SCOPE Clinical Navigator – Health Links 
Sunnybrook Research Institute
Toronto, ON, Canada
38d ago

Posted : 01 / 05 / 2018 2 : 51 : 05 PM

We currently have an opportunity for a Temporary Part- Time SCOPE Clinical Navigator with Health Links located at the Bayview Campus.

Summary of Duties This posting is for a 0.5 part-time contract position until January 31, 2019 with possible extension and / or increase in hours.

SCOPE (Seamless Care Optimizing the Patient Experience) is a partnership between hospital, Home and Community Care, and primary care providers (PCPs).

The SCOPE service is a virtual interprofessional team that facilitates greater access for PCPs for their patients. SCOPE has been in place at the University Health Network, and is being expanded to other hospitals in the Toronto Central LHIN including Sunnybrook Health Sciences Centre, as part of the Primary Care Strategy.

The Clinical Navigator leads the system navigation focus of the SCOPE program; assists PCPs with system navigation and referrals to specialists and resources in the community where appropriate.

Collaborates with other members of the SCOPE team (ie. Care Coordinator from Home and Community Care).

Tasks Include :

  • Serve as a point of access to connect family physicians to appropriate supports to address patient health concerns
  • Respond to all calls and emails made to SCOPE by the PCPs and their administrative assistants
  • Triage and forward referrals to appropriate SCOPE contact
  • Collect relevant patient information where appropriate for assessment and database entry (Patient Name, DOB, HC#)
  • Understand and clarify PCP primary concerns and request for support
  • Collaborate with the health care team to improve patient care as they transition through the health care system
  • Enhance work flow and communication pathways between hospital, primary care and community care by identifying barriers to care and work towards creating new care pathways to promote and optimize seamless care for the client.
  • This includes the clarification of referral criteria and identification of the resource that will best suit the health care need

  • Improve communication and collaboration between consultants and primary care services by assisting PCP staff in the compilation of referral packages and follow-up of referrals
  • Collect Data for research evaluation for each referral Database Entry forms to be completed with each referral and submitted to the evaluation team on a weekly basis
  • Review available / relevant information from PRO and EPR to determine assessment and care planning
  • Provide PCP or PCP staff with clinic / referral information
  • Navigate hospital clinics and resources (if available) that will assist PCP with managing client medical, functional, cognitive, psychosocial conditions
  • Adhere to established productivity benchmarks
  • Responsible for outreach efforts to establish and maintain positive working relationship with key customers (PCPs, PCP office staff, hospital office and clinic staff etc.)
  • Qualifications / Skills

  • Baccalaureate degree in a health care related field
  • Current member (in good standing) of applicable Regulatory College in Ontario
  • Minimum of 3 years of experience within acute care and / or primary / community care
  • Experience and knowledge of existing programs and services within Sunnybrook is an asset
  • Experience working within an Interprofessional team environment as well as independently and autonomously
  • Experience working with older patients with complex medical needs required
  • Must be flexible and able to adapt to changing environments and travel outside of hospital
  • Excellent interpersonal and decision making skills-Strong organizational skills
  • Ability to adapt to a changing environment and assume responsibility for own learning
  • Demonstrated leadership skills and ability
  • Computer literacy required -Database management skills preferred
  • Qualified candidates are invited to submit their resumes and cover letters, in one document, quoting 180021 to :

    Human Resources

    Sunnybrook Health Sciences Centre

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