Float Care Coordinator, Regular Part Time (0.5), Palliative, Labelle (revised)

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Position ID:
J0322-0006
Job Title:
Float Care Coordinator, Regular Part Time (0.5), Palliative, Labelle (revised)
Job Location:
Labelle
City/Province:
Ottawa, Ontario, Canada
Posting Date:
May 6, 2022
Posting Expiry Date:
August 19, 2022
Language Requirement:
English
Reporting Manager Title:
Manager, Home and Community Care

Home and Community Care Support Services Champlain is one of 14 Home and Community Care Support Services organizations in Ontario. We are dedicated to ensuring our more than 64,000 patients annually receive the highest-quality health care and services at home. Our patient-care coordination teams help develop care plans for people of most ages, focused on maintaining each patient's independence and dignity. We also provide long-term care home placement services, and facilitate our patients’ access to the community-based services they need.

Position Summary:

The Care Coordinator - Palliative is responsible for managing a caseload of palliative patients who are living with a progressive, life-limiting illness and who require a palliative approach to care. The Care Coordinator, through home visits and phone conversations, measures the patient’s and caregiver’s care needs and develops, implements, and updates (as required) a care plan that is informed by the patient’s and caregiver’s wishes and preferences. He/she determines eligibility and refers to other community resources and programs, such as Hospice care and Regional Palliative Consultation team.

The Care Coordinator, Palliative Care and Oncology is responsible for, or supports other Care Coordinators in managing, a caseload of palliative and/or oncology patients who are at different stages of illness trajectories and may require a palliative approach to care. The Care Coordinator, through home visits and/or phone conversations, measures the patient’s and caregiver’s care needs and develops, implements, and updates (as required) a care plan that is informed by the patient’s and caregiver’s wishes and preferences. He/she assists the patient and caregiver in navigating the health care system and also determines eligibility and refers to other community resources and programs, such as Hospice care and the Regional Palliative Consultation Team.

Primary Responsibilities:

• Completes comprehensive patient assessments using a validated palliative assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs
• Assesses patient’s Palliative Performance Scale and eligibility for palliative and other services
• Develops 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
• Discusses plans for end-of-life care, goals of care and preferred place of death
• Coordinates the delivery of home care services to patients and their caregivers
• Facilitates understanding and cooperation among members of the interdisciplinary healthcare team; communicates with members of health care team to maximize patient outcomes
• Coordinates and facilitates referrals and transfers to hospice and palliative care units
• Assists patients and caregivers in finding in-home palliative medical follow up and coverage
• May act as a representative on internal and external committees, project and/or working groups (for example, Professional Practice Committee, Champlain Hospice Palliative Care Network(s)
• Completes comprehensive patient assessments using a validated palliative assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs
• Assesses patient’s Palliative Performance Scale and eligibility for palliative and other services
• Assesses eligibility for hospice care and admission to palliative care units
• Develops 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
• Discusses plans for end-of-life care, goals of care and preferred place of death
• Coordinates and facilitates referrals and transfers to hospice and palliative care units
• Assists patients and caregivers in finding in-home palliative medical follow up and coverage
• Initiates and authorizes the implementation of the care plan through contracted providers, supplies and equipment necessary to achieve the care goals
• Maintains open communication with service providers, conducts case conferences and regular home visits to optimize care planning and appropriate services
• Coordinates Medical Assistance in Dying (MAiD) assessments and procedures with clients, caregivers, service providers, pharmacies and MAiD assessors and providers

Education and Experience:

• Registered Nurse (BScN or diploma) with a current Certificate of Registration from the College of Nurses of Ontario
• Related professional nursing experience which is normally attained over a period of two years
• Palliative care experience that includes advance care planning, goals of care and end of life care planning
• Professional experience in health care should include linkage with other community health agencies, needs assessment, care coordination and/or discharge planning
• Canadian Nurses Association Certification in Hospice Palliative Care is an asset
• LEAP training is an asset
• Experience working with oncology patients and/or experience providing MAiD expertise are assets

Knowledge:

• Knowledge of medical diagnoses and prognoses, symptom management, end-of-life care and cognitive/psychiatric disorders
• Knowledge of Champlain region Hospice and palliative care organizations and partners
• Knowledge of Hospice palliative care philosophy and approach
• Knowledge of relevant health care legislation – not in the new template at all
• Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Excel, Power Point, etc.)

Skills and Abilities:

• Demonstrates effective time management and organizational skills
• Effective decision-making and problem-solving in crisis situations
• Maintain cooperative and collaborative relationships with partners and colleagues.
• Ability to negotiate and implement an effective goal-oriented, patient centered care plan
• Team player with ability to accept and adapt to change
• Ability to maintain a positive attitude in stressful situations
• Ability to efficiently document and correspond electronically in a client information system
• A valid Ontario Driver’s License and access to a motor vehicle are required
• Effective planning, organizing, and evaluation skills to manage multiple patients, provide information reports, and take corrective action as required
• Ability to accurately complete required documentation, reports, forms, and recommendations
• Verbal and written communication skills to establish and maintain a wide range of partners (doctors, nurses, social workers, etc.) within the healthcare and Hospice community
• Ability to manages difficult conversations /situations such as advance care planning, goals of care, end-of-life and hospice care, and medical assistance in dying, in a healthy and effective manner
• A valid Ontario Driver’s License and access to a motor vehicle are required

Affiliation: OPSEU
Pay Rate: Wages are in accordance with the collective agreement between Champlain LHIN and OPSEU and starting salaries range from $40.009/hr. - $42.741/hr
Shift: 5 shifts bi-weekly (Monday to Friday; 8:30am - 4:30pm)
Location: 4200 Labelle, Ottawa, ON

The successful candidate will work as a float visiting Care Coordinator between desk management and home visits.

Home and Community Care Support Services Champlain offers flexible work options, this position will have a hybrid model of work with a combination of work locations, including community and clinical settings, patients’ homes, on-site, and remote.

All applications will be reviewed; however, only those selected for an interview will be contacted.

All applications will be reviewed; however, only those selected for an interview will be contacted. Home and Community Care Support Services 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.

Home and Community Care Support Services has implemented a mandatory vaccination policy across the province that requires all staff to be fully vaccinated against COVID-19. Applicants being considered for employment will be required to provide proof of vaccination documentation confidentially to Human Resources upon hire. Any medical or human rights exemption requests will be reviewed and validated prior to an offer of employment.