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Integrated Care Coordinator Hip/Knee Bundled Care - Halton Healthcare in Oakville at Halton Healthcare

Date Posted: 1/24/2019

Job Snapshot

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Job Description

Posting #: 2019-836281


Position: Bundled Care Integrated Care Coordinator (BCICC)

Department: Rehab Clinics & Inpatient Surgery

Status: Part-time (must provide availability of up to a .6 FTE)

Hours: Monday to Sunday - 7.5 hour Days (Hours are subject to change based on operational needs) 

Site: Oakville

This is what you'll be doing:

The Bundled Care Integrated Care Coordinator (BCICC) will provide patient centered system navigation, intensive case management and coordination of services to unilateral hip/knee surgery patients within Halton Healthcare and with partner organizations as part of the Bundled Care Program. Working collaboratively with an inter-professional team (including physicians), both internal and external to Halton Healthcare, that include family members and support networks, the BCICC will identify and facilitate access to the right services from the right provider at the right time.  Additionally, the BCICC will:

  • be a key resource and link for home care and hospital staff in the care of post-replacement surgery patients.
  • coordinate seamless care transitions that link services and resources to enhance post-operative patient self-management and quality of care.
  • act as a liaison between patients and other care providers, receiving direct patients calls, as well as calls from vendors to approve/review requests for additional patient care services.
  • be responsible for ensuring cost effective patient care by utilizing resources efficiently and collecting necessary data on client care to support the evaluation of outcomes of integrated care delivery. This program leverages technology to support patient care and seamless transitions from hospital to community and ongoing community management.
  • consider care requirements for a patient with a focus on the bundled care population.
  • address challenges with coordinating and arranging care for patients, while dealing with patient and staff expectations of care as well as vendor demands.
  • apply a set number of home care pathways and work collaboratively with the care team and patients/families to select the most appropriate care pathway.


This is what you’ll need to do it:

Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.   

  • Undergraduate Degree in a related health profession required (an equivalent combination of education and experience may be considered)
  • Current membership in good standing with a regulatory health professional body in OntarioThree (3) years of recent related experience in a community health setting and experience in working directly with orthopedic surgery patients (experience with joint replacements preferred)
  • Demonstrated ability to respond to patients with flexibility and adaptability
  • Experience in performing case management functions is required
  • Demonstrated expertise and competence in symptom management for orthopedic surgery patients and other areas of coordinating the needs of the patients
  • Excellent interpersonal, communication, organizational and decision making skills required
  • Consistently demonstrated strong leadership skills, including problem solving, critical thinking, conflict resolution and negotiation skills
  • Demonstrated ability to work independently and collaboratively with an interdisciplinary team, family members, support networks, and a variety of formal and informal service providers
  • Excellent time management and stress management skills required
  • Experience with the MS suite of systems
  • Meditech experience preferred
  • Comprehensive knowledge of community resources and health care delivery systems in acute and community settings

Date Posted:  January 24, 2019

Internal applications due by:  January 31, 2019

If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you.  Please submit your application via our website at  directly to this posting and include a current copy of your resume. 

We thank all those who apply but only those individuals selected for further consideration will be contacted.  

In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process.  If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.

All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.

Halton Healthcare is a smoke free facility in and around all three sites. Smoking is not permitted on hospital properties. We thank everyone who works at or visits our hospitals for respecting this healthy initiative. We are also a scent-free environment for all employees and visitors to accommodate individuals’ health concerns arising from exposure to scented products, We ask for everyone's cooperation in our efforts to accommodate health concerns.