Indigenous Care Coordinator

The Indigenous Care Coordinator is responsible for providing quality, client-centred case management to community members living with complex medical and mental health needs. The Indigenous Care Coordinator will use an intensive case management approach, bringing all members of the care team together (internal and external care providers), including the client and their personal supports, in order to develop and implement a coordinated care plan based on the priorities identified by the client. The Indigenous Care Coordinator will regularly meet with the client and their supports in order to improve their experience in the health and social service system through creatively problem-solving issues and working with health and social service partners to advocate and hold them accountable for their role in the client’s care plan.

Duties and Responsibilities:

Reporting to the Clinical Programs Manager, the Indigenous Care Coordinator (ICC) will act as a liaison and provide a range of services including patient navigation, advocacy, discharge planning and support services to Indigenous peoples that access services of Riverside Health Care Centre and GHAC. This position will also be responsible for establishing a plan of integrated care for clients that includes all of the care they are receiving inside of GHAC and with external care providers. In addition, you will help determine day-to-day care to meet individual needs and situational requirements based on an established plan of care including assisting in accessing community health, nutrition, medical transportation and other referral services. The ICC worker will play a key role in improving the client's experience within the health and social service systems and between members of the client's care team.