Jobs in Canada

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Added 3 hours ago
CL
Solutions Architect - Enterprise Content Management (ECM)
Canada Life
London, ON
- Full-time
Develop modernization roadmaps and transition strategies from legacy platforms to strategic enterprise solutions.
Added 5 hours ago
VC
Registered Nurse (RN) - BMT Case Navigator
Vancouver Coastal Health
Vancouver, BC
- $41.42 to $55.91 CAD / hour
- Full-time
Come work as a Registered Nurse- Case Navigator with Vancouver Coastal Health (VCH) on the Bone Marrow Transplant/Leukemia Program Support team at Vancouver General Hospital! Apply now to…
Added 15 hours ago
K
Sales Development Representative
Kaseya
Toronto, ON
- Full-time
Designed for high-potential, entry-level talent, including recent graduates and individuals looking to transition into technology sales, this position offers hands-on training, ongoing…
Added 16 hours ago
Sales Development Representative
Kaseya Careers
Toronto, ON
Designed for high-potential, entry-level talent, including recent graduates and individuals looking to transition into technology sales, this position offers hands-on training, ongoing…
Added 1 day ago
CM
Business Development Presentative
Canada Masq Corporation
ON · Ontario, Canada
- Full-time
- Use AI and lead generation tools (e.g., Apollo, Sales Navigator, LinkedIn) to find prospects and improve outreach
Added 3 days ago
RA
Senior Digital Sales Executive
RMG Advertising
Calgary, AB
- Full-time
HubSpot and LinkedIn Sales Navigator Engagement: Full utilization of our HubSpot CRM and LinkedIn Sales Navigator tools to maximize communication, customer value, business development and…
Added 3 days ago
CH
Consultant
Covenant Health Canada
AB · Edmonton, AB
- Part-time
…assisting patients with system navigation, connection, and transition to appropriate healthcare and community resources as determined through assessment and serving as an educational…
Added 4 days ago
HH
Halton@Home Patient Care Navigator
Halton Healthcare
Oakville, ON
- Contract
Added 5 days ago
HH
Halton@Home Patient Care Navigator
Halton Healthcare
Oakville, ON
- Contract
Added 5 days ago
MD
Post-Secondary Navigator - Rehabilitation Program Specialist 2
Minnesota Direct Care and Treatment
Saint-Paul, NB · St.-Paul, NB
- Full-time
Work Shift/Work Hours: Day Shift, 8:00AM - 4:30PM; some evenings and Saturdays may be required based on business needs
Added 7 days ago
YE
Wellness Counsellor & Youth Engagement Navigator
Youth Empowerment & Support Services
Edmonton, AB
- Full-time
The Wellness Counsellor & Youth Engagement Navigator provides individualized, trauma-informed, and youth-centered support to youth accessing YESS shelter and recovery programming. This role…
Added 8 days ago
E
Sales Development Representative
enurgen
Ottawa, ON
- Full-time
The energy transition depends on renewable assets performing at their best, and Enurgen makes sure they do. We’re a deep-tech clean tech company. Our performance software helps owners and…
Added 11 days ago
AH
Occupational Therapist II
Alberta Health Services
AB · Greater Edmonton Metropolitan Area
- Temporary
Rehabilitation Navigator – Adult Specialized Outpatient Program. Please note, this position is open to Physiotherapists, Occupational Therapists, Recreation Therapists, Social Workers,…
Added 11 days ago
SH
Patient Navigator (Nurse IV)
Shared Health-Soins Communs
Portage la Prairie, MB
- Full-time
The Patient Navigator is a trained professional with advanced cancer care experience,
Added 11 days ago
Patient Navigator (Nurse IV)
Winnipeg Regional Health Authority
MB · To Be Determined, MB
The Patient Navigator is a trained professional with advanced cancer care experience,
Added 12 days ago
CM
Therapy Support Navigator
CASA Mental Health
Red Deer, AB
- Full-time
Reporting to the Clinical Manager and Program Supervisor, the Therapy Support Navigator works closely with the Mental Health Therapist in the Classrooms care team to support screening, case…
Added 12 days ago
CM
Therapy Support Navigator
CASA Mental Health
Red Deer, AB
- Full-time
Reporting to the Clinical Manager and Program Supervisor, the Therapy Support Navigator works closely with the Mental Health Therapist in the Classrooms care team to support screening, case…
Added 12 days ago
Program Administrator (Education)
Wilfrid Laurier University
Brantford, ON
Added 13 days ago
SH
Transitions Care Lead
SE Health
ON · Halton, ON
- Full-time
…create personalized plans that improve outcomes and ease the transition to…
Added 14 days ago
IT
Family Law Liaison
In Tandem
Remote, Canada
- Full-time
- Remote
…four brands - OurFamilyWizard, Cozi, FamilyWall, and Custody Navigator - we help families stay organized, communicate well, and foster healthy…
Added 16 days ago
PR
Nurse Navigator, Oncology Survivorship
Peterborough Regional Health Centre
Peterborough, ON
- Full-time
The Nurse Navigator (NN) Oncology will support patients navigating Cancer Care services. The NN will give awareness of specialized services supporting the social, psychological, emotional,…
Added 18 days ago
SJ
Intensive Geriatric Service Worker 4L Medicine
St. Joseph's Health Centre, Toronto
Toronto, ON
- Temporary
…by the Specialized Geriatric Services, Geriatric Social Work Navigator, and Geriatric Emergency Nurse in partnership with the Community Care Access Emergency Department Case Manager. The…
Added 18 days ago
AH
Registered Nurse
Alberta Health Services
AB · Greater Edmonton Metropolitan Area
- Temporary
The Cardiac Nurse Navigator (CNN) is critical to the effective and efficient provision of cardiac services at the Mazankowski Alberta Heart Institute (MAZ). The CNN triages and manages…
Added 19 days ago
LI
Enterprise Account Executive
Loopio Inc.
Remote, Canada
- $110,600 to $155,000 CAD / year
- Full-time
- Remote
Experience using Salesforce (or other CRMs), sales automation tools such as LinkedIn Sales Navigator, and web conferencing tools
Added 19 days ago
CH
Registered Nurse - System Navigator
Covenant Health Canada
Banff, AB
- Full-time
The System Navigator plays a key role in supporting safe, timely and coordinated transitions from hospital to home and community-base care. Working collaboratively across acute care,…

