Job Description

Evergreen Home for Special Care -  Care Navigator 

Position Summary:

The Care Navigator role is intended to support residents and their families during the admission process and transition to living in a nursing home.

The successful candidate will have the opportunity to promote the social work profession in long term care by providing expertise in bio-psychosocial and person in environment assessments, individual and family counseling, and group support on topics such as caring for caregivers, dealing with dementia, grief and loss.

Responsibilities:

• Reports directly to the Director of Nursing
• Facilitates admission and in-house transfers for residents in close collaboration with Directors of Nursing (DON) and Assistant Director of Nursing (ADON) as well as other departments.
• Conducts pre-admission and on-going assessments of residents’ bio-psycho-socio-cultural needs. Working in consultation with the DON/ ADON.
• Addresses issues and challenges presented by and/or regarding residents and family members through individual support/counseling, group work, etc.
• Investigates complaints related to resident abuse, and/ or reports critical incidents as directed by DON or ADON
• Coordinates and facilitates multi-team meetings and resident/family council meetings
• Keeps accurate and timely documentation following facility processes.
• Maintains accurate statistical record as assigned
• Creates community linkages that will benefit the residents.
• Plans and implements interventions for challenging behaviors in collaboration with internal and external resources.
• Chair or sit on various committees to promote resident and staff safety.
• Provides staff support and education as appropriate. Provide debriefing as required.
• Liaison with (but not limited to) Department of Seniors and Long-Term care, hospital discharge planners, placement officers, school and other community partners.
• Facilitates special needs requests for residents as appropriate.
• Advocates for the best interest of residents
• Develop tools / kits / pamphlets, and other informational materials that will benefit residents /family members and staff.
• Familiar with advanced directives, power of attorney, and other pertinent legislation that may impact residents in long term care. Able to assist families in navigation processes to identify these key people.
• Participates in ongoing professional development and lifelong learning
• Experience working with all ages preferred, pediatric experience considered an asset.
• Other duties as assigned to support the Evergreen Community.

Qualifications:

• Completion of a minimum of Bachelor’s Degree in Social Work
• Completion of Master in Social Work or current enrollment in masters program is an asset.
• Must be a Registered Social Worker in Nova Scotia or eligible for registration in the province.
• Must have at least two years of professional social work experience.
• Certificate in Gerontology or working experience with the seniors’ population is an asset

Skills Needed:

• Resident centered care as the core motivator for service delivery
• Be well versed in dealing with people with various backgrounds and personalities
• Strong understanding and advocate of best practices in healthcare
• Strong computer and analytical skills
• Must have the ability to deal with complex situations and make sound recommendations
• Ability to network and develop strong relationship with team members and community partners.
• Strong oral and written communication skills
• Strong conflict resolution skills

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