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Care Coordinator

The Role

1.Program Development: Participate in program development and policy-making activities that influence health services and practices in Primary Health Care at CMHA. Collaborate with all members of the inter-professional team to plan and deliver holistic, comprehensive, patient- and family-centred care. Contribute to the dissemination of new knowledge and best practices throughout the organization. Act as a mentor and clinical practice coach, advancing nursing skills and serving as a role model for nursing colleagues and other members of the inter-professional team. 2.Service Care Planning: Conduct comprehensive, ongoing health assessments, including physical, psychosocial, and environmental factors, order and interpret all laboratory tests and develop individualized care plans. Diagnose and manage acute and chronic health conditions using evidence-based approaches within the Nurse Practitioner scope of practice. Ensure clients’ linguistic, cultural, and social needs are incorporated into care planning and service delivery. Demonstrate accountability and professional responsibility in the delivery of high-quality primary health care services. Ensure care plans are current, documented, and implemented collaboratively with clients and team members. Initiate appropriate consultations, referrals, and care coordination with internal and external health care providers. Participate in the evaluation and improvement of models of care, service processes, and care delivery outcomes. Communicate effectively and respectfully with clients, families, and team members to support positive health outcomes and client engagement. 3.Health Promotion and Disease Prevention: Prescribe medications, order diagnostic tests, and initiate treatments and therapeutic interventions in accordance with legislative authority and best practice guidelines. Provide health education related to disease prevention, chronic disease management, lifestyle modification, and wellness promotion. Support clients in navigating the health system and accessing appropriate community and social supports. Incorporate current research evidence and clinical guidelines into clinical decision-making and care planning. 4.Family Education and Support: Educate the family and substitute decision maker on the nature of the illness, treatment, medication and community integration. Provide resources and support to help families and substitute decision maker cope more effectively. Provide culturally appropriate resources and support to help families and substitute decision makers cope more effectively
$30/hr,