The Acute Care Transitions Program ensures seamless, compassionate care as patients move from hospital to home. Designed to support both patients and their families, the program connects individuals with community-based healthcare providers, social support services, primary care and acute care teams. Together, they create personalized plans that improve outcomes and ease the transition to home.

About the Role

This is an exciting role providing operational leadership to transitional programs and the self-directed interdisciplinary teams that will be providing holistic care to the clients in the community. You are passionate about informing and shaping transitional programs from hospital to the community and being at the forefront of healthcare innovation in Canada. You will provide exemplary leadership and operational management for interdisciplinary team(s) including nursing, therapies, social work, dietitian and PSWs. You will ensure excellence in the provision of client care, the achievement of corporate/program objectives; planning and operations; quality management and improvement; participation in special projects, corporate/research initiatives and other activities that support and advance organization goals. This role will have accountabilities in operational and professional practice excellence; creating a healthy workplace that maximizes the potential of all members of the team.

Key Responsibilities
• Provide clinical practice leadership, coaching and oversight management to ensure the safe, effective and efficient provision of care excellence to all clients and family members for hospital, acute transition programs
• Managing, motivating and providing professional/clinical leadership to interdisciplinary teams; ensuring ongoing practice and professional development of a cohesive team;
• Conduct joint home visits for the purpose of influencing/monitoring/ maintaining / improving quality of care, interpreting clinical standards of practice, and providing coaching/staff development;
• Review and audit InterRai assessments and associated care plans to ensure meeting client needs holistically
• Provides coaching to the interdisciplinary teams to foster autonomous, self-directed management of clients in the community
• Supporting educational strategies to enhance staff knowledge with respect to professional practice, health discipline, clinical, administrative staff practices and client care;
• Implementing processes to ensure the safe, effective and efficient delivery of excellent care to all clients and processes that support involving clients as collaborative partners
• Performing planning, quality management and operational responsibilities, including implementing quality improvement and other initiatives in the clinical area(s) to ensure patients receive the best possible care;
• Develops, implements and communicates performance measures; maintains knowledge of the different disciplines to facilitate conducting regular performance appraisals, in a manner that is fair and consistent
• Ensures staff are meeting professional practice standards
• Develops, implements, manages and reviews short- and long-term plans for the clinical area(s) which are in alignment with organizational goals and strategies; identifies and prioritizes time sensitive initiatives
• Develops staff utilization plans to ensure adequate level/mix of human resources to execute plans and achieve required outcomes
• Identifies and manages employee issues/concerns,
• Develops and implements day to day operating policies, systems and procedures to contribute to organizational effectiveness;
• Implements quality management techniques designed to advance the services provided by the staff
• Addresses adverse events, complete risk investigation and develop risk management strategies
• Ensures the involvement of patients and family in the design of care, managing patient complaints, in a timely manner;
• On-call as required for programs support

Qualifications
• A Registered Nurse (RN) required holding a current professional license, in good standing, to practice in Ontario. BScN preferred.
• Candidates holding a Master's Degree are preferred
• Registration in Good standing with respective regulatory college
• Membership in a Professional Association
• Minimum of five years of clinical care experience
• Minimum of five years of management, supervisory and/or leadership experience
• Experience in Change Management
• Experience in Quality Improvement and Risk Management
• Demonstrated clinical expertise or specialist in a clinical area(s) relevant to home and community care
• Demonstrated leadership competencies.
• Models behavior that is aligned with the values of SE Health
• Excellent interpersonal and verbal/written communication skills.
• Ability to work independently and as part of a team.
• Critical thinking and sound problem-solving skills.
• Strong technology acumen, including facility with the standard Microsoft Office suite, as well as general collaboration apps and tools
• Superior communication skills and ability to communicate effectively to direct and motivate team and others, maintaining a persuasive and credible presentation style at all levels of the organization
• Thrives in a fast-paced environment.
• Ability to work in an on-call after hours rotation
• A vehicle and valid driver's license - and ability to travel.