Manager of Clinical Practice

• You will work to meet and mentor the diverse needs of the clients and caregivers you serve in your community by providing a wide range of services and support
• Supports the Bundled Care Program by ensuring compliance with all federal and provincial legislated standards of practice as well as company policies and procedures.
• Collaborates with all members of the Clinical Care Team including, Nursing, Personal Support Workers, Allied Health and Social Workers to provide a holistic service approach to community patient care.
• Collaborates with external partners to facilitate safe patient care transitions and planning with Home Community Care Support Services (HCCSS), Hospital partners and other community support services as required.
• Effectively manage, record and follow up on patient and family concerns.
• Attend meetings as necessary for case conferences as required.
• Performs case reviews and monitors and analyzes the achievement of client care goals and outcomes of care by efficient case management.
• Ensures that services are delivered according to best practices and established pathways and protocols.
• Monitors and analyzes the intake process, priority codes and refusals and implements processes to improve rates.
• Ensures all aspects of the client assessment process are completed.
• Works in conjunction with the Clinical Manager to manage the reporting metrics and outcomes of program and patient care to efficiently report, track and communicate with data management team.
• Escalates any care concerns or service level concerns to Clinical Manager for further review.
• Complete patient home visits in instances of training, performance evaluation and to support skills training in the home.
• Builds and designs care plans in collaboration with hospital partners to facilitate safe patient transitions from hospital to home.
• Provide mentorship, supervision, performance management to personal support and /nurses supporting your program.
• Deliver the highest quality home health care with compassion, excellence, and reliability
• Facilitates and maintains effective communications strategies to ensure quality client care and foster positive relationships, both internal and external to the agency.
• Participate in ongoing internal and/or external continuing education activities
• Must be available to work flexible hours which may include days, evenings and weekends.
• Participate in on-call schedule rotation as required.

• 5+ years’ experience in health care, preferably home health care & hospital.
• Current license in good standing as a Registered Social Worker, in the province of Ontario.
• Graduate of an accredited and approved program.
• Completed Continuing Education Requirements (CEUs) as required by regulation
• Solid knowledge of the principles, practices, and methods of community nursing and service delivery.
• Knowledge of Ontario community health system navigation and patient discharge care planning recommended.
• Exceptional business acumen and ability to collaborate with hospital partners, community partners and stakeholders at all levels.
• Exceptional interpersonal skills and ability to handle difficult situations in an objective consistent format
• Exemplifies characteristics of Bayshore Health Care: compassion, excellence and reliability.
• RAI Tool experience and knowledge an asset.
• Evidence of current CPR certification
• Have valid driver’s license and reliable vehicle for commuting
• Knowledge of health & safety and infection prevention and control.
• Demonstrated leadership skills

Bayshore HealthCare