Transition Services Coordinator (Allied Health)
On-siteVancouver, British Columbia, Canada
Job Summary
Lead acute to community transitions by collaborating with care teams, assessing clinical needs, and coordinating community staff and resources for post-discharge care. Provide input on policy changes, coach colleagues on evolving clinical pathways, and facilitate discussions to support safe client discharges. Make community referrals based on urgency and care team recommendations, educate families on available services, and coordinate transitions to long-term care using clinical decision support tools. Document client records, maintain assessments, and assign service priorities to home health teams. Participate on committees as directed and adjust assignments based on operational requirements.
Required Qualifications
- Master's degree in a Health Science discipline
- Three (3) years' experience in an acute and/or community health setting
- One (1) year experience in complex discharge planning
- Eligible for registration with the appropriate professional body or association, as applicable
- Broad knowledge of applicable allied practice and practice within a client and family centred model of care
- Broad knowledge of evidence based practice related to patient acuity and bed utilization practices within an acute care setting
- Broad knowledge of other health care disciplines and their role in client care and discharge planning
- Broad knowledge of home and community care
- Demonstrated knowledge of hospital discharge processes, including Alternate Level of Care
- Demonstrated knowledge of clinical studies methodology and data presentation
- Demonstrated ability to apply acquired analytical/investigative skills and the knowledge to effectively gather, maintain and analyze statistics
- Demonstrated ability to apply critical thinking within clinical and evaluation activities
- Demonstrated ability to work independently
- Demonstrated ability to work collaboratively as a member of an interdisciplinary team
- Demonstrated ability to provide leadership, work direction and consultation
- Demonstrated ability to demonstrate, facilitate and coach
- Demonstrated ability to communicate orally and in writing
- Demonstrated ability to communicate with, and deal effectively with, co-workers, physicians, other health care staff, clients and their families, and staff of outside agencies
- Demonstrated ability to effectively deal with conflict situations
- Demonstrated ability to adjust to new or unexpected events
- Demonstrated ability to plan, organize and prioritize work
- Demonstrated physical ability to perform the duties of the position
- Demonstrated computerized software skills in word processing, databases, spreadsheets, presentations and internet access and ability to operate a computerized patient care information system
- Ability to operate related equipment
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