SE Health

Transitions Care Lead

ON, Canada
Regional Municipality of Halton, ON, Canada

The hiring pay range is $69 000.00 - $87 000.00 per annum based on experience. · Full-time

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Applications open in a new tab.

Job details

Pay: The hiring pay range is $69 000.00 - $87 000.00 per annum based on experience.
Job type: Full-time
Experience: 3+ years of recent experience in community health or a related field.
Posting language: English
Posted: Aug 27, 2026

Original job description

The Acute Care Transitions Program ensures seamless, compassionate care as patients move from hospital to home. Designed to support both patients and their families, the program connects individuals with community-based healthcare providers, social support services, primary care and acute care teams. Together, they create personalized plans that improve outcomes and ease the transition to home.

Why join our team?

Competitive Total Rewards So much more than a paycheque! Enjoy comprehensive benefits, pension, flexible pay options, car-loan support, housing solutions and exclusive staff perks.
Flexibility & Belonging Thrive with hybrid work, flexible scheduling and a supportive, inclusive culture that puts people first.
Purpose & Impact Join a national social enterprise where your voice matters. Every role helps advance health, spark innovation and strengthen communities across Canada.
Growth That Meets Your Ambition Access tuition support, training and meaningful career pathways across a growing, future-focused organization.

Position Summary

As the Transitions Care Lead You will provide exemplary leadership and care flow management between the hospital partners and community care teams while ensuring excellence in the provision of client care and the achievement of corporate/program objectives. This exciting position will manage relations and collaborate with hospitals to ensure a smooth and seamless transition to a client’s home environment. Additionally this position will help to ensure performance targets are met and be involved in quality improvement initiatives as it relates to optimizing patient flow and management processes within the Acute Transition programs.

