Remote Care Management Coordinator

The Remote Care Management (RCM) program is a partnership between Halton Healthcare Connected Care Halton Ontario Health Team and Ontario Health at Home (OHaH).  Patients on this program interact regularly with our virtual health technology solutions.  Patients then have their health checks and vital signs reviewed by the RCM Coordinator remotely. Patients can connect easily with a member of the RCM team if they have questions and there is a thoughtful escalation process in place should concerns arise both during and after regular program hours. This service is intended to help support self-management in the home promote a shorter hospital length of stay and ideally reduce emergency department visits and/or readmissions.  This position supports enrolled patients to navigate health systems by gathering information liaising clients and families and facilitating communication among members of the patients circle of care in the hospital and in the community. 

The RCM Coordinator will provide patient-centered system navigation supporting the identification and on-boarding of patients eligible for the program. The RCM Coordinator works collaboratively with an inter-professional team both internal and external to Halton Healthcare including physicians OHaH Family Health Teams Community Physicians Halton Community Paramedicine and specialty clinics to ensure patients are provided access to the support and benefits of RCM. RCM cares for patients with a variety of health psychosocial and surgical diagnoses.

The RCM Coordinator plays a key role in building and launching new RCM pathways that will aim to serve new populations and their respective diagnoses.  This role will also have key responsibilities in compiling and validating RCM data from various sources.

Patient Identification and Care Planning (25%)

• Work with hospital care teams to identify and discuss patients that meet criteria for the Remote Care Management program
• Attending inpatient hospital rounds across multiple sites
• Review patient charts and consult with various members of the interdisciplinary team to assess medical and social needs
• Communication of the benefits of the RCM program to physicians care coordinators discharge planners and other members of the multidisciplinary care team
• Meet with the care team to discuss current status RCM eligibility and barriers to discharge for eligible patients
• Meet with patients and their families at bedside as appropriate to discuss RCM program benefits and enrollment
• Assist in the completion and processing of RCM referrals
• Facilitate patients onboarding with the appropriate technological solution
• Using multiple remote monitoring technology platforms provide appropriate clinical monitoring to enrolled patients and escalate patient needs to the appropriate clinical resource as per program standards
• Travel to patient homes as operational needs require to deliver items or troubleshoot technology/equipment challenges

Case finding and expansion of program to the community (25%)

• Teaching promoting and sharing of RCM information to Primary Care Providers other community partners and internal hospital teams - through virtual and in person formats 
• Communication of the benefits of the RCM program to physicians care coordinators Family Health Teams and outpatient clinics.
• Support the coordination of care and development for individualized care plans for patients with linkages across hospital community and primary care
• Participating in relevant in person hospital based and community based events

Program Coordination (25%)

• Track and document referrals from care providers (hospital and community) for the RCM program.
• Enter data related to patients on-boarded on the RCM program and those patients who have declined etc.
• Report any challenges barriers and successes to key RCM partners 
• Prepare and validate program results data 

Program Development & Growth (25%)

• Actively support all readiness and operational activities as new RCM pathways are approved built and launched
• Co-chair and/or participate in various working group meetings that supports pathway development and quality improvements
• Facilitate and foster key partner relationships internally and externally 
• Travel to and attend relevant community events including display/equipment set up and tear down
• Prepare internal external and patient facing materials used to support new pathway launches

Qualifications :

• An undergraduate degree or diploma/certificate in a relevant health discipline field is required; Masters prepared is preferred
• Current membership in good standing with a regulatory health professional body in Ontario.
• Minimum 5 years of recent work experience in a hospital setting with specific experiences in acute care surgery and post acute care

• Experience in acute care primary care and/or community care settings
• Minimum 2-5 years experience working within an inter-professional team environment as well as independently and autonomously
• Minimum 2-5 years experience working with older patients with complex needs
• Evidence of program and resource development skills including knowledge of evaluation methodologies
• Experience in care coordination case management or resource management is highly valued

Knowledge & Competencies

• Experience in performing case management functions is required
• Experience in program growth initiatives is an asset
• Strong understanding of collaborative practices building partnerships both internally and externally
• Comprehensive knowledge of community resources and health delivery systems across acute and community settings
• Demonstrated ability to respond to patients and teams with flexibility adaptability and commitment to patient-centred and holistic care

Skills & Attributes

• Excellent interpersonal communication organizational clinical judgment and decision making skills required
• Consistently demonstrated strong leadership skills including problem solving critical thinking conflict resolution negotiation skills and the ability to facilitate change and growth among teams
• Demonstrated ability to work independently and collaboratively with an interdisciplinary team family members support networks and a variety of formal and informal service providers
• Strong leadership skills including problem solving critical thinking conflict resolution and negotiation abilities
• Demonstrated presentation skills for staff and patient education
• Comfortable working in an evolving program with changing responsibilities over time
• Excellent time management and stress management skills required

Technical Skills

• Proficiency with Microsoft Office 365 applications required including Excel & Sharepoint for data collection and monitoring
• Experience with remote care monitoring digital solutions (SeamlessMD and TELUS preferred)
• Proficiency in electronic medical record systems; experience with Meditech preferred
• Ability to work in multiple digital solutions concurrently
• Fluency in English (verbal and written)
• Valid drivers license and ability to travel to locations through Halton Region and surrounding areas as operational needs require

Additional Information :

Hours:  Monday to Friday 7.5 hour shifts (Hours are subject to change based on operational needs)

Salary: $40.911 to $57.695 per hour

Date Posted: July 30 2026

Internal Application deadline:  August 6 2026

REF3869K

Halton Healthcare is an equal opportunity employer who is committed to integrating diversity equity and inclusion throughout our operations policies and culture. If you are passionate about what you do motivated by a job well done and as committed to excellence quality and patient satisfaction as we are wed like to hear from you. Please attach your current resume directly to this posting.

Please note that while this job is posted on Halton Healthcares career page it may also appear on third-party job boards.  These external platforms may use automated tools including artificial intelligence for candidate screening and matching.  We do not control or influence these processes.  To ensure your application is reviewed by our team we recommend applying directly through our Halton Healthcare careers site.  

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Halton Healthcare is committed to providing accommodations for applicants with disabilities.  In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation we will work with you to meet your accommodation needs to ensure your equal participation.

The Ontario Public Hospitals Act mandates that hospitals establish health surveillance programs for all individuals working within the hospital. This regulation requires proof of immunity for certain diseases and as a result Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health Safety & Wellness team prior to their start date as a condition of employment.  This includes demonstrating compliance with Halton Healthcares Immunization Policies.

All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare.  Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.

All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.

Remote Work :

No

Employment Type :

Contract