HNHB Local Health Integration Network

  • Full Time Integrated Manager of Transitions of Care (SJHH & HNHB LHIN)

    Competition Number
    HAMILTON - St. Joseph's Hospital
    Position Group
    Non Union
    Closing Date
    Length of Term
    Hours of Work
    Monday - Friday, 8:30am - 4:30pm
  • Position Summary

    St. Joseph’s Healthcare Hamilton (SJHH) and the Hamilton Niagara Haldimand Brant (HNHB) Local Health Integration Network (LHIN) are committed to patient centered transitions comprised of a coordinated, interprofessional approach from the time of presentation and/or admission through to discharge to the community. SJHH and the HNHB LHIN have a joint responsibility to the community to optimize the appropriate use of hospital resources ensuring beds and services are available for patients requiring hospital care. Establishing a SJHH & HNHB LHIN interprofessional team to carry out early discharge planning processes optimizes patient centered care and facilitates a timely and seamless transition from hospital to the community.


    Congruent with the mission, vision and values of both organizations the SJHH & HNHB LHIN, theIntegrated Manager of Transitions of Care is committed to providing outstanding care - Every person, every day and will embrace the following values:  respect, integrity, caring, innovation, accountability, transparency, collaboration, real conversation.


    POSITION SUMMARY: With joint accountability to the SJHH Clinical Director, Community Partnerships & Corporate Alternate Level of Care and the HNHB LHIN Director, Patient Care, the Integrated Manager of Transitions of Care will provide operational leadership in the effective transition/discharge of patients from SJHH (inpatient and Emergency Department) to the community.


    The SJHH/HNHB LHIN Integrated Manager of Transitions of Care will directly lead identified SJHH staff whose function focuses on discharge/transition planning and HNHB LHIN staff assigned to SJHH. She/he will be the link connecting the two organizations to embed the philosophy of Home First in all relevant processes supporting seamless and timely transitions between hospital and community.


    The SJHH/HNHB LHIN Integrated Manager of Transitions of Care will work collaboratively with: SJHH Clinical Managers responsible for the Emergency Department, inpatient units and their teams including Physicians; HNHB LHIN Home & Community Care Managers and their teams, Primary Care, Community partners and relevant Professional Practice Leads to achieve outcomes such as: a reduction in the length of time people are spending in the emergency department/hospital, the prevention of avoidable re-admissions to hospital, a reduction in the number of people waiting in hospital beds for the right level of care, and to ensure patients who require a discharge plan have and can identify a single point of contact to support their discharge.




    • Regulated Healthcare Professional in good standing with health professional regulatory body in Ontario
    • University degree in a health-related field, Master's level preparation
    • Minimum 5 years management experience working within both a unionized and non-unionized healthcare environment

    Skills & Abilities

    • Demonstrated recent knowledge of SJHH (emergency department and inpatient care), HNHB LHIN Home & Community Care priorities, policies, practices and service standards
    • Demonstrated ability to work independently and collaboratively with an interprofessionalteam, patients, families, primary care, community services required
    • Demonstrated leadership skills, including problem solving, critical thinking, conflict resolution and negotiation required
    • Excellent interpersonal, communication, organization and decision-making skills required
    • Demonstrated expertise in quality improvement and change management methodology required
    • Recent experience leading interprofessional team(s) through change at a system level
    • Expert knowledge and understanding of legislation governing health care delivery
    • Knowledge of direct care/case management models used in community health care
    • Demonstrated knowledge of local health and community services
    • Working knowledge of financial and statistical reporting
    • Excellent time management and stress management skills required
    • Fluency in English (verbal and written)
    • Computer literacy and basic proficiency required


    • Driver's licence and access to/use of personal vehicle for travel throughout HNHB LHIN area
    • Clear Criminal Record Check with Vulnerable Sector Search required 


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