In accordance with the Mission, Vision and Values and strategic directions of Provincial Health Services Authority, patient safety is a priority and a responsibility shared by everyone at PHSA, and as such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.
The Care Coordinator works collaboratively as part of an interprofessional team to provide advanced psycho-social assessments and comprehensive counselling and coordination of services to patients and their families whose children have complex care needs. The Care Coordinator performs professional social work services with a focus on advocating for patients and supporting coordination of services by navigating and creating new pathways of care, and bridging gaps across systems based on individual and specific patient needs. The Care Coordinator participates in on-going service planning, program development, evaluation and quality improvement activities to achieve excellence in client care and also supports capacity building among patients and families, hospital services and community partners. The Care Coordinator utilizes advanced psycho-social assessments to identify the patient and family needs and goals and to support the coordination of a Collaborative Plan of Care. The Care Coordinator coordinates the continuity of care for patients within the inter-professional treatment team and plays a central role as liaison with community agencies and resources throughout BC and applies advanced knowledge, skill and clinical experience in facilitating communication and decision making around patient care and influencing change. The Care Coordinator promotes family-centered care within BC Children’s Hospital and Sunny Hill Centre for Children and the community.
Education, Training and Experience
• Master’s Degree in Social Work from an accredited School of Social Work.
• Minimum 3 years’ experience specifically providing assessment, parent or supportive coaching and care coordination both within Hospital outpatient settings and in the community, with families of children with complex developmental or neuromotor needs or equivalent combination of education, training and experience.
• Demonstrated knowledge, understanding and use of leadership approaches and skills including communications and relationship building.
• Current full registration with the British Columbia College of Social Workers.
Skills and Abilities
• Comprehensive knowledge of Social Work theory and practice.
• Knowledge of mental health and complex developmental behavioural or neuromotor conditions.
• Knowledge of the range of service options available for the designated client population both within the hospital and community setting.
• Knowledge of solutions and strategies to reduce various barriers to care for the designated client population.
• Knowledge of and commitment to strengths-based, family-centred practice.
• Comprehensive knowledge and demonstrated ability to apply care coordination principles and ability to advocate for families as they navigate the health care system.
• Demonstrated ability to establish and maintain supportive, trusting and professional relationships with clients and their support group.
• Demonstrated listening and information seeking skills that promotes communication and leads to a co-operative approach to goal setting and problem solving with the family and within a multidisciplinary setting.
• Demonstrated ability to conduct social and psychosocial assessments, and perform a range of needs assessments with both individuals/groups.
• Demonstrated ability to apply coaching or motivational interviewing techniques with families.
• Demonstrated ability to work both independently and collaboratively as a member of a multidisciplinary team.
• Demonstrated ability to prepare and maintain a variety of charts, records and reports.
• Demonstrated ability to communicate effectively, both verbally and in writing.
• Demonstrated ability to organize and prioritize workload and adapt to a changing team.
• Demonstrated skills in program development and building partnerships among allied services providers and community partners.
• Working knowledge of quality improvement and research processes and methodology.
• Broad knowledge of psychotherapeutic, counseling skills and clinical practice models.
• Broad knowledge of psychopharmacology (indications and side-effects).
• Broad knowledge of other health disciplines and their role in healthcare.
• Broad knowledge of legislation and government policies and procedures that relate to the client.
• Demonstrated ability to apply systems theory to practice in Social Work assessment and intervention.
• Demonstrated ability to understand and influence group and inter-group processes, decision making and problem solving.
• Demonstrated ability to problem solve, adjust to new or unexpected events and deal effectively with conflict situations.
• Demonstrated ability to teach Social Work students and other team members both formally and informally.
• Physical ability to perform the duties of the position.
• Basic computer literacy to operate a computerized client care information system and word processing, spreadsheet, Internet and e-mail software.