Ontario Health atHome

About the Company

We are here to help. Ontario Health atHome coordinates in-home and community-based care for thousands of patients across the province every day. We assess patient care needs, and deliver in-home and community-based services to support your health and well-being. We also provide access and referrals to other community services, and manage Ontario's long-term care home placement process. We collaborate with primary care providers, hospitals, Ontario Health Teams and many other health system partners to support high-quality, integrated care planning and delivery. Call 310-2222 (no area code is required).

Nous sommes la pour aider. Chaque jour, Sante a domicile Ontario coordonne les soins offerts a domicile et en milieu communautaire a des milliers de patients, partout dans la province.

En effet, nous evaluons les besoins des patients en matiere de soins de sante et nous leur fournissons des services a domicile et en milieu communautaire pour favoriser leur sante et leur bien-etre. Nous dirigeons egalement les patients vers d'autres services communautaires, et nous gerons le processus de placement en foyer de soins de longue duree de l'Ontario.

Nous collaborons avec les fournisseurs de soins primaires, les hopitaux, les equipes Sante Ontario ainsi que de nombreux autres partenaires du systeme de soins de sante afin d'assurer la planification et la prestation de soins integres et de haute qualite.

Composez le 310-2222 (aucun indicatif regional n'est requis).

Listed Jobs

Company Name

Ontario Health atHome

Job Title

Care Coordinator - Complex

Job Description

Job Title: Care Coordinator – Complex Role Summary: Lead the care coordination of community‑based palliative patients, ensuring patient‑centred, integrated services that enable active living and optimal quality of life until death. Expectations: 18‑month temporary, full‑time role with duties at an office, community, or health facility. Key Responsibilities: - Collaborate with patients and families to assess needs, determine service eligibility, and create individualized care plans. - Connect patients with community providers to maintain safety at home and reduce hospital or ED usage. - Coordinate and monitor care plan implementation, documenting progress and outcomes. - Serve as subject‑matter expert on palliative care for colleagues and external partners. - Balance patient preferences with available resources, respecting values and choices. - Foster supportive relationships with patients and families. Required Skills: - Registered Nurse (RN, BScN) in good standing with a regulatory body. - ≥1 year of recent experience in community health or related field. - Palliative care training/certification (e.g., Fundamentals, LEAP, CAPCE). - Knowledge of EDITH protocol, Symptom Response Kits, DNR‑C paperwork, and PPS Scale. - Understanding of prognosis trajectories, pain and symptom management in palliative care. - Strong clinical background, patient‑centred orientation, and knowledge of health delivery systems. - Leadership, advocacy, interpersonal and communication skills. - Assessment, problem‑solving, decision‑making, time‑management, and organizational abilities. - Accurate documentation, reporting, and electronic health record competence. - Valid driver’s licence and reliable vehicle. - Proficiency in Windows environment. Required Education & Certifications: - Registered Nurse (RN, BScN) with good standing. - Palliative care certification (Fundamentals, LEAP, CAPCE, or equivalent).

Hanover, Canada

On site

Fresher

01-03-2026

Company Name

Ontario Health atHome

Job Title

Care Coordinator #037-26

Job Description

Job Title: Care Coordinator #037-26 Role Summary: A registered health professional (Nurse, Physiotherapist, Occupational Therapist, or Social Worker) coordinates individualized, patient‑centred care plans, linking patients and families to community services and monitoring delivery across multidisciplinary settings. Expectations: * Membership in good standing with the applicable regulatory body (College of Nurses of Ontario, College of Physiotherapists of Ontario, College of Occupational Therapists of Ontario, or Ontario College of Social Workers & Social Service Workers). * Recent experience in community health or related community‑based care. * Knowledge of the Ontario health care delivery system and community resources. * Advanced oral and written English proficiency; French or other second language a plus. * Valid driver’s licence and reliable vehicle. * Compliance with mandatory COVID‑19 vaccination policy. Key Responsibilities: * Collaborate with patients and families to assess care needs and determine eligibility for services. * Design personalized care and service plans. * Link patients to appropriate service providers and coordinate timely access. * Monitor and adjust care plan delivery, ensuring alignment with patient values and resource availability. * Establish trusting relationships with patients, caregivers, and other health care practitioners. Required Skills: * Strong interpersonal and communication skills. * Clinical assessment, problem solving, and decision‑making abilities. * Effective time management, prioritization, and organization. * Ability to work independently and collaboratively in a busy multidisciplinary environment. * Accurate completion of documentation, reports, and required forms. * Proficiency in a Windows computing environment. Required Education & Certifications: * Registered professional license in Nursing, Physiotherapy, Occupational Therapy, or Social Work, issued by the relevant Ontario regulatory body. * Relevant post‑secondary education (e.g., Bachelor of Nursing, Bachelor of Physiotherapy/Occupational Therapy, or Social Work) as required by the regulatory body. * No additional certifications required beyond regulatory licensure.

Timmins, Canada

On site

01-03-2026

Company Name

Ontario Health atHome

Job Title

Care Coordinator #038-26

Job Description

**Job Title:** Care Coordinator **Role Summary:** Provide patient‑centred coordination of health and community services by assessing needs, determining eligibility, developing and monitoring individualized care plans, and linking patients and families with appropriate resources. Work independently and collaboratively within a multidisciplinary team to ensure timely, accessible, and respectful care delivery. **Expectations:** - Hold active registration with the appropriate Ontario regulatory college (Nursing, Physiotherapy, Occupational Therapy, or Social Work). - Recent experience in community health or related field. - Strong knowledge of Ontario health‑care delivery and community resources. - Excellent communication, assessment, problem‑solving, and decision‑making abilities. - Effective time‑management, prioritization, and organizational skills; capable of working autonomously and within a team. - Reliable vehicle, valid driver’s licence, and proficiency with Windows‑based software. - Advanced oral and written English; French or another language is a plus. - Compliance with mandatory COVID‑19 vaccination policy. **Key Responsibilities:** - Conduct assessments with patients and families to identify care needs and eligibility. - Develop individualized care and service plans aligned with patient values and preferences. - Link patients to appropriate community service providers and coordinate referrals. - Monitor implementation of care plans, adjusting as needed to ensure continuity of care. - Maintain accurate documentation, reports, and required forms. - Foster therapeutic relationships with patients, families, and multidisciplinary partners. **Required Skills:** - Clinical assessment and care planning. - Knowledge of community health resources and Ontario health system. - Interpersonal and communication excellence (oral and written). - Decision‑making and problem‑solving. - Time management, prioritization, and organizational efficiency. - Proficiency in Windows/PC applications. - Ability to travel locally and work in varied settings (office, community, health facilities). **Required Education & Certifications:** - Registered Nurse (RN) degree **or** Bachelor’s in Physiotherapy, Occupational Therapy, **or** Social Work. - Active membership in good standing with the relevant Ontario college (College of Nurses of Ontario; College of Physiotherapists of Ontario; College of Occupational Therapists of Ontario; Ontario College of Social Workers and Social Service Workers). - Valid driver’s licence and reliable vehicle. - COVID‑19 vaccination proof (as per employer policy).

Sudbury, Canada

On site

01-03-2026