Transition Coordinator (2026-212-CC)

WoodGreen Community Services • Toronto, ON

3d • Onsite

About The Position

Community Care for Seniors provides a holistic approach to care at home for seniors and caregivers who are vulnerable, at risk and/or marginalized. The unit provides a wide range of programs such as Assisted Living Services, Social Work, Meals-on-Wheels, Adult Day programs and transportation, which enable seniors to be as independent as possible in their homes with a variety of socio-recreational/wellness programs which enhance quality of life and promote the health of older adults.

Requirements

• 2+ years related experience including significant direct experience in working older adults and seniors with mental health (including dementia) and/or substance use issues, chronic health issues, cognitive impairment, and responsive behaviours.
• 3+ years of experience in hospital based acute care, mental health, geriatrics and/or social work.
• Bachelor’s degree in health-related field (e.g. Social Work, Nursing, Gerontology), or equivalent.

Nice To Haves

• Registered Social Worker (RSW) in good standing with the OCSWSSW an asset.
• Applied computer skills (MS word, excel, Internet) and ability to use client information systems.
• Data analysis is an asset.
• Ability to communicate in a second language (Greek, Spanish, Bengali, Urdu, Tamil, Persian, Tagalog, Arabic, Mandarin, or Cantonese) is a strong asset.
• Strong assessment, clinical, and intervention skills.
• Well organized, adaptive to changes, and able to work independently.
• Patient, flexible and adaptive to changes.
• Ability to be self-directed, flexible and exercise good judgment with minimal supervision.
• Ability to work effectively in a multi-disciplinary team or as a team member in collaboration with other community professionals.
• Good understanding of seniors’ health and wellness issues and knowledge of community resources for older adults.
• Capable of fulfilling the physical and mental demands of the job as per the Postion Demands Analysis

Responsibilities

• Schedule a team of Personal Support Workers on a day-to-day basis for a program in operation 7 days a week, 24 hours per day and 365 days per year.
• Prepare scheduling assignments for a team of PSWs according to availability, training, and seniority.
• Ensure that the scheduling needs meet the standards and guidelines as established by the Manager and possible funding agencies.
• Ensure adherence to established policies and procedures as it pertains to scheduling issues.
• Refer breach of policies and procedures of Personal Support Workers to the Supervisor for follow-up.
• Communicate regularly with and provide support to other program workers regarding intake for new clients (internal and external), scheduling, billing and all other aspects of client and PSW scheduling.
• Coordinate with the Finance Unit regarding billing, accounts receivable.
• Ensure that client documents are updated, signed-off, and secured in a confidential manner.
• Maintain accurate records and complete documentation in a timely manner; collect statistical data required for the accountability of the program using relevant databases (i.e. Alayacare, QHR).
• Provide information to clients with respect to service needs, scheduling, and emergencies.
• Provide backup for team members, particularly other schedulers for periods of absence.
• Participate in supervision sessions and annual performance appraisals.
• Provide service that is responsive, culturally, and linguistically sensitive to the individual and caregivers needs.
• Provide transitional care coordination for clients.
• Conduct screenings (such as InterRAI Community Health Assessments or other preliminary Screeners) for program and client onboarding, inclusive of program orientation.
• Collaborate with clients and caregivers to prepare service plans agreements.
• Identify the need for and participate in or facilitate case conference and clinical meetings.
• Link clients and/or their family or caregivers to various community resources and facilitate appropriate referrals internally and to other community support services as required.
• Keep current about the range of services available across departments and at other agencies.
• Extract data and analyze patient eligibility for programs & services from Michael Garron Hospital discharge and admission lists through PowerChart.

Benefits

• WoodGreen is an equal opportunity employer. We are committed to providing an inclusive and barrier-free selection process and work environment. If contacted in relation to an employment opportunity, please advise our People & Culture representatives at [email protected] of the accommodation measures required. Information received relating to accommodation will be addressed confidentially.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees