We currently have an exciting opportunity for a Registered Practical Nurse to join our Assess & Restore team.
Manager, Integrated Transitions in Care
$30.172 - $30.638
Hours of work:
Must be available to work rotating shifts (Monday to Friday, Weekends & Statutory Holidays) and evenings (subject to change)
- Works collaboratively with the interdisciplinary team to support the ongoing functioning of the outpatient Assess and Restore program, related to referrals, consultations and follow-ups
- Functions to ensure referrals are triaged and appointments are set-up in the appropriate time frame
- Responds to patient inquiries, questions or concerns that arise during appointment or via telephone
- Performs medication history (BPMH), nursing assessments, monitoring and documentation
- Provides health education for patients and families regarding chronic disease management, diagnostic tests and prescribed treatments
- Integrates best practice guidelines and evidence based research into clinical practice related to Seniors Care
- Maintains abreast of new developments in geriatric syndrome management and Seniors Care with integration of related evidence-based advancements into clinical practice
- Liaises with the patient’s primary care practitioner and community agencies as required throughout the care process
- Utilizes Resource Matching Referral (RMR) and other referral sources to ensure patients are linked to appropriate resources
- Helps guide patients in care planning and navigation of seniors care resources along the continuum of care
- Facilitates movement through the trajectory of Seniors Care, ensuring patients are connected with the appropriate services, resources and supports within HRH and in the community
- Researches, creates and maintains an accurate and up to date compilation of community resources and supports geared to improving the quality of life of seniors at home
- Identifies and prioritizes not only the physical needs, but also the psychological, social and spiritual needs of the patient and/or caregiver
- Ensures that the patient and/or caregiver is included in development of the care plan and understands the medical advice or recommendations.
- Develops linkages with external partners as appropriate to ensure continuity of care
- Graduate from a recognized Registered Practical Nursing two year diploma program
- Current RPN registration with the College of Nurses of Ontario
- Current BCLS certification required
- Minimum of two years recent experience related directly to Seniors Care required.
- Demonstrates knowledge and understanding of community resources for older adults.
- Demonstrates knowledge of geriatric syndrome management.
- Community experience preferred.
- Ability to adapt and effectively work in a fast-paced environment with changing priorities and time sensitive targets
- Must possess excellent organizational skills
- Exhibit assessment skills and an ability to identify and react quickly to a deteriorating patient. Health Assessment course would be an asset.
- Demonstrates excellent patient and family teaching skills that encompass adult learning principles
- Evidence of sound judgment and initiative
- Demonstrates effective problem solving skills and an ability to work well independently with minimal supervision
- Conducts oneself with professionalism and respect at all times
- Highly effective interpersonal and communication skills are required
- Sensitivity to and awareness of cultural, racial, economic and socially diverse communities
- Proficiency in a second language used in the community served would be an asset
- Excellent attendance and discipline free record required.
$29.345 - $29.798
Why Humber? Why Now?
Humber River Hospital is on an exciting transformation journey of redefining patient care as we leverage the most advanced technologies to enhance all aspects of delivering high-quality, safe care. We continue to build a people-centered workplace with excellent staff and physician engagement by hiring passionate, diverse and inclusive healthcare professionals. People who care and live our values of Compassion, Professionalism and Respect. People who are committed to making a positive difference.
We are a Studer Group hospital, focused on building our evidence-based leadership practice and hardwiring a culture that WOWs.
Why? Because at Humber River Hospital, we know it’s our people and our ability to innovate that allows us to consistently deliver a great patient experience and the best quality outcomes. After all, we are the hospital that believes exceptional care...healthier community.
This description has been designed to indicate the general nature and level of work performed by the employee within this position. However, the actual responsibilities, duties, qualifications and experience may vary. Employee may perform other related duties as required to meet the ongoing needs of the organization. Information contained in this job posting/description is subject to change.
Humber River Hospital is committed to inclusion and diversity. We believe that diversity drives our culture of innovation. By bringing together a variety of different perspectives, it fuels our creative thinking, generates new ideas and creates solutions designed to address tomorrow's healthcare challenges today. We take pride in providing professional development and career advancement opportunities for our employees including minorities, women, veterans and individuals with physical and developmental disabilities. We also provide accommodation to applicants and all of our employees - from hire to retire.
Let us know what we can do to help you be successful during your recruitment experience at Humber River Hospital.