Care Management Coordinator (Allied Health/Rehab)

Description

JOB SUMMARY:Within the context of a patient/client and family-centred framework and continuum-based care model and in accordance with established standards of professional practice and the vision, values and policies of the organization, facilitates care for assigned patients’ hospitalization from admission through discharge. Coordinates and collaborates with the acute interprofessional team to expedite effective patient care and coordinate timely sustainable discharge plans. Conducts comprehensive assessments and provides direction to the interdisciplinary team on the appropriate level of care and determines sustainable, quality discharge plans. Intervenes to address barriers, and provides leadership as needed to achieve optimal outcomes, including securing funding and approvals for services as required. Develops and recommends changes in policies, procedures and standards to support effective care management and discharge planning. Provides assistance and support to clients and families in the transition from acute rehabilitation to the community. Applies the use of data in own practice; identifying where to focus efforts, the measurement of progress towards identified outcomes, and as an educational tool to ensure that the plan of care and services provided are patient focused, high quality, efficient, and effective. Participates in committees, task groups, continuing education, and/or corporate initiatives.This work is framed within VCH’s commitments to our pillars of Indigenous Cultural Safety, Anti-Racism, Equity, Diversity and Inclusion, and Planetary Health. QUALIFICATIONS:Education & Experience Current full registration with the College of Health and Care Professionals as an Occupational Therapist, Physiotherapist, Speech-Language Pathologist, or Dietitian, or Master’s degree in Social Work with current full registration with the BC College of Social Workers plus three (3) years’ recent, related rehabilitation care experience including one (1) year experience in case management and discharge planning, or an equivalent combination of education, training and experience.Knowledge, Skills & AbilitiesComprehensive knowledge of evidence-based clinical practice within community rehabilitation, and a patient/family centered model of care.Comprehensive knowledge of most neurological disabilities and rehabilitation processes, current trends and practice.Broad knowledge of evidence based practice related to various patient population groups and demonstrated ability to apply knowledge to a case management process.Broad knowledge of pathophysiology and pharmacology and demonstrated ability to apply knowledge to safely plan discharge.Board knowledge of biological and pathophysiology indicators related to severity of illness to apply medical appropriateness criteria to resource utilization and transition/discharge planning.Board knowledge of the illness or disease process and potential long-term complications.Broad knowledge of other health care disciplines and their role in patient care. Broad knowledge of clinical pathways, expected length of stays, resource utilization, and patient assessment.Broad knowledge of external agencies and community resources.General knowledge of Trauma Informed Practice and Harm Reduction approaches and Strengths-based care.Demonstrated ability to promote Indigenous Cultural Safety. Demonstrated ability to provide competent and culturally safe care in a variety of settings and with diverse populations.Demonstrated ability to provide leadership, work direction and consultation.Demonstrated ability to engage in comprehensive assessment, observation and monitoring of patients.Demonstrated ability to plan, organize, and prioritize work.Demonstrated ability to analyze situations, problem solve, deal with conflict, and negotiate resolutions in a timely manner.Demonstrated listening and information-seeking skills that promote communication and lead to a cooperative approach to problem-solving within a multidisciplinary settingDemonstrated ability to work independently and as a member of an interdisciplinary team.Demonstrated ability to develop and maintain collaborative working relationships and communicate effectively (orally and in writing) with clients and their families, coworkers, physicians, other health care staff, and staff of external agencies.Demonstrated computer skills including the ability to effectively use computerized client care information system.Demonstrated physical ability to perform the duties of the position.The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes. Successful applicants may be required to complete a Criminal Records Review Check.

Details

At Vancouver Coastal Health, our vision of healthy lives in healthy communities inspires us and our values and pillars guide us. We support equitable practices, diverse teams and inclusive environments, which are vital to creating welcoming spaces where everyone can bring their whole selves to work and feel supported. We encourage applications from equity-deserving communities, including Indigenous Peoples and members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientation.Vancouver Coastal Health is proud to be recognized as one of Canada’s Top 100 Employers, BC’s Top Employers, Canada’s Best Diversity Employers and Canada's Top Employers for Young People in 2026.Unless otherwise noted on the posting, internal job postings close at 8:00 AM Pacific Time on the listed Closing Date. Please submit your digital application via the Internal Career Portal prior to the Closing Date & Time.Nursing & LPN successful applicants will be notified by email.We regret that only short listed candidates will be acknowledged.This is an internal job posting for Vancouver Coastal Health employees only.