Primary Care Wellness Integrator

My Health Team (Primary Care Network) is a collaborative partnership between independent primary care practices, community organizations and regional health authorities.

Partners work closely with one another to plan, develop and provide enhanced local primary care services to the patient populations within their geographic area. This will support the patient journey through the health system and across community and acute care. As part of the My Health Team network, the Primary Care Wellness Integrator will provide case management in the context of the Recovery Model of care for patients where services needed are not available through existing services/providers or where these are not accessible within the required timeframes throughout the healthcare system.

The Integrated Program Wellness Coordinator reports to the My Health Team Manager. The incumbent will work with My Health Team partner clinics who provide these types of services to align and support existing Mental Health strategies in the Community Area necessary to support and address wellness, health needs and priorities of the network’s patient population in liaison with My Health Team partners and inter-professional teams.

• Minimum of two years (within the last five years) of directly related experience in a healthcare setting.
• Experience working with people experiencing Mental Health concerns within a community setting preferred.
• Experience with case management including: initial assessments; Supportive counselling; performing assessment, planning, and service coordination within a Harm Reduction approach.
• Experience with Trauma Informed Care delivery an asset.
• Experience working with individuals/families from diverse backgrounds (cultural, financially disadvantaged, persons with disabilities, socially disadvantaged, new comers, etc.).
• Experience with Poverty, Addictions, Harm Reduction, Mental Health/complex housing needs.

• Post-secondary degree required in one of the following disciplines: BN, RPN, OT, PT, BSW, RT, SLP, RD.
• A suitable combination of relevant education and experience may be considered.

• Responsible for maintaining and providing proof of registration with relevant regulatory body.
• Requires a valid driver’s license and vehicle.

• Knowledge of existing Community Area resources and Mental Wellness Resources.
• Knowledge of Aboriginal historical experience and Cultural Safety an asset.
• Knowledge of Community Partners’ Programs.
• Effective leadership, coordination, negotiation, problem-solving and conflict resolution skills.
• Demonstrated effective verbal communication skills and demonstrated effective presentation skills.
• Ability to plan, implement and deliver chronic disease management and self-management programming for individuals and groups.
• Ability to initiate and work independently while demonstrating a professional approach in all situations.
• Demonstrated critical thinking and decision-making skills.
• Understanding of a population health approach, determinants of health, and equity, especially as it relates to chronic disease an asset.
• Demonstrated flexibility required for working in a fast-paced, changing environment.
• Understanding of fee for service family medicine work environment an asset.
• Adheres to all safety and health regulations and safe work practices.
• May be required to perform other duties and functions related to this job description not exceeding above stated skills and capabilities.
• Demonstrates effective networking and agency-relations skills.
• Demonstrated ability to effectively build and maintain relationships, and function as a team member; working collaboratively across sectors as an active participant in multi-disciplinary teams.
• Excellent organizational skills.

• May encounter aggressive and/or agitated clients/visitors/staff.
• May be required to work in various community locations.
• May be required to work evenings or weekends.
• Access to a vehicle required.