Care Coordinator

Job Requirements **Job Title:** Care Coordinator **Job Type:** Contract **Position Overview:** We are seeking a dedicated and compassionate Care Coordinator to serve as the primary point of contact for a caseload of community clients. In this role, you will assess client needs, develop individualized care plans, and coordinate the delivery of essential services. Collaborating closely with clients, their families, and an interdisciplinary team of healthcare providers, you will ensure that care is safe, timely, and responsive to each client’s evolving circumstances. This position requires a blend of assessment, planning, advocacy, and ongoing case management throughout the client’s care journey. **Key Responsibilities:** - Conduct comprehensive in-home and virtual assessments, including interRAI / RAI-HC evaluations, to determine client eligibility, needs, and service priorities. - Develop, implement, and regularly review individualized care plans in partnership with clients, families, and care providers. - Coordinate and schedule personal support, nursing, occupational therapy, and physiotherapy services across contracted providers, ensuring continuity and timely delivery. - Manage a caseload of approximately 25–35 community clients, adjusting service levels in response to changes in medical, functional, and social status. - Serve as a liaison between clients, families, hospital discharge teams, physicians, and community agencies to support safe transitions and reduce avoidable readmissions. - Advocate for clients by navigating community resources and translating clinical recommendations into clear, plain-language guidance. - Maintain accurate, timely, and PHIPA-compliant documentation within the organization’s care management system. - Monitor client outcomes and satisfaction, escalating high-risk situations for expedited intervention. **Qualifications:** - Proven experience in care coordination, case management, or a related healthcare role. - Proficiency in conducting interRAI / RAI-HC assessments is highly desirable. - Strong organizational and communication skills, with the ability to manage multiple clients effectively. - Ability to work collaboratively within an interdisciplinary team. - Knowledge of community resources and healthcare systems. - Commitment to maintaining client confidentiality and compliance with PHIPA regulations. Join us in making a meaningful difference in the lives of community clients by ensuring they receive coordinated, compassionate, and effective care. Work Experience **Job Title:** Care Coordinator **Job Type:** Contract **Position Overview:** We are seeking a dedicated and experienced Care Coordinator to join our team on a contract basis. The successful candidate will play a pivotal role in coordinating care for clients within the Ontario home and community care system, ensuring seamless service delivery and advocating for client needs. This hybrid role involves office-based work, remote coordination, and travel to client homes across the service area. **Key Responsibilities:** - Independently manage a caseload of clients, prioritizing competing needs while maintaining organization under pressure. - Develop and implement individualized care plans in collaboration with clients, families, and interdisciplinary teams. - Coordinate services across multiple providers to ensure comprehensive and continuous care. - Advocate effectively on behalf of clients and their families to secure appropriate resources and support. - Conduct assessments and apply clinical judgment to inform care decisions. - Maintain accurate and timely documentation in compliance with privacy regulations and organizational standards. - Utilize care management and documentation systems proficiently alongside standard office software. - Travel to client homes as required, adhering to health, safety, and infection-control protocols. - Respond flexibly to urgent client needs during business hours as necessary. **Qualifications:** - Post-secondary education in a health or social services discipline (e.g., nursing, social work, gerontology, health sciences), or an equivalent combination of education and experience. - Minimum of 3 years’ experience in care coordination, case management, discharge planning, or a related community/home-care role. - Strong knowledge of the Ontario home and community care system and available community resources. - Excellent interpersonal, communication, and client-advocacy skills. - Proficiency with care management/documentation systems and standard office software. - Valid driver’s license and access to a reliable vehicle for in-home client visits. **Preferred Qualifications:** - Registered Nurse (RN/RPN), Registered Social Worker (RSW), or comparable regulated designation. - Certification in interRAI / RAI-HC assessment. - Experience supporting clients with complex chronic conditions, dementia, or palliative needs. - Fluency in a second language reflective of the communities we serve. **Core Competencies:** - Individualized care planning - Interdisciplinary coordination - Client and family advocacy - Assessment and clinical judgment - Prioritization and time management - Cultural responsiveness - Documentation and privacy compliance **Working Conditions:** - Hybrid work environment combining office-based duties, remote coordination, and travel to client homes. - Occasional exposure to varied home environments with strict adherence to health, safety, and infection-control protocols. - Flexibility required to respond to urgent client needs within business hours. If you are passionate about making a meaningful difference in the lives of clients and possess the qualifications outlined above, we encourage you to apply for this rewarding contract opportunity.