Transitional Lead - Integrated Patient Care Program

As a Transitional Lead in CBI Home Health’s specialized, integrated care programs, you will play a pivotal role in shaping seamless, patient-centered transitions from hospital to home, ensuring every individual receives the right care at the right time. Partnering closely with hospital teams, community partners, and families, you’ll create comprehensive care plans that not only support safe discharges but also empower patients to thrive sustainably at home.

Serving as the primary point of contact, you’ll be a trusted guide for patients and their families—providing consistent check-ins, home visits, and ongoing support to ensure their goals are being met. Collaborating with an interdisciplinary care team, you’ll identify solutions for emerging challenges and proactively monitor patient progress. In this dynamic role, you’ll also track and analyze service utilization, documentation, and key performance metrics (KPIs) to continuously improve care delivery. Your keen insights and innovative thinking will drive quality improvements and uncover new growth opportunities to keep our programs on the leading edge of care.

What We Offer

• Competitive compensation
• Opportunity to work remotely
• Paid sick days, vacation, orientation, and training
• Comprehensive benefits plan for you and your family
• Mobile technology and training provided (cell phone and tablet)
• Easy access to managers and interdisciplinary team to support you
• Access to 24/7 support, no matter where you are
• Supportive onboarding program, mentorship and ongoing learning and development to continuously advance your knowledge and skills
• Opportunities to grow your career within CBI Home Health’s national network
  
  

We continuously drive clinical excellence and are dedicated to supporting clinical best practices; in Ontario we are proud to be a designated RNAO Best Practice Spotlight Organization.

We offer a full suite of tools and training to make service delivery both safe and effective. A leader in delivering virtual care in home health, our approach incorporates the use of secure technology to effectively connect with your patients and their caregivers when virtual care is the best option.

At CBI Home Health, we’re committed to supporting our team members because we know that when we invest in you, you thrive. And when you thrive, so do our patients and the communities in which we all live and work. We are excited about the contribution you will bring to make a positive difference to patients.

What You Will Need To Be Successful

• Regulated Healthcare Professional, registered and in good standing with the respective College
• Postgraduate education such as a Master’s level degree or advanced university/ executive training preferred
• 5 to 7 years’ experience in a general management role
• Minimum of 2-3 years of nursing/OT/PT experience
• Experience in home and community care or acute care preferred
• Strong clinical skill set and demonstrated commitment to best practice care
• Ability to lead teams and individuals to achieve results
• Demonstrated success with program evaluation and improvement
• Experience with clinical program monitoring
• Excellent written and verbal communication skills
• High degree of professionalism and patient/family focused care
• Be a team player and be highly collaborative
• Strong computer literacy with various applications and programs
• Demonstrated clinical leadership & ability to lead discussions and collaboration
• Excellent assessment and coordination skills
• Demonstrated ability to work within an interdisciplinary team
• Strong organization skills and able to prioritize/ multi-task in a fast-paced environment
• Clear criminal record check with vulnerable sector screening
• A valid driver’s license, access to a reliable insured vehicle and ability to travel within the Region
• Ability to communicate in French or other languages is considered an asset
  
  

When you join our team as the Transitional Lead, you will belong to one of Canada’s leaders in the healthcare industry, with 250 locations across the country. As one of the largest healthcare networks in Canada, we are proud to be named one of Canada’s Best Managed Companies, Platinum Member and Canada’s 10 Most Admired Company Cultures.

Join us at CBI Home Health - Because Your Care Matters.

To learn more about CBI, please visit www.cbihomehealth.ca

CBI Home Health is committed to providing a diverse, equitable, and inclusive workplace where everyone feels safe and accepted as their authentic selves. We actively seek qualified candidates who share our commitment to equity and inclusion and contribute to the diversification of ideas and perspectives that help us innovate and provide the best possible care to our clients.

We are committed to fostering a positive experience for all Indigenous applicants whether you’re First Nations (status or non-status), Inuit or Metis and welcome applications from all individuals regardless of race, colour, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other characteristics that make each of us different.

In accordance with the Ontario Human Rights Code, Accessibility for Ontarians with Disabilities Act and CBI Policies on Accommodation, a request for accommodation will be accepted as part of our hiring process. Please inform your recruiter if you have any accommodation requests.