About The Position

Reporting to the Clinical Care Manager - Patient Care Access and Flow, the Discharge Care Coordinator plays a crucial role in coordinating patient transitions from hospital to home or another health care system partners (e.g. Community, Hospitals, Continuing Care). The primary goal is to ensure patients are discharged safely and efficiently while receiving the necessary post-hospital care. The Discharge Care Coordinator provides direct oversight for inpatient care coordination in partnership with the acute interprofessional team and community partners.

Requirements

  • Comprehensive knowledge of nursing theory and evidence-based practice, with the ability to apply this knowledge across diverse patient populations and within a case management framework.
  • Comprehensive knowledge of the standards for nursing practice.
  • Broad knowledge of other health care disciplines and their role in patient care.
  • Broad knowledge of clinical pathways, expected length of stays, resource utilization, and patient assessment.
  • Broad knowledge of external agencies and community resources.
  • Demonstrated leadership, sound judgement, and adaptability in providing direction, consultation, and decision-making within a dynamic health care environment.
  • Demonstrated ability to analyze situations, problem solve, manage conflict, and negotiate timely resolutions.
  • Demonstrated ability to work independently and collaboratively within interprofessional teams, with strong communication skills to foster effective relationships with patients, families, colleagues, physicians and community partners.
  • Demonstrated ability to plan, organize and prioritize effectively.
  • Ability to establish, lead and maintain positive change.
  • Excellent interpersonal and communication skills both verbal and written.
  • Ability to work with patients, families, and communities from diverse backgrounds and circumstances, demonstrating cross-cultural awareness and sensitivity.
  • Demonstrated skill in CPR techniques.
  • Demonstrated computer literacy, including the ability to effectively use computerized client care information systems.
  • Diploma/Baccalaureate Degree in Nursing
  • Current registration and good standing with the appropriate regulatory body
  • Current Basic Life Support (BLS) certification.

Nice To Haves

  • Three (3) years recent, related acute care experience including one (1) years' experience in case management, discharge planning, or an equivalent combination of education, training and experience, regulated and or licensed health care professional is desired.
  • Knowledge of Community and or Continuing care services/practices.
  • Case Management training is preferred at the time of hire and expected to be completed within the first year of employment (employer-supported).

Responsibilities

  • Coordinating patient transitions from hospital to home or another health care system partners (e.g. Community, Hospitals, Continuing Care).
  • Ensuring patients are discharged safely and efficiently while receiving the necessary post-hospital care.
  • Providing direct oversight for inpatient care coordination in partnership with the acute interprofessional team and community partners.

Benefits

  • On-site Gym
  • Free Parking
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