Transition Navigator
About the role
Job Number
J0626-0441
Job Title
Transition Navigator
Job Type
Temporary Full-Time
Job Location:
ON
Job Category
Healthcare Professional
Number Of Open Positions
1
Department
Medicine
Union
NON-UNION
Date Posted
June 24, 2026
Closing Date
July 8, 2026
Salary
$35.45 - $52.30/Hour
Contract Duration
18 months
Fte
0.5
Share Facebook X Email LinkedIn
Job Summary
Reporting to the Director, the Transition Navigator facilitates safe, effective, and patient-centered transitions across the continuum of care. The role supports discharge planning, care coordination, and access to community and transitional care services. As the primary coordinator for Stevenson@Home (hospital to home (H2H) program) and the Transitional Care Program (TCP), the Transition Navigator identifies eligible patients, coordinates transitions, and promotes continuity of care between hospital, community, and post-acute care settings.
Working collaboratively with patients, families, healthcare providers, Ontario Health@Home, and community partners, the Transition Navigator supports integrated care delivery, ALC reduction strategies, and improved patient outcomes and experience while advancing quality, patient safety, health equity, and Senior Friendly Care principles.
Qualifications And Experience
Regulated Health Professional in good standing with the applicable regulatory college (e.g., RN, SW) Current registration with the appropriate regulatory body. Minimum three (3) years recent experience in discharge planning, patient navigation, care coordination, case management, transitional care, community care, or related healthcare services. Experience working within hospital-to-home programs, transitional care programs, integrated care pathways, or community-based care models is preferred. Demonstrated knowledge of Ontario Health@Home services, Community Support Services, Long-Term Care placement processes, home and community care legislation, and healthcare system navigation. Knowledge of seniors' care, frailty, geriatric syndromes, complex chronic disease management, transitional care models, and ALC reduction strategies. Experience supporting quality improvement initiatives, program evaluation, clinical pathway implementation, and performance measurement is an asset.
Skills And Abilities
Demonstrated assessment, care coordination, critical thinking, problem-solving, and clinical decision-making skills. Excellent interpersonal, communication, facilitation, conflict resolution, and relationship-building skills. Ability to work collaboratively with patients, families, interdisciplinary teams, and external community partners. Strong organizational and time management skills with the ability to manage multiple priorities in a fast-paced environment. Demonstrated commitment to patient- and family-centred care, health equity, Senior Friendly Care, quality improvement, and patient safety. Proficiency with electronic medical records (preferably Meditech), Microsoft Office applications, virtual care technologies, and electronic documentation systems. Experience utilizing data collection, reporting, and performance measurement tools to support program monitoring and evaluation. Demonstrated understanding of privacy, confidentiality, and information management requirements. Demonstrated commitment to professional development, continuous learning, and evidence-informed practice. Demonstrates behaviours consistent with Stevenson Memorial Hospital's values of Integrity, Compassion, Accountability, Respect, and Excellence (ICARE). It is the responsibility of all employees to work safely and promote health and safety in the workplace.
Our Values
Models behaviour that is aligned with the values of Stevenson Memorial Hospital.
Integrity - We adhere to the highest ethical principles Compassion - We respond to our patients’ needs with empathy Accountability - We are accountable to one another and to our community Respect - We embrace the diversity of our patients, staff and community Excellence - We support a culture of distinction
Hours of Work: Monday to Friday, weekend work may be required as needed.
Other: Stevenson Memorial Hospital is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. We encourage all qualified individuals to apply including visible minorities, Indigenous peoples, persons with disabilities, LGBTQ2s+ persons, and anyone else who will contribute to a diverse workplace.
Accommodations for persons with disabilities required during the recruitment process are available upon request by notifying Human Resources at (705) 434-3377 ext 3354.
As part of our mandatory screening process, SMH will require professional references, verification of academic training and professional accreditation along with a current vulnerable sector screening check. (or Criminal Record Check – dependent on role.)
Please note that while this job is posted on Stevenson Memorial Hospital's 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 Stevenson Memorial Hospital careers site.
Are you interested in this job?