Remote Care Navigator, Surgical Program

Humber River Health

1d • Remote

About The Position

Humber River Health is a fully digital hospital that uses a combination of technology and clinical expertise to improve healthcare. They are committed to changing the hospital, community, and the world of healthcare through innovation. Serving a community of 850,000 residents in North West Toronto, Equity, Inclusivity, and active participation in the North West Toronto Ontario Health Team are key initiatives. Humber River Health leverages technology to give staff more time with patients, eliminate inefficiencies, and reduce errors. The hospital is affiliated with the University of Toronto and Queen’s University, aiming to become a community academic hospital. Their Research Strategy focuses on Clinical Excellence, Optimizing Care through Technology, and Community Connection. This role is an exciting opportunity to join the Surgical Program.

Requirements

• Master’s Degree in Nursing or related field required. Candidates who are actively pursuing their Master’s will be considered.
• Current registration and membership in good standing with the College of Nurses of Ontario (CNO).
• 3 years of recent experience in acute care and/or surgical and/or emergency nursing, preferably with clinical research and formal teaching experience.
• Knowledge in MS Office (Outlook, Word, Excel, PowerPoint, etc.).
• Knowledge in Orthopaedic care pathways, evidence based programs, and clinical practice standards, urology care pathways, remote care monitoring pathways.
• Understanding of evidence of program design and resources development skills, including knowledge of evaluation methodologies, quality improvement processes, data analysis, program development.
• Knowledgeable in College of Nurses of Ontario standards of practice, and Canadian Orthopaedic Nurses Association (CONA) standards.
• Possesses expert clinical skills in assessment, planning, implementing, evaluating and documenting the delivery and coordination of care for the surgical patients and families’ community resources.
• Excellent practice program development, project management and report writing skills.
• Excellent leadership, collaboration, decision making, problem recognition and problem solving, and critical thinking skills.
• Possesses time management and organization skills with ability to manage competing demands in a fast-paced, multi-site, multi-disciplinary health care environment.
• Demonstrate ongoing commitment to continuing professional development.
• Excellent attendance and discipline free record required.

Nice To Haves

• Membership with Nurses Association of Ontario (RNAO) and registration in the Extended Class with CNO preferred.
• An understanding of equity, diversity, and inclusion principles as they relate to health practices is an asset.
• Humber River Health values lived and learned experiences in addressing systemic barriers and advancing inclusive practices.

Responsibilities

• Act as a member of a specialized interdisciplinary surgical care program in the Surgical & Perioperative programs to support assessment, follow-up, and treatment referral processes aligned with clinical best practice guidelines and evidence-based research.
• Remain abreast of new developments in surgical care related evidence-based programs to disseminate and/or utilize developments and new knowledge into clinical practice; integrate research into practice to ensure best practice standards are maintained within selected procedures and subspecialties.
• Participate in the implementation, monitoring, and evaluation of standards specific to surgical care assessment and health follow up.
• Conduct frequent environmental scans to identify gaps in clinical delivery for opportunities for improvement and promote ongoing quality assurance; and plan, implement, evaluate, and report on outcomes to all stakeholders, including mapping present and future trends, to create and sustain a seamless and continuous process for patients undergoing surgery.
• Influence clinical practice and patient outcomes and collaborate with the broader health care team and community partners regarding complex and challenging patient care situations.
• Participate in the collection and evaluation of health care data required that maybe required by any stakeholders, including the MOHLTC, OH and CCO.
• Develop and foster links with external partners to facilitate continuity of patient care.
• Supports the patient through the available treatment options to develop health care plans, and along the entire episode of care: prevention, diagnosis, preparation/plan, treatment, recovery/rehabilitation and monitoring/management to ensure that every patient receives care that is coordinated and navigated along the patient care path and/or entire process (preoperatively, postoperatively, recovery and rehabilitation).
• Liaise with patient primary care teams (e.g. physicians, sub-specialists, radiologists, surgeons, primary health practitioners, and community agencies) to facilitate the delivery of patient care services.
• Provide supportive care resources to patients and families to address psychosocial, practical, and informational needs across their entire continuum of care from pre-op to their post-acute phase.
• Develop and deliver to patients/families and staff surgical health educational sessions assessment, intervention and coordination within the care pathway.
• Develop and optimize remote care monitoring pathways in collaboration with the surgical interdisciplinary care team to improve target KPIs.
• Triage and support patient concerns and questions to stream patients into the right care post-operative care pathways.
• Other duties as assigned.

Benefits

• Evidence-based leadership
• Culture that consistently wows with our unwavering commitment to Staff, Physician and Volunteer engagement
• Member of the Toronto Academic Health Science Network (TAHSN)
• Deeply involved in research and academic collaboration
• Dedicated to high-quality patient care
• Values of compassion, professionalism, and respect
• Commitment to creating an inclusive, equitable and accessible workplace that reflects the diversity of our communities
• Culture where everyone feels respected, valued and empowered to contribute
• Accommodations available throughout the recruitment process and employment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees