Ontario Health atHome

3 Jobs

3,454 Employees

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 #166-25
Job Description: Job Title: Care Coordinator Role Summary: Coordinate patient‑centred care for individuals in community or health‑care settings. Conduct assessments, determine eligibility, develop care plans, link patients to services, and monitor delivery to improve home health outcomes. Expectations: Full‑time temporary role. Work independently in office, community, or facility; manage caseload, complete documentation, and collaborate across multidisciplinary teams. Key Responsibilities: - Assess patients and families to determine care needs and service eligibility. - Develop and update individualized care and service plans. - Coordinate referrals to community and health‑care service providers. - Monitor care delivery, adjust plans as needed, and document outcomes. - Build and maintain therapeutic relationships with patients, caregivers, and team members. - Ensure accurate completion of required reports, forms, and documentation. Required Skills: - Valid registration with Ontario College of Nurses, Physiotherapists, Occupational Therapists, or Social Workers. - Recent experience in community health or a related field. - Knowledge of Ontario health‑care delivery system and community resources. - Strong interpersonal, communication, assessment, problem‑solving, and decision‑making skills. - Effective time‑management, prioritization, and organizational abilities. - Ability to work independently and collaboratively in a busy multidisciplinary environment. - Accurate documentation and reporting skills. - Proficiency in English (oral and written). - Competency in a Windows environment. - Valid driver’s licence and reliable vehicle access. Required Education & Certifications: - Registered professional: RN, PT, OT, or Social Worker, in good standing with the relevant Ontario college. - Proof of COVID‑19 vaccination required before start. Optional Edge‑Enhancers: - Experience with diverse patient populations (multicultural, homeless, palliative, ABI, mental health, geriatrics, pediatrics). - Case‑management or related community experience. - Second‑language proficiency (French or other).

Sudbury, Canada

On site

06-11-2025

Company Name: Ontario Health atHome
Job Title: Care Coordinator - Complex
Job Description: **Job Title** Care Coordinator - Complex **Role Summary** Registered nurse responsible for coordinating community-based palliative care for complex patients. Provides case management, care planning, and advocacy to ensure patients live as independently and comfortably as possible while preventing unnecessary hospital or ED visits. **Expectations** - Function as patient advocate and liaison among families, patients, and multidisciplinary teams. - Ensure care plans reflect patient values and available resources. - Maintain comprehensive, accurate documentation and reports. **Key Responsibilities** - Conduct assessments, determine service eligibility, and develop individualized care plans. - Link patients with appropriate community resources and services. - Monitor care plan implementation and adjust as needed. - Act as subject‑matter expert on palliative care needs for staff and external partners. - Coordinate transitions and communicate status to all stakeholders. **Required Skills** - Registered Nursing licence (RN, BScN) in good standing. - ≥1 year community health or related nursing experience. - Certification in palliative care (Fundamentals, LEAP, CAPCE, etc.). - Knowledge of EDITH protocol, Symptom Response Kits, DNR-C paperwork, PPS Scale. - Strong clinical, interpersonal, communication, assessment, problem‑solving, and decision‑making skills. - Excellent time management, prioritization, and organisational abilities. - Ability to work independently and collaboratively in a multidisciplinary environment. - Proficient in Windows environment; valid driver’s licence and reliable vehicle. **Required Education & Certifications** - Bachelor of Science in Nursing (BScN) or equivalent. - Current RN licence. - Palliative care certification (e.g., Fundamentals, LEAP, CAPCE). ---

Company Name: Ontario Health atHome
Job Title: Care Coordinator
Job Description: **Job Title:** Care Coordinator **Role Summary:** Provide patient‑centred care coordination in a community or clinical setting. Assess needs, determine eligibility for services, develop and monitor individualized care plans, and facilitate access to community resources while maintaining professional documentation and communication with patients, families, and multidisciplinary teams. **Expectations:** - Deliver coordinated care on an extended‑hours schedule (8:30 AM–8:30 PM). - Manage travel within the allocated geographic region. - Maintain COVID‑19 vaccination status and comply with regulatory mandates. - Work independently and collaborate within a multidisciplinary environment. **Key Responsibilities:** - Conduct comprehensive assessments of patient needs and service eligibility. - Develop tailored care and service plans in partnership with patients and families. - Liaise with service providers to secure necessary support and resources. - Coordinate and monitor the implementation of care plans, ensuring continuity. - Establish and nurture therapeutic relationships with patients and caregivers. - Balance patient preferences with available resources while respecting values. - Accurately complete all required documentation, reports, and forms. - Operate under a flexible shift structure (7 shifts per 2‑week cycle). **Required Skills:** - Strong interpersonal and communication skills with diverse populations. - Assessment, problem‑solving, and decision‑making abilities. - Excellent time management, prioritization, and organizational competence. - Proficiency in Windows and electronic documentation systems. - Valid driver’s licence and reliable vehicle for travel. **Required Education & Certifications:** - Current membership in good standing with one of the following regulatory bodies: - College of Nurses of Ontario (RN) - College of Physiotherapists of Ontario - College of Occupational Therapists of Ontario - Ontario College of Social Workers and Social Service Workers (RSW) - Minimum 2 years of recent experience in community health, case management, or related field.