24 Oct
Home and Community Care Support Services
Ottawa
Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker (RSW), dietitian, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You're looking in the right place.
As a Care Coordinator, you will assess and determine patient care needs and eligibility, provide accessand referrals to community services, and engage with patients, caregivers and other health care practitioners.
Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible,
patient-centered care – and be supported by our collaborative team that includes over 8,000 regulated health care and other professionals.
As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness andwork-life balance.
What will you do?
Under the general direction of the Manager, Home and Community Care, the Care Coordinator is responsible for managing a caseload of diverse patients who are living and/or dealing with a variety of health concerns.
The Care Coordinator, through in person visits, assesses the patient's care needs and develops, implements, and updates (as required) a care plan that is informed by the patient's health and psychosocial needs; and, where possible, accommodates patient and caregiver wishes.
He/she also determines eligibility for and arranges for Ontario Health at
Home Champlain-approved health care services and refers patients and caregivers to other community resources and programs.
As a member of the Community Care Team,
the Care Coordinator will provide a broad scope of connection in their caseload geography, linking with care and services beyond community care while partnering closely with patients, families, caregivers, service providers and other community health providers supporting the patient in their home environment.
The Care Coordinator may also provide support to Primary Care teams strengthening the relationship and improving communication and access to care for shared patients as well as new patients.
Primary Responsibilities: Completes comprehensive patient assessments using a validated assessment tool, including patient's clinical, physical and psychosocial needs, and caregiver needs
Assesses the patient's and caregiver's understanding of,
and learning needs related to diagnosis, treatment, available resources, illness adjustment, and coping mechanisms
Assists patient and caregiver in setting appropriate goals (individual, joint, short or long term)Collaborates with patient, caregiver and the care team to develop an individualized care and service plan reflective of the patient's identified priorities and desired outcomes; identifies strategies and resources to be used in attaining clinical outcomes
Coordinates the delivery of home and community care services to patients and their caregivers
Coordinates vendor and resource utilization involving medical equipment, supplies and services
Facilitates understanding and cooperation among members of the patient's multidisciplinary healthcare team; communicates with members of the patient's health care team to maximize patient outcomes
Initiates and authorizes the implementation of the care plan through contracted providers
Provides regular reports to Physicians, service providers, patients, caregivers and other authorized parties as required
Case documentation in accordance with Ontario Health at
Home Champlain policies
Length of Temporary Position: July 10, 2026Team/Department: Western Ottawa
Hours of work: Rotational shift: Monday to Friday, 830am to 430pmFTE: 1.0Starting Salary: $43.184/hr to $46.133Affiliation: OPSEUOffice Location: 301 Moodie Drive, Ottawa ONCaseload Geography: Carp, Kanata, Stittsville, and some in K2G postal code
What must you have?
Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; or
Degree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; or
Degree or diploma in Occupational Therapy and registered with the College of Occupational Therapy of Ontario; or
Degree in Social Work and registered with the Ontario College of Social Workers and Social Service Workers; or
Degree in Speech Therapy and registered with the College of Audiologists and Speech-Language Pathologists of Ontario; or
Degree in Foods and Nutrition or equivalent and registered with College of Dietitians of Ontario.
Related professional experience (community based experience preferred)
which is normally attained over a period of two years
We have a mandatory COVID-19 vaccination policy.
As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.
What would give you the edge?
Knowledge: Knowledge of medical diagnoses and prognoses, symptom management, and cognitive/psychiatric disorders
Knowledge of case management principles and best practices
Knowledgeable about resource availability, service costs, budgetary parameters
Knowledge of relevant health care legislation
Knowledge of care delivery in congregate settings
Skills and Abilities: Works with diverse patient groups with varying levels of comprehension and language capability
Manages difficult conversations/situations such as advance care planning and goals of care in a healthy and effective manner
Works effectively in both a team environment and independently as required
Verbal and written communication skills to establish working relationships and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare community
Listening and facilitation skills to work with patients and their caregivers
Diplomacy in dealing with sensitive and/or confidential issues
Relationship building skills to develop and maintain health and community stakeholder partnerships.
Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Outlook,
etc.)A valid driver's license and access to a vehicle is required
Fluency in English and French is an asset
Vulnerable Sector Check completed within the last six months
Hours of Work
Monday to Friday – 8:30am to 4:30pm (35hrs/week)Location: 301 Moodie Drive, Ottawa
We offer flexible work options, this position will have a hybrid model of work with a combination of in-office and telework.
What do we offer?
We know wellness is supported with work-life balance.
In an inclusive culture committed to support your passion for continuouslearning, growth and innovation, we offer:Attractive comprehensive compensation packages and benefitsValuable development opportunitiesMembership in a world class defined benefit pension planWho are we?
We are Ontario Health at
Home , ready to serve every person in Ontario.
We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centered care.
If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health at
Home is committed to a culture of equity, inclusion, diversity and anti-racism.
We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve.
We welcome and encourage applications from all qualified applicants.
Accommodations for persons with disabilities required during the recruitment process are available upon request.
All applications will be reviewed; however, only those selected for an interview will be contacted.
Ontario Health at
Home Champlain welcomes and encourages applications from people with disabilities.
Accommodations are available on request for candidates taking part in any aspects of the selection process.
▶️ Care Coordinator, Temporary Full Time, Western Ottawa, Bells Corners
🖊️ Home and Community Care Support Services
📍 Ottawa