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About the Role

The GAIN Clinician supports older adults with complex medical, cognitive, functional and psychosocial needs. The clinician contributes profession-specific knowledge and interventions to comprehensive geriatric assessment, collaborative care planning, follow-up and care coordination within their legislated scope of practice.

Responsibilities

• Conducts discipline-appropriate assessments and contributes to comprehensive geriatric assessments, including review of functional status, mobility and falls risk, cognition, mood, medication-related or health concerns, social determinants of health, caregiver needs, home safety, ADLs/IADLs and community supports.
• Develops, implements, monitors and evaluates individualized, person-centred plans in collaboration with the client, substitute decision-maker, caregivers and the GAIN team.
• Provides education, counselling, clinical or functional interventions, navigation, referrals and follow-up within scope.
• Works with primary care, hospitals, Ontario Health atHome, community agencies and other partners to coordinate services, reduce gaps in care, support safe transitions and promote aging in place.
• Documents assessments, interventions, consent, care plans and outcomes accurately and promptly in the electronic medical record.
• Participates in case conferences, program evaluation, quality improvement, education and required training.
• Follows applicable legislation, regulatory standards, privacy and consent requirements, infection prevention and control practices, workplace violence and harassment procedures, safe community/home-visit practices and incident-reporting requirements.
• Identifies and escalates safety concerns in accordance with Carefirst policies.
• Performs other duties as assigned in support of operations.

Requirements

• Requires a degree, diploma or other credential for registration in an eligible Ontario regulated health or social service profession.
• Requires current registration in good standing with the applicable Ontario regulatory college, with no restrictions.
• Experience working with older adults in community, primary care, hospital, rehabilitation, geriatric outreach, mental health or related settings is preferred.
• Gerontology or geriatrics experience is an asset.
• Knowledge of person-centred geriatric care, frailty, dementia and cognitive impairment, responsive behaviours, falls prevention, caregiver support, community resources and social determinants of health.
• Ability to assess risk, exercise sound professional judgment, organize a complex caseload, work independently and collaborate effectively on an interprofessional team.
• Strong written and verbal communication skills in English.
• Additional language skills relevant to communities served, including Cantonese or Mandarin, are an asset.
• Proficiency with electronic medical records and Microsoft Office applications is required.
• Training in geriatrics, dementia care, GPA, PIECES, motivational interviewing, falls prevention, mental health, behaviour support or care navigation is required.
• Current First Aid/CPR certification may be required based on assigned functions.
• Regular travel to Carefirst offices, community locations and client homes in the service area is an essential duty.
• Must be able to travel reliably between assigned locations.
• A valid vulnerable sector police record check completed within one year is required.

Skills

• Geriatric Assessment
• Care Planning
• Intervention and Follow-up
• Collaboration
• Documentation
• Safety and Professional Accountability
• Electronic Medical Records
• Microsoft Office Applications
• First Aid/CPR

Location

• 300 Silver Star Blvd., Scarborough
• Community locations in the GTA
• Office-based work
• Community outreach
• Home visits

Work Type

• Full Time
• Part Time
• Contract

Education Level

• Degree, diploma or other credential required for registration in an eligible Ontario regulated health or social service profession.

Salary/Compensations

• $55,000 - $85,000 annually

Benefits

• Comprehensive Orientation Program

About the Company

• Carefirst Seniors & Community Services Association is a non-profit charitable community services agency established since 1976.
• Our services have grown from Chinese meals-on-wheels to a full range of community support services covering the Greater Toronto Area.
• We have over 550 staff members and 850 volunteers, serving over 15,000 clients annually, including seniors, adults, and youth with various challenges.
• We serve 3,000 home-bound and frail individuals.

Equal Opportunity

• Carefirst is an equal opportunity employer.
• We are committed to an environment that is barrier-free.
• If you require accommodation during the hiring process, please inform us in advance to arrange for reasonable and appropriate accommodation.