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SE Careers

Clinical Transitions Manager (RN)

Location: Markham
Job Code: 18266
Employment Status: Full time
# of openings: 1


Position Summary

This is an exciting new SE Health role providing operational and clinical leadership to transitional programs and the self-directed interdisciplinary teams that will be providing holistic care to the clients in the community.

As a member of the Acute Transitions leadership team, you are passionate about informing and shaping transitional programs from hospital to the community and being at the forefront of healthcare innovation in Canada.

As a member of the Acute Transitions leadership team, you will provide exemplary leadership and program management for Transition programs operating within SE Health Service Delivery Centres and through independent self-directed interprofessional teams.  You will ensure excellence in the provision of client care, the achievement of corporate/program objectives; planning and operations; quality management and improvement; participation in special projects, corporate/research initiatives and other activities that support and advance organization goals. This role will have accountabilities in operational and professional practice excellence; creating a healthy workplace that maximizes the potential of all members of the team. 

Key Responsibilities

  • Provide clinical practice leadership, coaching and oversight management to ensure the safe, effective and efficient provision of care excellence to all clients and family members for hospital, acute transition programs
  • Managing, motivating and providing professional/clinical leadership to interdisciplinary teams; ensuring ongoing practice and professional development of a cohesive team;
  • As needed, conduct joint client visits for the purpose of influencing/monitoring/ maintaining / improving quality of care, interpreting clinical standards of practice, and providing coaching/staff development;
  • Review and audit InterRai assessments and associated care plans to ensure meeting client needs holistically (as relevant to specific transition programs)
  • Provides coaching to the interdisciplinary teams to foster autonomous, self-directed management of clients in the community relevant to specific transition programs
  • Specific to program requirements support educational strategies to enhance staff knowledge with respect to professional practice, health discipline, clinical, administrative staff practices and client care;
  • Developing and implementing processes to ensure the safe, effective and efficient delivery of excellent care to all clients and processes that support involving clients as collaborative partners
  • Quality management and operational responsibilities, including quality improvement and other initiatives in both operational and clinical area(s) to ensure patients receive the best possible care;
  • Monitors program performance and adherence to contractual requirements related to provision of services
  • Supports validation of reports and verifies visits for billings to hospital partners
  • Maintains knowledge of the different disciplines to facilitate conducting regular performance appraisals, in a manner that is fair and consistent (as required for direct reports)
  • Ensures staff are meeting professional practice standards
  • Develops, implements, manages and reviews short- and long-term plans for the program and clinical area(s) which are in alignment with organizational goals and strategies; identifies and prioritizes time sensitive initiatives
  • Develops staff utilization plans to ensure adequate level/mix of human resources to execute plans and achieve required outcomes
  • Collaborates and closely aligns with SDC leadership to ensure staff requirements are available to meet program requirements
  • Regular and consistent meetings with SDC leadership to celebrate successes and address any staffing and operation issues to meet programs requirements
  • Ensure SDC leadership and coordinators are knowledgeable regarding Acute Transition programs including referral process, patient flow, pathways, documentation, and discharge requirements
  • Identifies and manages employee issues/concerns as relevant
  • Collaborate with hospital coordinators and communicate regularly with hospital flow leads to ensure processes are being followed and to mitigate any issues
  • Develops and implements day to day operating policies, systems and procedures to contribute to organizational and program effectiveness
  • Implements quality management techniques designed to advance the services provided by the staff
  • Addresses adverse events, complete risk investigation and develop risk management strategies
  • Ensures the involvement of patients and family in the design of care, managing patient complaints, in a timely manner;
  • On-call as required for programs support
  • Other duties to ensure program is running smoothly


  • A Registered Nurse (RN) required holding a current professional license, in good standing, to practice in Ontario. BScN preferred.
  • Candidates holding a Master’s Degree are preferred
  • Registration in Good standing with respective regulatory college
  • Membership in a Professional Association
  • Minimum of five years of clinical care experience
  • Minimum of five years of management, supervisory and/or leadership experience
  • Experience in Change Management
  • Experience in Quality Improvement and Risk Management
  • Demonstrated clinical expertise or specialist in a clinical area(s) relevant to home and community care
  • Demonstrated leadership competencies.
  • Models behavior that is aligned with the values of SE Health
  • Excellent interpersonal and verbal/written communication skills.
  • Ability to work independently and as part of a team.
  • Critical thinking and sound problem-solving skills.
  • Strong technology acumen, including facility with the standard Microsoft Office suite, as well as general collaboration apps and tools
  • Superior communication skills and ability to communicate effectively to direct and motivate team and others, maintaining a persuasive and credible presentation style at all levels of the organization
  • Thrives in a fast-paced and changing environment.
  • Ability to work in an on-call after hours rotation
  • A vehicle and valid driver’s license – and ability to travel.

About SE Health  
SE Health (Saint Elizabeth Health Care) is a social enterprise applying our knowledge, vision and drive to forever impact how people live and age at home, today and into the future. As a not-for-profit organization with Canadian roots and 110 years of expertise, we bring quality excellence and innovation to home care, seniors lifestyle and family caregiving. Through our team of 9,000 Leaders of Impact, we deliver 20,000 care exchanges daily, totaling 50 million in the last decade alone. In 2019 we were honored to be recognized by Forbes as one of Canada's Best Employers. 

Saint Elizabeth is committed to the success of all its employees. If you feel you need accommodations because of illness or disability, please do not hesitate to contact Human Resources at at your earliest convenience.

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