Home Care Navigator - Toronto, Canada - VHA Home HealthCare

Description

VHA Home HealthCare (VHA) is one of the largest not-for-profit home care providers in Ontario. Our team is made up of close to 3,000 caring and committed professionals who love what they do. Our providers tell us: "Home care is where I can truly make a difference. There is such a sense of accomplishment from helping people live independently at home." Our teams work together to provide high quality, client-centred care to those who need it most in their homes, schools, retirement homes and other community settings. Many of our team members manage their own schedules in the community and they say, "The freedom and flexibility can't be beat." Providers form meaningful bonds with the clients and families they serve over time and are supported by a diverse regional team and beneficial home office programs. Team members tell us "I love the inclusive culture. I feel welcome and at home." View more comments from VHA clients and their family members.

We are seeking a:

Home Care Navigator

Permanent Full-Time, Hybrid Model

What will be your role?

The Home Care Navigator will provide care coordination, navigation and care flow management services to clients that are part of hospital @home and/ OHT programs. Will be a connection and liaison between the home care clients, hospital partners and the community care teams while ensuring excellence in the provision of client care and the achievement of program objectives. This position will manage relations and collaborate with program funders to ensure a smooth and seamless transition to a client's home environment.

Additionally this position will help to ensure performance targets are met and be involved in quality improvement initiatives as it relates to optimizing patient flow, care coordination and service management processes within the SS&P programs.

Key Areas of Accountability:

• Coordinates the delivery of Home Care services, medical equipment and supplies as needed
• Acts as the primary point of contact for the hospital navigator
• Coordinates/Liaise with hospital lead/HCCSS coordinator and VHA Teams as required
• Participates in hospital discharge planning meetings and client care conferences for complex clients as required
• Prepares initial care plans, orders initial equipment and supplies as required and communicates initial care plans to hospital/funder navigator or lead.
• Communicates and collaborates with clients, families, members of the health care team, and community resources to facilitate decision making regarding appropriate services
• Monitors and communicates significant deviations from the care plan to the hospital lead/ funder lead as required
• Monitors timely completion and reporting outcomes of patient/family care conferences to hospital partners and the program teams
• Monitors Program Metrics and service bundles and participate in program evaluation and process improvement

What makes VHA's compensation unique?

• Benefits and pension plan for permanent eligible employees
• Compensation for education and professional development
• VHA is a leading learning organization so we can provide you with comprehensive orientation and training at the start and throughout your career
• Mentorship and peer support
• Career development opportunities
• Employee and family assistance program
• Wellness resources
• Perks & discounts
• Staff & service provider events

Key skills, experience and behaviours required for this position:

• Current RN Registration and licensure with the College of Nurses of Ontario required.
• 5+ years of experience in home and community health or a related field.
• On-Call on a rotational basis and as required
• Knowledge of the health care delivery system including hospital discharge planning, home and community care, and support services
• Excellent skills in case management, coordinating care within interdisciplinary teams, interRAI assessments and navigation of community services
• Excellent assessment and decision-making skills
• Passion for excellent customer service and customer experience
• Demonstrates strong critical thinking, problem-solving and self-directed skills
• Excellent interpersonal communication, and presentation skills with a diverse group or stakeholders (hospital partners, front line staff, management team)
• Effective time management skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment in various settings (e.g. at the hospital, in the office, in the community)
• Proficient skills in Microsoft Office (Word, Excel, PPT) and comfort with learning/working with new and emerging technologies (e.g. EHR systems, reporting systems)
• A valid driver's license and access to a reliable vehicle

Accommodation and VHA's commitment to DEI

At VHA Home HealthCare (VHA), we passionately strive to uphold our commitments to being an Equal Opportunity Employer. We champion inclusion and diversity in all parts of our organization and are strong believers that a diverse workforce is key to the ongoing and future success of VHA. We aim to review all applicants with fair and unbiased recruitment practices where opportunities are presented based on merits, skills, and experience. VHA is committed to providing reasonable accommodation and our services are accessible and sensitive to the needs of diverse groups. If you require any accommodation, please let us know in advance as we are happy to comply.

VHA is accredited with Exemplary Standing by Accreditation Canada; an RNAO Best Practice Spotlight Organization designate; and a founding member agency of Unit2ed Way Greater Toronto.

Thank you to everyone who applies. We will review applications as they are received. We'll only be contacting those selected for further discussion.

In every role and at every level, we lead with purpose, build bonds that matter, and we're passionate about providing spectacular care.