Hospital Based Case Coordinator (N3) - Home Care Hospital Based HSC

Winnipeg Regional Health Authority • Winnipeg, MB

5d • Onsite

About The Position

The Home Care Program provides a broad range of services to assist people to safely remain in a community setting. Under the general supervision of the Manager Health Services and while demonstrating a commitment to the mission, vision and values of the WRHA, the Hospital Based Case Coordinator (HBCC) receives referrals and conducts assessments to determine eligibility for Home Care program supports. The HBCC in collaboration with the client, family/carer and relevant interdisciplinary team members, develops, coordinates and evaluates the plan of care to support discharge from an acute care setting. In addition, through the collaborative process, the HBCC assists in the determination and planning if the client’s needs are best supported in a personal care home or alternate care environment. The HBCC provides professional intervention where appropriate. Additionally, the HBCC establishes and maintains liaison with local health care services, hospital, community partners, and their families/carers involved with the client.

Requirements

• Minimum three years recent related nursing experience required (specific recent experience may be required in designated areas).
• Graduate of an approved Registered Nursing education program required.
• Responsible for maintaining and providing proof of registration with the College of Registered Nurses of Manitoba (CRNM).
• Cardiopulmonary Resuscitation (CPR) Training requirements for this position shall be in accordance with Employer policy.
• Valid Driver’s License and use of a vehicle.
• Knowledge of College of Registered Nurses of Manitoba Standards of Practice for Registered Nurses.
• Knowledge of Canadian Nurses Association Code of Ethics for Registered Nurses.
• Knowledge of Community Health Nurse Standards of Practice & Home Health Competencies.
• Knowledge of Scope of practice document as documented in the Registered Nurses Act.
• Knowledge of Regional/Facility unit policies, procedures, protocols, and guidelines.
• Knowledge of Personal Health Information Act (PHIA), Protection of Persons in Care Act, Mental Health Act, Workplaces Hazardous Material Information System (WHMIS) Principles of Routine Practices (Universal Precautions) and other legislated acts.
• Knowledge of Roles and responsibilities of members of the healthcare team.
• Knowledge of Principles of delegation/assignment.
• Knowledge of Principles of adult learning and teaching strategies.
• Knowledge of Personal Care Home application process.
• Knowledge of Alternate care environments suitable for community living.
• Competent in Windows-based computer programs (Word, Excel, PowerPoint, Outlook).
• Demonstrated effective oral and written communication skills.
• Demonstrated critical thinking/problem-solving skills.
• Demonstrated ability to assess for Home Care eligibility
• Ability to coordinate delivery of a broad range of professional and non-professional services.
• Ability to prioritize care for an individual or group(s).
• Ability to evaluate need for delegation/assignment and delegate/assign care appropriately.
• Ability to evaluate medical stability for safe discharge planning.
• Ability to respond to a variety of simultaneous demands.
• Ability to liaise with agencies or facilities involved with clients and their families/carers.
• Ability to function in a demanding and fast-paced environment.
• Ability to maintain concentration with frequent interruptions.
• Ability to adapt quickly to changing situations.
• Ability to perform independently and as a member of the healthcare team.
• Ability to recognize and pursue self-development opportunities.

Nice To Haves

• Experience with Hospital-Based Case Coordination an asset.
• BN,BScMH is preferred.
• Wound Care & Diabetes courses is an asset.
• Canadian Community Health Nurses Certification CCHN© or relevant applicable certification an asset.
• Competence in Procura© software and assessment tool interRAI-HC© preferred.
• Active participation in professional associations e.g. Association of Regulated Nurses of Manitoba (ARNM) preferred.
• Preference will be given to those applicants competent in an Indigenous language and/or knowledge of Indigenous customs, traditions and values.

Responsibilities

• Receives referrals and conducts assessments to determine eligibility for Home Care program supports.
• In collaboration with the client, family/carer and relevant interdisciplinary team members, develops, coordinates and evaluates the plan of care to support discharge from an acute care setting.
• Assists in the determination and planning if the client’s needs are best supported in a personal care home or alternate care environment.
• Provides professional intervention where appropriate.
• Establishes and maintains liaison with local health care services, hospital, community partners, and their families/carers involved with the client.

Benefits

• Pensionable Salary Enhancement - Nurses in eligible classifications may be eligible to earn an additional $5.95/hour when working full-time hours within a prescribed six-month reporting period. (Effective April 1, 2025 – March 31st 2027.)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree