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Care Coordinator, Temporary , Pembroke Regional Hospital

Job in Ottawa, Ontario, Canada
Listing for: Home and Community Care Support Services
Full Time, Seasonal/Temporary position
Listed on 2026-02-10
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
Position: Care Coordinator, Temporary Full Time, Pembroke Regional Hospital (1.0)

Job Description

Date Posted: January 30, 2026

Closing Date: February 6, 2026

Job Type: Temporary Full-time

Start Date: March 4, 2026

Anticipated End Date: September 25, 2026

Program: Rapid Response Nursing (Clinical Care Programs)

Branch: Haliburton

Group: ONA

Are you an experienced registered nurse (RN) seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.

Reporting to the Senior Manager, the Mobile Emergency Diversion (MED) Nurse is responsible to ensure that improved transitions from hospital to home are optimized and that linkages to primary care teams are established. This position will provide acute clinical care treatments to patients discharged from hospital and/or community requiring nursing intervention to support discharge to home and/or prevent avoidable emergency department visits.

Additionally, this position focuses on remote monitoring of adults and seniors following acute post-surgical procedures and chronic disease to ensure improved transitions from hospital to home are optimized with appropriate linkages to primary care teams are established. This role is based on a collaborative model of care that focuses on enabling the patient to better manage their chronic disease through the support of clinical monitoring and coaching as well as post-acute surgical procedures.

This will assist in prevention of post-operative complications and chronic disease management.

Please note that this position requires extensive travel within and around the Haliburton area.

What will you do?

  • Work with interdisciplinary Point of Access team to triage patients requiring acute nursing treatments to facilitate discharge from hospital and/or assist community patient with such treatments to avoid admission to acute care/ED when contracted Service Provider Organizations are unable to provide the necessary treatment
  • Confirm the patients’ hospital discharge care plans, complete a nursing physical assessment, administer the treatment required including but not limited to:
    Peripheral intravenous care, wound care, subcutaneous, intramuscular injection, medication reconciliation/medication management; chronic disease management education, assist with connection to primary care, and provide the clinical care and health education required to safely transition the patient through this high-risk period of ED return
  • Practicing safe and competent care based on the RN scope of practice
  • Provide support to the patient and care coordinator by providing comprehensive system navigation, ensure available Ontario Health atHome services and community services are reviewed and ensure linkage to community Care Coordinator
  • Inform and support the community Care Coordinator in developing the patient’s care plan and ensuring a smooth transfer of the primary care physician and pharmacist to the ongoing care team
  • Work with contracted Service Provider Organization to transfer accountability of care when required
  • Assess for and promote a safe environment for patients, caregivers, family members, and staff
  • Ensure contact with primary care provider, providing an update on the patient’s acute care event and post discharge regime
  • Participates in and demonstrates an understanding of quality, risk and patient safety principles and practices
  • Assists with the orientation of new staff/students and carries out preceptor responsibilities as required
  • Assist patients in establishing and implementing self-management goals
  • Support patients in medication awareness and management
  • Monitor patients and respond to alerts using established clinical protocols and guidelines
  • Respond to patient phone/email inquiries and determine clinical next steps
  • Deliver patient education using validated educational tools and resources
  • Conduct regular and just-in-time health coaching sessions with patients
  • Works collaboratively with team members to provide timely triage of referred patients using standardized tools and processes
  • May be required to perform other duties as assigned
  • What must you have?

  • University degree in Registered Nursing.
  • Registered Nurse in good standing with the College of Nurses of Ontario.
  • Hold…
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