Referrals Coordinator, Social Medicine

• Compensation: CAD 73000 - CAD 91347 - yearly

UHN is Canada’s #1 hospital and the world’s #1 publicly funded hospital. With 10 sites and more than 44,000 TeamUHN members, UHN consists of Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute, The Michener Institute of Education and West Park Healthcare Centre. As Canada's top research hospital, the scope of biomedical research and complexity of cases at UHN have made it a national and international source for discovery, education and patient care.

UHN has the largest hospital-based research program in Canada, with major research in neurosciences, cardiology, transplantation, oncology, surgical innovation, infectious diseases, genomic medicine and rehabilitation medicine. UHN is a research hospital affiliated with the University of Toronto.

UHN’s vision is to build A Healthier World and it’s only because of the talented and dedicated people who work here that we are continually bringing that vision closer to reality.

Union:Non-Union
Number of vacancies
: 1
New or Replacement:New
Site:Various
Department:Social Medicine & Population Health
Reports to
:
Senior Manager
Salary Range
: $73,000 - $91,347
Hours
: 37.5 hours per week
Shifts
:
Days
Status
:
Permanent Full-Time
Closing Date
:
September 9, 2026

The Social Medicine Referrals Coordinator provides clinical-operational leadership in coordinating equitable access to Social Medicine services for patients with complex medical, psychosocial, and health equity needs. As an integral member of the interprofessional team, the Referrals Coordinator is responsible for implementing, coordinating, monitoring, and evaluating referral pathways and care transitions across the health and social care continuum. The role functions as a key liaison between patients, families, healthcare providers, community organizations, and system partners to facilitate timely, integrated, and patient-centred care.

The Referrals coordinator exercises independent judgment in assessing referral appropriateness, addressing barriers to access, resolving complex service navigation issues, and facilitating seamless transitions between hospital, community, and social service systems. The Social Medicine Referrals Coordinator provides subject matter expertise, operational leadership, and consultation regarding referral management processes, access optimization, health equity initiatives, community partnerships, quality improvement, and performance measurement. The role contributes to program planning, service development, and system improvement initiatives aimed at advancing access to care and improving outcomes for marginalized and structurally vulnerable populations.

• Implements and coordinates patient-centered care plan with patients and the multi-disciplinary team for the purpose of facilitating the patient’s movement through the continuum of care and within the community.
• Implements and coordinates patient-centred care plans with patients, families, caregivers, and the interprofessional team to facilitate timely movement through the continuum of care and within community-based services.
• Coordinates complex referrals and access to health, social, housing, and community services, ensuring appropriate and equitable service utilisation.
• Assesses referral appropriateness, identifies barriers to care, and develops strategies to facilitate access to required services and supports.
• Acts as a clinical and operational resource regarding referral pathways, eligibility criteria, community resources, and access processes.
• Provides coaching, guidance, consultation, and education to clinical teams, learners, community partners, and referring providers related to referral management and care coordination.
• Facilitates communication among interdisciplinary teams and community organizations to support effective transitions of care.
• Participates in staff onboarding, orientation, and ongoing education related to referral processes, social medicine services, and community resources.
• Identifies and resolves referral-related issues, service access concerns, and care…