memorial Hospital, you will manage a diverse caseload, creating and implementing individualized care plans. Engage with patients and their families to improve wellbeing through supportive healthcare services.
Key Responsibilities:
• Complete detailed assessments of patient care and caregiver needs
• Develop personalized care plans reflecting patient goals
• Ensure coordination of home and community care service delivery
• Communicate effectively with multidisciplinary healthcare teams
• Document cases in compliance with Ontario Health policies
Requirements:
• Registered health professional in Nursing, OT, PT, or Social Work
• Minimum two years of related community experience preferred
• Fluency in English and French is advantageous
• Strong writte...