Responsiblities

Act as the primary point of contact for the hospital navigator/coordinator
Receive, monitor and update the client tracking/notification/flow tools
Receive, review, and accept referrals for in-home transition services
Coordinate/Liaise with hospital navigator/coordinator and SE @home Team as required.
Participate in hospital discharge care conference for complex clients as required
Prepare an initial care plan (e.g. for 48-72 hours post transition) and place an initial equipment and supplies order as required
Ensure all necessary referral documents (e.g. transition request form, medical orders, consult notes, allied health reports) and initial care plan instructions are received by SE @Home Team
Attend program huddles with hospital (as per contract requirements)
Monitor and communicate significant deviations from the care plan to the hospital as required.
Communicate to the hospital any risk-related events
Monitor timely completion and reporting outcomes of patient/family care conferences to partner hospital(required in contract)Monitor Program Metrics (e.g. client experience, time to first visit, service volumes, risk events, etc.)
Facilitate risk management as per established policies and procedures
Communicate patient and family complaints or issues back to partner hospital and share associated action plans in partner meetings
Participate in program evaluation and process improvement
On-call as required for programs support
Other duties to ensure program is running smoothly

Requirements

Membership, in good standing, with the applicable regulatory body:
College of Nurses of Ontario.
College of Physiotherapists of Ontario.
College of Occupational Therapists of Ontario.
Ontario College of Social Workers and Social Service Workers.
3+ years of recent experience in community health or a related field.
Knowledge of the health care delivery system including hospital discharge planning, community care and support services
Excellent skills in case management and coordinating care within interdisciplinary teams
Excellent assessment and decision-making skills
Passion for excellent customer service and customer experience
Demonstrates strong critical thinking, problem-solving and self-directed skills.
Excellent interpersonal communication, and presentation skills with a diverse group or stakeholders (hospital partners, front line staff, management team)
Effective time management skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment in various settings (e.g. at the hospital, in the office, in the community).
Advanced s k ills in M ic r o s o f t Off i ce (Word, Excel, PPT, Visio) and comfort with learning/working with new and emerging technologies (e.g. remote patient monitoring/virtual care technologies, EHR systems, reporting systems)
A valid driver’s license and access to a reliable vehicle.

About SE Health

SE Health is a not-for-profit social enterprise advancing health with heart. With 115+ years of impact, we bring hope, happiness and exceptional care to people and communities across Canada. We lead with empathy, dignity and purpose while building a future where everyone can realize their full health and well-being potential. We’re also an inclusive, supportive workplace offering competitive compensation, strong benefits and real opportunities to grow. We’re All In Together.

Accessibility: If you require accommodations due to illness or disability, please contact Talent Acquisition at careers@sehc.com .

AI And Compensation Details

We use AI to take notes during our interview. All applications and interviews are reviewed by our Talent Acquisition team. This role is a replacement position. The hiring pay range is $69 000.00 - $87 000.00 per annum based on experience.

Apply on LinkedIn About employer

More about this job

Responsibilities

The Transitions Care Lead manages the flow of patients from hospital to home by coordinating between hospital partners and community care teams. They are responsible for creating initial care plans, monitoring program metrics, and leading quality improvement initiatives to optimize patient transitions.

Requirements

Candidates must be a member in good standing with a relevant Ontario regulatory body (Nursing, Physiotherapy, Occupational Therapy, or Social Work) and have 3+ years of community health experience. A valid driver's license, reliable vehicle, and proficiency in Microsoft Office and EHR systems are required.

Skills

Case management
Care flow management
Interdisciplinary coordination
Patient assessment
Decision-making
Critical thinking
Problem-solving
Interpersonal communication
Presentation skills
Time management
Microsoft Office
Electronic Health Records
Virtual care technologies
Risk management
Customer service
Discharge planning

Benefits

Comprehensive benefits
Pension
Flexible pay options
Car-loan support
Housing solutions
Exclusive staff perks
Tuition support
Training

Visa sponsorship

Not detected in the job text

Keywords

Acute Care Transitions
Hospital Discharge Planning
Community Care
Patient Flow
Case Management
Interdisciplinary Teams
College of Nurses of Ontario
College of Physiotherapists of Ontario
College of Occupational Therapists of Ontario
Ontario College of Social Workers and Social Service Workers
EHR Systems
Remote Patient Monitoring
Virtual Care
Microsoft Visio
Microsoft Excel
Risk Management
Quality Improvement
Social Enterprise
Healthcare Delivery System
Patient Experience

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Work requirements

Jobs in Canada