This is a unique opportunity to be part of a tight-knit, collaborative team from across the health sector where you’ll join a cultivate and high-performing team of Nurses, Personal Support Workers (PSWs), and Allied Health professionals, you’ll manage and foster a collective, innovative, and learning-focused environment.
You’ll lead and support the implementation of integrated care programs focusing on optimizing service delivery through the use of data-driven insights. This role is integral in enhancing care quality, ensuring alignment with patient-, family and care partner-centred goals, and enabling team members to work to their full scope of practice - including both direct and indirect care coordination activities.
- Lead an integrated palliative care team within a designated neighbourhood, managing day-to-day coordination of services ensuring continuity of care, seamless processes and optimal patient and employee experience
- Collaborate with your team to assess, plan, and coordinate with patients, caregivers, and other members of the care team to establish, review, and revise care plans that support patients to die in their preferred place of death -- respecting patient wishes for MAID as requested
- Oversee and monitor indirect care coordination activities provided by regulated and unregulated health professionals on your care team
- Support your team to provide high quality care including but not limited to pain and symptom management, advanced clinical skills, end-of-life care, interdisciplinary collaboration, cultural competence, emotional support and counselling, ethical and legal understanding, assessment and planning, education, assessment of caregiver stress/burden and advocacy
- Support patients and their caregivers, ensuring that their questions are answered and a seamless care approach is in place. Build a trusting relationship to understand the patient goals
- Effectively build and manage key internal and external stakeholder relationships
- Address quality, safety, and risk issues, developing improvement plans as needed and participate in Quality-of-care Reviews as required with partners.