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 $70,000-$87,000 If you're a Registered Nurse (RN) looking for a unique opportunity, this role is for you! The Digital Navigator (DN) plays a critical role in delivering safe, coordinated, and digitally enabled care for patients transitioning from hospital to home or receiving high-intensity bundled home care. Acting as the central clinical command hub, the DN uses remote monitoring technologies, real-time triage, and proactive outreach to identify early clinical deterioration, intervene rapidly, support caregivers, prevent Emergency Department (ED) visits, and ensure patients remain stable in the community. This role provides virtual oversight, continuous assessment, and digital care navigation to enhance patient and caregiver experience while optimizing clinical outcomes. Key Areas of Accountability Perform real-time, rapid triage of new referrals, patient concerns, symptom escalations, and urgent requests. Serve as the primary virtual point of contact between scheduled visits, ensuring continuous communication and monitoring. Conduct virtual nursing assessments on a regular basis and as clinical status changes. Evaluate patient stability through vitals, symptoms, monitoring alerts, and caregiver input. Monitor incoming alerts and symptom flags from digital tools (e.g., COPD worsening, falls risk changes, vitals deviations). Call patients and caregivers daily—or more frequently if required—to support ongoing symptom monitoring. Document findings and clinical interpretations in the EMR and monitoring platforms in real time. Implement immediate interventions (education, medication guidance within scope, symptom management advice) to stabilize patients at home using established escalation pathways where applicable. Guide caregivers through urgent care situations to prevent unnecessary ED transfers. Lead or co-lead care team huddles to review patient conditions, discuss care plans, and identify system-level issues. Work with the Home Care Specialist (HCS) to adjust service intensity, visit frequency, modality (virtual vs. in-person), and introduce additional supports (CSS, technology, behavioural supports). Support transitions between levels of care when patients’ conditions change. Provide ongoing coaching to caregivers during periods of acute instability or when responsive behaviours escalate. Educate patients and caregivers on symptom monitoring, medication adherence, equipment use, behavioural strategies, and safety measures. Identify clinical risks early and escalate appropriately using established escalation pathways where applicable. Report incidents, complaints, and adverse events in accordance with VHA policy. Ensure all documentation is accurate, timely, and compliant with legal, regulatory, and privacy standards. Contribute to the evaluation and refinement of digital tools, RCM workflows, and care models based on real-world learnings. Troubleshoot basic device or platform issues with patients and caregivers. Support device deployment, onboarding, and ongoing use. Required Qualifications Current registration and good standing as a Registered Nurse (RN) with the College of Nurses of Ontario (CNO). Minimum 3 years of clinical nursing experience, preferably in community/home care, acute care, geriatrics, or high-acuity settings. Experience with: COPD, CHF, diabetes, dementia or cognitive decline responsive behaviours, and medically complex or fragile patients Proficiency with EMRs, telehealth systems, mobile apps, and digital monitoring tools. Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to adapt to new technologies. Strong clinical assessment and triage skills. Excellent communication, de-escalation, and caregiver engagement skills. Experience with virtual care, telehealth, remote monitoring, or digital health platforms is preferred. #INVHACorp #LI-PI1 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.
