Health Careers For CHAMPLAIN

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Home and Community Care - LHIN

The Champlain Local Health Integration Network’s (LHIN) mandate is to ensure health services are well-organized, appropriately funded, and meet the health needs of the 1.3 million residents who call this region home.

We work with and fund roughly 120 health service providers that offer about 240 health programs in hospitals, community support services, mental health and addiction services, community health centres, and long-term care homes. The Champlain LHIN also delivers home and community care services.

Position:  Bilingual Rapid Response Nurse

Region:  Stormont/Dundas/Glengarry


Position ID: J0218-0012

Position Summary:
To ensure effective transitions from acute to home care for two target populations: medically complex children and frail adults and seniors with complex needs and/or high risk characteristics.

To ensure communication and linkage with primary care; and provide timely and effective rapid response home care. The Rapid Response Nurse provides the first in-home nursing visit within 24 to 48 hours from hospital discharge. During this visit, the nurse will confirm the patient hospital discharge care plan, communicate the importance of primary care to avoid re-hospitalization, and perform medication reconciliation for the client.

Primary Responsibilities:

  • Reviews the discharge care plan and confirms outstanding medical tests have been scheduled and transportation etc. is available
  • Conducts medication reconciliation and reviews medication protocol with clients and caregivers and answers any questions
  • Initiates contact with primary care physician and provides update on client acute care event and post-discharge regime. Facilitates, as appropriate, a one-week client follow-up visit with the primary care physician
  • Identifies clients requiring an accelerated assessment and home care services and works with the Care Coordinator to facilitate the home assessment visit
  • Informs and supports the Care Coordinator in developing the client’s care plan and ensuring a smooth transfer of the primary care physician and pharmacist to the ongoing care team
  • Answers any questions or concerns of the client and caregiver
  • Act as a spokesperson as required, and interpret the role of the LHIN to clients, health care professionals and to the public. Ensures positive public relations and effective co-ordination of services through ongoing liaison and participation on internal and external committees.
  • Assesses for and promotes a safe environment for clients, caregivers, family members, and staff. Adheres to health and safety policies/ practices developed and implemented by the LHIN.
  • Participates in establishing, maintaining, and monitoring standards for the Case Management. This includes committee work and active participation and contribution to quality initiatives.
  • Other related duties may be assigned

Education and Experience:
  • Registered Nurse (RN) (BScN or diploma) with a current Certificate of Registration from the College of Nurses of Ontario
  • Minimum five (5) years of relevant experience performing the duties of a Registered Nurse
  • Current CPR-C Certification
  • Case Management Certificate is an asset

  • Knowledge of health care system and the role of the LHIN within the system
  • Knowledge of LHIN operations, quality, risk, and performance management principles
  • Knowledge of relevant health care legislation
  • Knowledge of LHIN policies, procedures, strategic direction and goals
  • Understanding of LHIN partners and contracted service providers in the community
  • Effective planning and organizing skills to manage multiple clients, provide information reports, and take corrective action as required
  • Ability to accurately complete required documentation, reports, forms, and recommendations
  • Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Excel, Power Point, etc.)

Skills and Abilities:
  • Strong interpersonal skills to work with diverse client groups with varying levels of comprehension and language capability
  • Strong ability to manage difficult conversations /situations in a healthy and effective manner
  • Demonstrates a strong ability to work effectively in both a team environment and independently as required
  • Effective communication skills to establish and maintain a wide range of contacts with professionals and organizations within the community
  • Effective listening and strong facilitation skills are necessary to work with patients and their families/caregivers
  • Effective organizational and planning skills
  • Demonstrated awareness of cultural diversity, as well as ability to demonstrate diplomacy in sensitive and/or confidential issues.
  • A valid driver’s license and access to a vehicle is required
  • Bilingualism, in English and French is required

Shift: Rotational schedule, working every third weekend.
Assignment: Adult Rapid Response Nurse Caseload
Location: 709 Cotton Mill Street, Cornwall (Ontario)

Salary:  To be discussed

Terms of Employment:  Full-time

Deadline for Application:  Friday, March 09, 2018

How to Apply:  

Apply Online.

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

Champlain LHIN welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in any aspects of the selection process.

Location:  Cornwall

Profession Type:  Nurses (NP, RN and RPN)

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