Transition Facilitator

Location: Northwestern Ontario (Red Lake)

Employment Opportunity Full-Time (Existing Position)
Transition Facilitator
We provide primary health care through a range of options including prevention, assessment, diagnosis, and treatment. Our interprofessional teams include health professionals, educators and support workers representing both traditional Indigenous and contemporary models of care and using wholistic health and community development concepts.
This position connects people with health and social services that will result in improved health outcomes, and healthier families and communities. It is also intended to address system level challenges that impact planned transitions in care for people being discharged from a regional facility to a First Nation or other community, and bridge understanding between traditional and western approaches to health and healing with a focus on quality, equitable access and culturally safe care.
This position supports implementation of an Indigenous Transitional Care Model by working with health and social service providers to facilitate access to optimal supports for clients requiring health care services.

NOTE:

Indigenous traditional practices involve cultural ceremonies and burning sacred medicines including tobacco, sweetgrass, sage and cedar within the work setting.
PRIMARY

DUTIES / RESPONSIBILITIES:

Ensure provision, tracking, and reporting of culturally safe and appropriate services and activities that address the nine essential elements of the FNIHCC OR program and document the impact of program activities on identified regional gaps.
Engage partners, communities, and colleagues to co-create, Initiate, and support a continuum of collaborative processes and services that are culturally safe, acknowledge historical trauma, present day circumstances, and emerging/future community needs.
Build capacity through ongoing training, coaching, and mentoring to ensure that health care providers have appropriate knowledge and work within appropriate limits of training and acquired skills.
Incorporate Ontario Quality Standards, Transitions Between Hospital and Home Care for People of All Ages in development, maintenance and evaluation processes.
Participate in quarterly FNIHCC OR Community of Practice teleconferences.
Collaborate with stakeholders to ensure continuity of care and improve transitions from hospital to community care environments.
Facilitate early engagement of client, family and caregivers in development of care plans, and transition from hospital to home environment.
Coordinate proactive, seamless care transitions with community navigators and all health care providers and organizations involved in the person’s care.
Establish and maintain strong linkages with community sector, especially organizations that deliver Home and Community Care services.
Participate in ongoing professional development and training relevant to job requirements.
Participate in organizational committees and teamwork activities.
Other duties as required. In extenuating situations or in the event of an emergency, may be redeployed to ensure provision of essential services

QUALIFICATIONS:

post-secondary education with a health or social services focus, and 3-5 years’ experience that includes significant case management, ideally in a community-focused setting;
advanced patient navigation level 1 & 2 courses; palliative care for front line workers in first nations communities training; learning essential approaches to palliative and end of life care (LEAP) an asset;
excellent advocacy, communication, organizational, and computer skills;
excellent understanding of all aspects of the health care system to facilitate seamless transitions between levels of care across the continuum;
demonstrated ability to work independently…