Six Nations·Ohsweken, Ontario
The Indigenous Transitions Facilitator manages a caseload of hospital patients to coordinate seamless discharges and continuity of care. They act as the primary point of contact for community members, ensuring wrap-around services and effective transitions to home-based care.
Applications will be received by Six Nations of the Grand River and Grand River Employment & Training (GREAT) until filled, for the Indigenous Transitions Facilitator with Home and Community Care, Wellbeing. The Six Nations of the Grand River Application for Employment Form, Job Posting and Job Description are available for printing from the www.greatsn.com [http://www.greatsn.com] website. Online applications accepted through My Job Search [https://recruiting.ultipro.ca/SIX5100SIXN/JobBoard/336dbed0-9af0-461e-8b6b-0978de5669d8/?q=&o=postedDateDesc]. NO LATE APPLICATIONS ACCEPTED.
Applicants from Six Nations and other First Nations will be given preference to deliver programs and services in a First Nations community.
The Indigenous Transitions Facilitator reports to and works under the direction and supervision of the Home and Community Care Manager, the Senior Manager of Primary and Clinical Care and the Director of Wellbeing.
To assist the Wellbeing Department in researching, developing, educating and developing strategies for improved discharges for Indigenous people from hospital to home. The Indigenous Transitions Facilitator is the first point of contact for community members being discharged to services on Six Nations.
The Indigenous Patient Facilitator will have a caseload of clients currently in the hospital system awaiting discharge, assisting them with system navigation and coordinating proactive continuity of care, collaborating on referrals within the circle of care partners, assisting them with seamless care transitions and provider intersection. This role will strengthen linkages in the delivery of comprehensive individualized wrap around services and ensure the early engagement of client identified caregivers in the development of their care plan. They will also determine any education or training required to support the client in their living arrangement of choice upon discharge from a regional facility. Upon discharge, the Indigenous Transitions Facilitator will transfer the client over to the appropriate Home and Community Care Case Manager.
Closing Date: Until filled
Hours of Work
35hrs/week
Wage: $70,400/yr – $88,000/yr
Bachelor’s or Master’s degree in Nursing, Occupational Health or Social Work
Minimum of 2 years’ experience working in a hospital setting that includes case management, system navigation, community resources
Knowledge of relevant legislation, including the Excellent Care for All Act (ECFAA), Freedom of Information and Privacy Protection Act (FIPPA), Personal Health Information Act (PHIPA), Health Care Consent Act (HCCA), Fixing Long Term Care Act (FLTCA)
Must have First Aid, CPR and WHMIS
Computer skills in Microsoft Office, MS Word and Excel. Experience with EMR systems, such as PS Suites and Clinical Connect, would be considered an asset.
Must be familiar with relevant local and area services, hospital or community-based case management and health resources.
Must be familiar with government funding and legislation related to public services
Submission procedure: (Choose one method ONLY):
Method #1: Online
My Job Search [https://recruiting.ultipro.ca/SIX5100SIXN/JobBoard/336dbed0-9af0-461e-8b6b-0978de5669d8/?q=&o=postedDateDesc] to access our job board and follow the directions to apply. 2. Please ensure all required documents are provided/uploaded with your application package, which include: 1. Cover letter including your band name and number (if applicable). Please indicate in your letter how your education and experience qualifies you for this position. 2. Recent resume clearly identifying that you meet the Basic Qualifications of this position as stipulated above. 3. Copy of your education diploma/degree/certificate and transcript. 3. If you have any questions or need assistance please reach out to Eniola Owoso, HR Business Partner at 519-445-2223 ext. 5716 or via email at HRBP3@sixnations.ca [HRBP3@sixnations.ca].
Method #2: GREAT – Applications must include all of the following:
1.
Printed, filled in and authorized Six Nations of the Grand River Application for Employment Form.
2.
Cover letter including your band name and number (if applicable).
Please indicate in your letter how your education and experience qualifies you for this position.
3.
Recent resume clearly identifying that you meet the Basic Qualifications of this position as stipulated above.
4.
Photocopy of your education diploma/degree/certificate and transcript.
5.
Place all documents listed above in a sealed envelope and mail to or drop off at:
Indigenous Transitions Facilitator – Full-Time – 104R2-26-3
c/o Reception Desk
Grand River Employment & Training (GREAT)
P.O. Box 69, 16 Sunrise Court
Ohsweken, Ontario N0A 1M0
Position Title: Indigenous Transitions Facilitator
Reports to and works under the direction and supervision of the Home and Community Care Manager, the Senior Manager of Primary and Clinical Care and the Director of Wellbeing.
To assist the Wellbeing Department in researching, developing, educating and developing strategies for improved discharges for Indigenous people from hospital to home. The Indigenous Transitions Facilitator is the first point of contact for community members being discharged to services on Six Nations.
The Indigenous Transitions Facilitator will have a caseload of clients currently in the hospital system awaiting discharge, assisting them with system navigation and coordinating proactive continuity of care, collaborating on referrals within the circle of care partners, assisting them with seamless care transitions and provider intersection. This role will strengthen linkages in the delivery of comprehensive individualized wrap around services and ensure the early engagement of client identified caregivers in the development of their care plan. They will also determine any education or training required to support the client in their living arrangement of choice upon discharge from a regional facility. Upon discharge, the Indigenous Transitions Facilitator will transfer the client over to the appropriate Home and Community Care Case Manager.
External contact with referring agencies will require extensive interaction with the public and is subject to deadlines, interruptions, mental stress and unscheduled hours of work.
Direct client contact, in the hospital and the presence of the client in the office
Travel in and outside the community as required using own transportation.
Errors in judgment and in the conduct of duties could lead to loss of credibility, poor public relations, confusion, duplication of effort and misinformation being given to the Manager of Home and Community Care, Senior Manager of Primary and Clinical Care and/or Director of Wellbeing, Human Services Committee, Six Nations Elected Council, Government agencies and the general public
CONTROL: Guiding principles set by the Department of Wellbeing and the Six Nations Elected Council
Must work within the Policies and Procedures established by the Six Nations Elected Council for the Department of Wellbeing
Market context
Ontario nursing roles are often driven by ongoing staffing needs across hospitals, long-term care, community care, and emergency settings. Competition is usually strongest for candidates who already hold the required registration, have at least 18 months of experience, and bring current CPR/BLS, with ACLS and CTAS adding value for emergency postings. Review the AI-summarized requirements and benefits on this page to save research time, then confirm your credentials and tailor your application to the specific unit or setting.