Referrals Coordinator, Social Medicine

Union: Non-Union
Number of vacancies: 1
New or Replacement: New
Site: Various
Department: Social Medicine & Population Health
Reports to: Senior Manager
Salary Range: $73000 - $91347
Hours: 37.5 hours per week
Shifts: Days
Status: Permanent Full-Time 
Closing Date: September 9 2026

Position Summary

The Social Medicine Referrals Coordinator provides clinical-operational leadership in coordinating equitable access to Social Medicine services for patients with complex medical psychosocial and health equity needs. As an integral member of the interprofessional team the Referrals Coordinator is responsible for implementing coordinating monitoring and evaluating referral pathways and care transitions across the health and social care continuum. The role functions as a key liaison between patients families healthcare providers community organizations and system partners to facilitate timely integrated and patient-centred care. The Referrals coordinator exercises independent judgment in assessing referral appropriateness addressing barriers to access resolving complex service navigation issues and facilitating seamless transitions between hospital community and social service systems. The Social Medicine Referrals Coordinator provides subject matter expertise operational leadership and consultation regarding referral management processes access optimization health equity initiatives community partnerships quality improvement and performance measurement. The role contributes to program planning service development and system improvement initiatives aimed at advancing access to care and improving outcomes for marginalized and structurally vulnerable populations.

Responsibilities

KEY RESPONSIBILITIES

• Implements and coordinates patient-centered care plan with patients and the multi-disciplinary team for the purpose of facilitating the patients movement through the continuum of care and within the community.
• Implements and coordinates patient-centred care plans with patients families caregivers and the interprofessional team to facilitate timely movement through the continuum of care and within community-based services.
• Coordinates complex referrals and access to health social housing and community services ensuring appropriate and equitable service utilization.
• Assesses referral appropriateness identifies barriers to care and develops strategies to facilitate access to required services and supports.
• Acts as a clinical and operational resource regarding referral pathways eligibility criteria community resources and access processes.
• Provides coaching guidance consultation and education to clinical teams learners community partners and referring providers related to referral management and care coordination.
• Facilitates communication among interdisciplinary teams and community organizations to support effective transitions of care.
• Participates in staff onboarding orientation and ongoing education related to referral processes social medicine services and community resources.
• Identifies and resolves referral-related issues service access concerns and care coordination challenges through collaboration and problem-solving.
• Assists with workload prioritization coordination of referral activities and service allocation across program streams as required.
• Serves as a resource and role model by promoting patient-centred trauma-informed anti-oppressive and equity-focused approaches to care.
• Develops implements and monitors referral performance indicators including referral volumes service utilization turnaround times access targets and patient outcomes.
• Collects analyzes interprets and reports referral and operational data to support decision-making program evaluation operational planning and quality improvement initiatives.
• Conducts audits of referral processes access outcomes and service utilization to identify trends gaps risks and opportunities for improvement.
• Develops and maintains dashboards tracking tools reports and performance metrics to support program accountability.
• Recommends implements and evaluates process improvements that enhance patient access operational efficiency and care coordination.
• Monitors referral workflows and operational performance identifying barriers and escalating issues that may affect patient safety service quality or equitable access to care.
• Participates in quality improvement initiatives program evaluations and organizational projects designed to improve service delivery and patient outcomes.
• Participates in operational and strategic planning activities supporting the goals and objectives of the Social Medicine Program.
• Develops strengthens and maintains collaborative relationships with community agencies primary care providers housing organizations social service agencies and other system partners.
• Acts as a liaison between Social Medicine services and external referral partners to facilitate integrated care delivery and service coordination.
• Contributes to service planning forecasting resource allocation and referral pathway development to address emerging patient and system needs.
• Supports the design implementation and optimization of referral pathways that improve access for marginalized underserved and structurally vulnerable populations.
• Represents the Social Medicine Program at internal and external meetings committees working groups and community initiatives as appropriate.
• Promotes awareness understanding and utilization of Social Medicine services among internal and external stakeholders.
• Participates in partnership-building activities and community initiatives that address social determinants of health and support integrated models of care.
• Contributes expertise to organizational initiatives focused on health equity population health patient access and system transformation.
• Provides functional leadership guidance and consultation to staff learners and community partners regarding referral management processes and best practices.
• Acts as a subject matter expert in system navigation community resources social determinants of health and equitable access to care.
• Participates in program development policy development and operational initiatives to advance Social Medicine and Population Health priorities.
• Supports a culture of continuous learning collaboration innovation accountability and excellence.
• Participates in professional development activities and maintains current knowledge of emerging practices legislation and health system priorities relevant to the role.
• Performs cross-functional and organizational responsibilities that support the goals strategic priorities and mission of the Social Medicine and Population Health Program and University Health Network.
• Participates in corporate committees special projects organizational initiatives and activities that contribute to program and organizational effectiveness.
• Works in compliance of the Occupational Health & Safety Act and its regulations reporting hazards deficiencies and contraventions of the Act in a timely manner.
• Works in compliance with the Occupational Health & Safety Act and its regulations reporting hazards deficiencies incidents and contraventions in a timely manner.
• Promotes a safe work environment and contributes to workplace practices that support employee patient and community safety.

Qualifications :

• At minimum a bachelors degree in health sciences social services community development public health social work or related field or recognized equivalent required.
• Experience working with patients experiencing marginalization homelessness substance use and mental health challenges.
• Experience coordinating referrals or patient intake processes in health community or social service settings.
• Experience with the provision of trauma-informed care harm reduction principles and anti-racist anti-discriminatory anti-oppressive practices
• Strong knowledge of and familiarity with community resources that address the social determinants of health
• Strong understanding of acute care and community health settings and ability to navigate health systems an asset
• Well-developed decision-making problem-solving and judgement skills
• Experience developing community partnerships and collaborative service pathways.
• Excellent interpersonal oral and written communication skills
• Experience in program development and implementation
• Experience analyzing operational data and preparing reports.
• Effective time management prioritization and organizational skills with the ability to work independently and co-operatively in a busy multidisciplinary environment
• Proven ability to work as a team member and independently
• Ability to have and use diplomacy and tact at all times
• Knowledge of Epic an asset

Additional Information :

Why join UHN

In addition to working alongside some of the most talented and inspiring healthcare professionals in the world UHN offers a wide range of benefits programs and perks. It is the comprehensiveness of these offerings that makes it a differentiating factor allowing you to find value where it matters most to you now and throughout your career at UHN.

• Competitive offer packages
• Government organization and a member of the Healthcare of Ontario Pension Plan (HOOPP access to Transit and UHN shuttle service
• A flexible work environment
• Opportunities for development and promotions within a large organization
• Additional perks (multiple corporate discounts including: travel restaurants parking phone plans auto insurance discounts on-site gyms etc.)

Current UHN employees must have successfully completed their probationary period have a good employee record along with satisfactory attendance in accordance with UHNs attendance management program to be eligible for consideration.

All applications must be submitted before the posting close date.

UHN uses email to communicate with selected candidates.  Please ensure you check your email regularly. At University Health Network (UHN) artificial intelligence technologies may be used to assist in the screening assessment and selection of candidates for this position.

Please be advised that a Criminal Record Check may be required of the successful candidate. Should it be determined that any information provided by a candidate be misleading inaccurate or incorrect UHN reserves the right to discontinue with the consideration of their application.

UHN is an equal opportunity employer committed to an inclusive recruitment process and workplace. Requests for accommodation can be made at any stage of the recruitment process. Applicants need to make their requirements known.

We thank all applicants for their interest however only those selected for further consideration will be contacted.

Remote Work :

No

Employment Type :

Full-time