VHA Home HealthCare (VHA) is one of the largest not-for-profit home care providers in Ontario. Our team is made up of close to 3,000 caring and committed professionals who love what they do. Our providers tell us: “Home care is where I can truly make a difference. There is such a sense of accomplishment from helping people live independently at home.” Our teams work together to provide high quality, client-centred care to those who need it most in their homes, schools, retirement homes and other community settings. Many of our team members manage their own schedules in the community and they say, “The freedom and flexibility can’t be beat.” Providers form meaningful bonds with the clients and families they serve over time and are supported by a diverse regional team and beneficial home office programs. Team members tell us “I love the inclusive culture. I feel welcome and at home.” View more comments from our clients and their family members. Pay Range Commensurate with Experience The Home Care Specialist will provide care coordination, navigation and client flow services to clients that are part of Hospital to Home and Ontario Health Team programs in the Toronto Central region. The Home Care Specialist will act as a liaison between clients receiving home care services, hospital partners and community care teams. The Home Care Specialist will work collaboratively with program funders to ensure a smooth and seamless transition to a client’s home environment. In addition, the Home Care Specialist will work towards performance targets and contribute to quality improvement initiatives to optimize client flow, care coordination and service management processes within integrated care programs within the Integrated Client & Community Care (IC&CC) portfolio. #INVHACorp Working Hours: Monday - Friday; 11AM - 7PM (Potential on-call coverage) Key Areas of Accountability Receives, review, and accepts referrals for in-home transition services Acts as the primary point of contact for the hospital navigator/coordinator Coordinates the delivery of Home Care services, medical equipment and supplies as needed. Receives, monitors and updates the client tracking/notification/flow dashboards Coordinates/Liaises with hospital lead/ Ontario Health at Home coordinator and VHA Teams as required. Coordinates/Liaises with community support services as required. Participates in hospital discharge planning meetings and client care conferences for complex clients as required Attends program huddles with hospital partners and/ program funders Communicates and collaborates with clients, families, members of the health care team, and community resources to facilitate decision making regarding appropriate services Ensures seamless navigation of community services and Primary Care Physician connections as required by the client At times, provides direct care to the client and train staff on delegated acts as required Monitors timely completion and reporting outcomes of patient/family care conferences to hospital partners and the program teams Communicates patient and family complaints or issues back to program leads/ hospital lead, VHA team and shares associated action plans Participates in program evaluation and process improvement Required Qualifications Diploma or Undergraduate degree in Nursing (RN Licensure is required) 5+ years of experience in home and community health or a related field Member, in good standing with College of Nurses of Ontario Knowledge of the health care delivery system including hospital discharge planning, home and community care, and support services A valid driver’s license and access to a reliable vehicle Excellent skills in case management, coordinating care within interdisciplinary teams, interRAI assessments and navigation of community services Excellent assessment and decision-making skills Passion for excellent customer service and customer experience Effective time management skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment in various settings (e.g. at the hospital, in the office, in the community). Proficient skills in Microsoft Office (Word, Excel, PPT) and comfort with learning/working with new and emerging technologies (e.g. EHR systems, reporting systems) Intersectoral experience and excellent relationship building skills and dispute resolution What makes VHA’s compensation unique? Benefits and pension plan for permanent eligible employees Compensation for education and professional development VHA is a leading learning organization so we can provide you with comprehensive orientation and training at the start and throughout your career Mentorship and peer support Career development opportunities Employee and family assistance program Wellness resources Perks & discounts Staff & service provider events Accommodation and VHA’s commitment to DEI At VHA Home HealthCare (VHA), we passionately strive to uphold our commitments to being an Equal Opportunity Employer. We champion inclusion and diversity in all parts of our organization and are strong believers that a diverse workforce is key to the ongoing and future success of VHA. We aim to review all applicants with fair and unbiased recruitment practices where opportunities are presented based on merits, skills, and experience. VHA is committed to providing reasonable accommodation and our services are accessible and sensitive to the needs of diverse groups. If you require any accommodation, please let us know in advance as we are happy to comply. How to Apply? Our online application should take about 5 to 10 minutes to complete. VHA is accredited with Exemplary Standing by Accreditation Canada; an RNAO Best Practice Spotlight Organization designate; and a founding member agency of United Way Greater Toronto. Thank you to everyone who applies. We will review applications as they are received. We’ll only be contacting those selected for further discussion. In every role and at every level, we lead with purpose, build bonds that matter, and we’re passionate about providing spectacular care. “VHA’s team is full of amazing people who are compassionate and committed to supporting one another and to making care better for our clients and families.” - Kathryn Nichol, President and CEO, VHA Home HealthCare (VHA) At VHA, we offer you opportunities to advance your career with an industry-recognized leader in care that truly values its clients and its people. Visit our Careers website for more details. Internationally educated healthcare professionals have long been an important part of VHA’s workforce - hear from some of our staff and service providers about their experience. Since 1925, VHA Home HealthCare has lent a helping hand to people in the community. As a not-for-profit charitable organization, we support seniors, families, people with disabilities and those living with chronic or terminal illness to live as independently as possible. With close to 3,000 staff and service providers - including personal support workers, nurses, rehabilitation professionals, home support workers and office support staff - we provide services 24 hours a day, seven days a week to clients in their home and the community. At VHA, we’re passionate about the work we do, the impact we make, and about supporting our clients, communities, and each other. As a VHA team member you’ll do more than provide services to clients; you’ll build strong, long-lasting bonds and real relationships with our clients and their families. We offer high-quality, multilingual services in southern Ontario and our work environment focuses on supporting clients and staff through client-centered care, well-connected health care teams, and continual improvement. Our people are as diverse as the clients and communities we support and we value your unique talents. So, if you’re passionate about serving others and making a difference, you belong at VHA A Life-Changing Opportunity Providing better care to our clients and their families is what fuels us. And today we’re at the forefront. Through our community partnerships, innovation initiatives, and a focus on research and transformation, we are making an impact like never before. To support you and your goals, there are a range of full-time, part-time and casual positions at VHA with varying schedules to meet our clients’ needs and your own. We also try to give you an interesting mix of new and repeat clients so you can build relationships and enjoy variety. We know that our team members can provide their best care when their own needs are being met. Together, we are reimagining the future of health care. Reimagine your career with VHA. At VHA, we offer you opportunities to advance your career with an industry-recognized leader in care that truly values its clients and its people. We offer: The opportunity to join a leading charitable organization you can be proud of with over 95 years of experience providing high quality care. A stimulating, diverse, client and family-focused work environment with a variety of full-time and part time positions. We invest in our staff, offering continuous opportunities for learning, competitive compensation and paid orientation, a confidential and free Employee Assistance Program, and more. Eligible staff are also entitled to a pension plan and comprehensive benefits package. Best of all, we foster a supportive, and respectful team environment where we all thrive.