Transition Services Coordinator - Allied Health

Vancouver Coastal Health • Vancouver, BC

2h • CA$45 - CA$56 • Onsite

About The Position

Within the context of a client and family centered care model and in accordance with established vision and values of the organization, the Transition Services Coordinator (Allied Health) leads and facilitates acute to community transitions by collaborating with the care team, assessing and evaluating clinical and functional need and coordinating community staff/resources in carrying out the care following discharge from an acute site. Provides input to the Manager, Clinical Operations Supervisor and/or Clinical Nurse Educator on the development and recommendation of changes to related Transition Services policies, procedures or protocols for care transition from acute to community. Coaches and encourages acute and community colleagues to embrace new and evolving clinical pathways. Plans and facilitates clinical discussions to support safe client discharges with care teams and other health care professionals; advises on the availability and eligibility for community services. Makes community referrals based on client needs, urgency and the recommendation of the care team; educates and provides consultation to client/family about the community services and options available to them upon discharge and the transition plan. Assesses and coordinates transition of clients to long term care (LTC), utilizing clinical decision support tools (Inter-RAI MDS) as appropriate. Documents and maintains client records and clinical assessments. Participates on committees as directed. Coordinates care given by others in an area or unit by assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments.

Requirements

• Master's degree in a Health Science discipline with three (3) years' experience in an acute and/or community health setting including one (1) year experience in complex discharge planning or an equivalent combination of education, training and experience.
• Eligible for registration with the appropriate professional body or association, as applicable.
• Broad knowledge of applicable allied practice and practice within a client and family centred model of care.
• Broad knowledge of evidence based practice related to patient acuity and bed utilization practices within an acute care setting.
• Broad knowledge of other health care disciplines and their role in client care and discharge planning.
• Broad knowledge of home and community care.
• Demonstrated knowledge of hospital discharge processes, including Alternate Level of Care.
• Broad knowledge of clinical studies methodology and data presentation.
• Demonstrated ability to apply acquired analytical/investigative skills and the knowledge to effectively gather, maintain and analyze statistics.
• Demonstrated ability to apply critical thinking within clinical and evaluation activities.
• Demonstrated ability to work independently.
• Demonstrated ability to work collaboratively as a member of an interdisciplinary team.
• Demonstrated ability to provide leadership, work direction and consultation.
• Demonstrated ability to demonstrate, facilitate and coach.
• Demonstrated ability to communicate orally and in writing.
• Demonstrated ability to communicate with, and deal effectively with, co-workers, physicians, other health care staff, clients and their families, and staff of outside agencies.
• Demonstrated ability to effectively deal with conflict situations.
• Demonstrated ability to adjust to new or unexpected events.
• Demonstrated ability to plan, organize and prioritize work.
• Demonstrated physical ability to perform the duties of the position.
• Demonstrated computerized software skills in word processing, databases, spreadsheets, presentations and internet access and ability to operate a computerized patient care information system.
• Ability to operate related equipment.

Responsibilities

• Leads and facilitates acute to community transitions by collaborating with the care team, assessing and evaluating clinical and functional need and coordinating community staff/resources in carrying out the care following discharge from an acute site.
• Provides input to the Manager, Clinical Operations Supervisor and/or Clinical Nurse Educator on the development and recommendation of changes to related Transition Services policies, procedures or protocols for care transition from acute to community.
• Coaches and encourages acute and community colleagues to embrace new and evolving clinical pathways.
• Plans and facilitates clinical discussions to support safe client discharges with care teams and other health care professionals; advises on the availability and eligibility for community services.
• Makes community referrals based on client needs, urgency and the recommendation of the care team; educates and provides consultation to client/family about the community services and options available to them upon discharge and the transition plan.
• Assesses and coordinates transition of clients to long term care (LTC), utilizing clinical decision support tools (Inter-RAI MDS) as appropriate.
• Documents and maintains client records and clinical assessments.
• Participates on committees as directed.
• Coordinates care given by others in an area or unit by assigning service priority to various Home Health teams and making/adjusting client/patient/resident assignments.

Benefits

• Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
• Grow your career with employer-paid training and leadership development opportunities
• Wellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate families
• Award-winning recognition programs to honour staff, medical staff and volunteers
• Access to exclusive discount offers and deals for VCH staff

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level