Transitions Care Lead - Brockville
4 weeks ago
Job summary
The Acute Care Transitions Program ensures seamless compassionate care as patients move from hospital to home.Why join our team?
Competitive Total Rewards So much more than a paycheque Enjoy comprehensive benefits pension on-demand pay car loan support supportive housing and exclusive staff perks.
Growth That Meets Your Ambition Build your skills with education bursaries tuition support ongoing training and mentorship Our leadership team is available 24/7 to help you practice to full scope and deliver excellent care With diverse roles and locations across Canada you'll have opportunities to explore new career paths or move into support and leadership positions Innovative At SE we are always looking for new innovative ways to improve You'll be encouraged supported identify make improvements the way we do our work As a social enterprise we support research into Senior's Health Aging Purpose & Impact Join national social enterprise where voice matters Every role helps advance health spark innovation strengthen communities across Canada Manage your life At SE you'll be supported time need meet needs clients meet own needs develop yourself career part team Support be best At SE afforded time help patients build rapport accomplish patient care recovery goals understand home life environments impact recovery most other settings You meet patients where they are together take them new heights Position SummaryAccess all high-level positions and get the job of your dreams.
As Transitions Care Lead provide exemplary leadership care flow management between hospital partners community care teams ensuring excellence provision client care achievement corporate/program objectives This exciting position will manage relations collaborate hospitals ensure smooth seamless transition client's home environment Additionally this position will help ensure performance targets met involved quality improvement initiatives optimizing patient flow management processes within Acute Transition programs Responsibilities Act primary point contact hospital navigator/coordinator Receive monitor update client tracking/notification/flow tools Receive review accept referrals in-home transition services Coordinate Liaise hospital navigator/coordinator SE @home Team required Participate hospital discharge care conference complex clients required Prepare initial care plan e.g. 48-72 hours post transition place initial equipment supplies order as required Ensure all necessary referral documents transition request form medical orders consult notes allied health reports instructions received by SE @Home Team Attend program huddles hospital per contract requirements Monitor communicate significant deviations care plan hospitals required Communicate risk-related events Monitor timely completion reporting outcomes patient/family conferences partner hospitals(required contract)Monitor Program Metrics e.g. client experience time first visit service volumes risk events etc Facilitate risk management established policies procedures Communicate patient family complaints issues back partner hospitals share associated action plans meetings Participate program evaluation process improvement On-call programs support Other duties ensure program running smoothly Requirements Membership good standing applicable regulatory body College Nurses Ontario College Physiotherapists Ontario College Occupational Therapists Ontario Social Workers Social Service Workers Years recent experience community health related field Knowledge healthcare delivery system including discharge planning community care support services Excellent skills case management coordinating within interdisciplinary teams Assessment decision-making skills Passion customer service customer experience Demonstrates strong critical thinking problem-solving self-directed skills Interpersonal communication presentation skills diverse group stakeholders Hospital partners frontline staff management team Effective time management ability work independently co-operatively busy multidisciplinary environment various settings e.g. at the hospiital office in the community Advanced s kills Microsoft Office Word Excel PPT Visio comfort learning working emerging technologies remote patient monitoring/virtual technologies EHR systems reporting systems Valid drivers license access reliable vehicle About Social Enterprise Health
COVID-19 To protect health of our clients teams communities all employees must fully vaccinated two doses days since final dose Accessibility If require accommodations illness disability please contact Talent Acquisition at AI And Compensation Details We use AI take notes during interview All applications interviews reviewed by Talent Acquisition team This role (new addition replacement position) hiring pay range $ based on experience Job description
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