Care Coordinator, Bilingual, Temporary , Intake : Labelle Pembroke

Are you an experienced registered nurse, physiotherapist, occupational therapist, social worker, dietitian, or speech language pathologist seeking a rewarding careers that cares for others, in a professional practics that cares for you? You're in the right place.

As a Bilingual Care Coordinator
, you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners.

Whether you work in our office, in the community, or a health care facility – you will play a lead role in providing connected, accessible, patient-centered care – and be supported by our collaborative team that includes over 8,000 regulated health care and other professionals.

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.

Under the general direction of the Manager, Patient Services, the Care Coordinator is responsible for managing a caseload of diverse patients who are living and/or dealing with a variety of health concerns. The Care Coordinator, through phone conversations, assesses the patient’s care needs and develops, implements, and updates (as required) a care plan that is informed by the patient’s health and psychosocial needs;

and, where possible, accommodates patient and caregiver wishes. He/she also determines eligibility for and arranges for Ontario Health atHome Champlain-approved health care services and refers patients and caregivers to other community resources and programs.

As a member of the Intake Care Team, the Care Coordinator will be responsible for assessing and developing individual patient care plans over the phone for service provision. Based on patient needs the Care Coordinator will utilize a multi-disciplinary team approach to achieve optimal health outcomes. This is an in office, non-visiting role where referrals are prioritized based on the complexity, urgency and needs of each patient while adhering to Ontario Health atHome Champlain guidelines for care and services.

• Completes comprehensive patient assessments using a validated assessment tool, including patient’s clinical, physical and psychosocial needs, and caregiver needs
• Assess the patient’s and caregiver’s understanding of, and learning needs related to diagnosis, treatment, available resources, illness adjustment, and coping mechanisms
• Assist patient and caregiver in setting appropriate goals (individual, joint, short or long term)
• Collaborate with patient, caregiver and the care team to develop an individualized care and service plan reflective of the patient’s identified priorities and desired outcomes; identify strategies and resources to be used in attaining clinical outcomes
• Coordinate the delivery of Home and community care services to patients and their caregivers
• Coordinate vendor and resource utilization involving medical equipment, supplies and services
• Facilitate understanding and cooperation among members of the patient’s multidisciplinary healthcare team; communicate with members of the patient’s health care team to maximize patient outcomes
• Initiate and authorize the implementation of the care plan through contracted providers
• Provide regular reports to Physicians, service providers, patients, caregivers and other authorized parties as required
• Case documentation in accordance with Ontario Health atHome Champlain policies

Team/Department: Intake

Hours of work: A rotating shift schedule comprised of eight-hour shifts with various start times between the hours of 8am and 8pm, seven days/week for a total of 70hours biweekly

FTE: 1.0

Length of Temporary Assignment: March 20, 2026

Starting Salary: $44.480 to $47.517

Affiliation:
OPSEU

Reporting to: Manager, Patient Services

Office

Location:

Cornwall, Labelle, Pembroke

• Registered Nurse (BScN or diploma) and registered with the College of Nurses of Ontario; or
• Degree or diploma in Physiotherapy and registered with the College of Physiotherapy of Ontario; or
• Degree or diploma in…