The Western Champlain Health Link is a network of service providers created to ensure the coordination of care for people with complex needs. The goal is to improve the healthcare experience for people with complex needs, reduce unnecessary visits to hospital emergency departments, and decrease overall healthcare costs. Pembroke Regional Hospital is the lead for Western Champlain Health Link.
The Care Coordinator Coach will facilitate training and coaching of Health Link care coordinators within the Western Champlain Health Link, specifically in the Renfrew and Barry’s Bay area. The Care Coordinator Coach will work with Health Link patients and caregivers to formulate goals, while building and leading multidisciplinary care teams dedicated to meeting those patient goals. They will coach front line service providers in a range of health and social service agencies in the Health Link approach. They will build and maintain a local Community of Practice of service providers who are using the Health Link approach in order to scale and sustain this provincial initiative.
- Regulated health professional in good standing preferred
- Two years of experience in acute, primary or community care setting, preference given to candidates with experience in more than one setting
- Demonstrated knowledge and understanding of the broader health care delivery system and available resources within the Western Champlain sub-region, particularly in Barry’s Bay and Renfrew areas.
- Experience working with and developing processes for the Health Link target population, especially as related to care coordination, chronic disease management, transitions and supporting health independence
- Familiarity with patient counselling and interviewing techniques (e.g. Motivational Interviewing, Behavioural Activation, Discovery Templates, etc.) in order to enhance patient-centred policy
- Knowledge of and experience with the social determinants of health
- Experience with needs assessments, case management and/or discharge planning
- Strong communication skills, with demonstrated ability to motivate and inspire colleagues
- Enhanced coaching skills and an understanding of the principles of adult education
- Ability to work in multidisciplinary network of care coordinators from a range of organizations
- Ability to work independently with minimal supervision
- Excellent communication and interpersonal skills, effective and creative problem solving skills and commitment to patient-centred care
- Ability to prioritize and carry out various job functions ensuring all deadlines are met in a timely fashion
- Experience working with and linking to other community health agencies and social service providers
- Ability to think and act creatively to find ways to assist patients and families/caregivers in meeting their goal
- Proficiency in the use of computers (Microsoft Word, PowerPoint, Outlook, internet and electronic health records) and willingness to learn advanced computer skills as required
- Experience tracking qualitative and quantitative data
- Bilingualism (English/French) is preferred