Program Coordinator-Hospital to Home Program
Posted Yesterday
Job Description
Are you passionate about improving patient outcomes and transitions in care? We are seeking a Program Coordinator to support the Hospital to Home (H2H) Program, a key initiative focused on delivering safe, timely, and person-centered transitions from hospital to home or community-based care.
In this pivotal role, you will coordinate care for patients with complex needs, working closely with interdisciplinary teams, patients, families, and community partners to reduce readmissions and support recovery and independence. This position is based primarily in a hospital setting, with travel between sites required and may include occasional remote work and rotating after-hours/weekend coverage.
Key Responsibilities
- Coordinate patient transitions from hospital to home including equipment, transportation, follow-up appointments, and community supports.
- Develop and implement individualized transition plans in collaboration with hospital teams, patients, families, and community providers
- Ensure timely handoffs, information sharing, and care coordination to reduce duplication or gaps in care.
- Support material and financial oversight, ensuring timely equipment provision and adherence to program funding guidelines.
- · Maintain accurate, up-to-date records of the transition plan, service delivery, and patient outcomes.
- · Contribute to program evaluation and quality improvement through data collection and feedback.
- Provide indirect supervision of service providers to ensure care program standards and service requirements are met.
- Works closely with the Manager of Transitions to support the delivery of high quality care within SJCCC’s H2H program and other transitional programs.
Qualifications
- Bachelor’s degree in Nursing, Social Work, Health Sciences, or a related discipline required; additional training in care coordination or quality improvement is an asset.
- Minimum 3 years experience in homecare coordination, discharge planning, or community-based healthcare; experience with older adults and complex populations preferred.
- Strong knowledge of health system navigation, community resources, and transitional care best practices.
- Excellent communication, collaboration, and interpersonal skills.
- COVID19 Vaccinations (2 Doses) required to work in our facility.
Application closing date is 2025-10-14
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