Job Description:CARE AND BE CARED FOR – THIS IS YOUR HOME
Are you a registered nurse (RN, BScN) with experience and training specific to palliative care. Are you 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 Complex Care Coordinator, you will coordinate the care and management of palliative care patients in the community across diverse and often complex settings. You will act as a patient advocate to affirm life, and offer supports that help patients live as actively as possible until death, with optimal quality of life.
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 9,000 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 and work-life balance.

WHO WE ARE

We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred 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.

• In collaboration with patients and their families, assess care needs, determine eligibility for services, and develop individual care and service plans for the complex population
• Link patients with community service providers to maintain the patient’s safety in their own home while prioritizing the prevention of hospital admission or ED visits
• Coordinate and monitor care plan delivery
• Establish a helping relationship with patients and their families
• Act as a subject matter expert for colleagues and external partners with respect to palliative care needs of patients in the community.
• Balance patient needs and choices with available resources, ensuring patients’ values and preferences are respected