Geriatric Assessor, Bilingual, Regular Part Time(0.5), Cornwall

at  Ontario Health atHome

Job Description:CARE AND BE CARED FOR – THIS IS YOUR HOME
Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker (MSW), 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 Geriatric Assessor, you will assess and determine patient care needs and eligibility, provide access and 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 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.

KNOWLEDGE:

• Knowledge and understanding of the broader health care delivery system and community resources specific to Geriatric Services within the Champlain region
• Good knowledge of primary care services and other community resources in the HCCSS Champlain, as well as the roles of health care professionals
• In-depth knowledge of tools, systems, and databases used in client service delivery and management (e.g. UPP database; Internal Physician and client data base etc.)
• Knowledge of health care delivery system and community resources within the Champlain region
• Medical conditions and cognitive/psychiatric disorders
• Client centered, multi-disciplinary team approach to client care
• Proficient in the use of computerized processes including the use of mobile (laptop) technology

SKILLS AND ABILITIES:

• Demonstrates effective time management and organizational skills
• Effective decision-making and problem-solving in crisis situations
• Ability to negotiate and implement an effective goal-oriented, client-centered care plan
• Team player with ability to accept and adapt to change
• Ability to maintain a positive attitude in stressful situations
• Ability to organize daily workload in the presence of frequent interruptions
• A valid Ontario driver’s license (or provincial equivalent) and access to a vehicle is required
• Fluency in English and French required
• Vulnerable Sector Check completed within the last six months

WHY JOIN US?

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.

WHAT WILL YOU DO?

Under the general direction of the Manager, Home and Community Care and in accordance with provincial and Ontario Health atHome, Champlain standards, legislation, policies and guidelines, the Geriatric Assessor (GA) will be responsible for performing multi-dimensional assessments based on referrals from external and internal health care professionals and ensuring the appropriate follow-up is completed in a timely manner. The Geriatric Assessor is committed to the health and independence of seniors in the Champlain region and is the gateway for the admission of patients into local geriatric clinics. He/she also regularly co-ordinates and communicates with the Regional Geriatric Program of Eastern Ontario.

PRIMARY RESPONSIBILITIES:

• Based on a referral from a primary care physician or other health care provider, conduct pre-assessment via a telephone triage process to determine eligibility for programming and book a follow-up home visit if required.
• Perform a multi-dimensional assessment in the patient’s home which includes, but is not limited to: sensory pre-assessment, social and physical environment checklist, medical history report, medication review, functional (ADLS/IADLS), cognition, and caregiver concerns.
• Prepare suitable preliminary recommendations for services based on the outcome of each assessment and when necessary, facilitate a pre-consult with Geriatrician via telephone to obtain recommendation for services.
• Provide resulting assessment documentation to appropriate external contacts for admission to pre-arranged Geriatric Clinic(s).
• Support Geriatric Clinic and patient by attending the clinic with the patient and conducting appropriate follow-up calls and/or visits post clinic visit.
• Link and facilitate contact on behalf of the patient to appropriate community supports and services outside the scope of Specialized Geriatric Services.
• Discharge non-complex patients with little need for follow up from the GA caseload and advise them of the recall process.
• Process recall referrals via Telehealth as needed.
• Participation on internal and external committees as required.