In the Registered Charge Nurse Post Acute Care Navigator role, the RN demonstrates advanced clinical expertise, systems thinking, leadership, and sound clinical judgment to support safe, efficient, and appropriate patient flow across the organization. The RN collaborates with the health professional team and assumes a leadership role in coordinating and delivering a full range of care and treatment to patients/clients, including those with complex needs, high acuity, and less predictable outcomes.
The RN is responsible for conducting comprehensive clinical screening and assessment to determine patient appropriateness for Post-Acute placement. This role supports hospital-wide capacity strategies through the coordination and management of patient flow, optimization of bed utilization, and active participation in admission, transfer, discharge, and repatriation planning.
In collaboration with physicians, therapy teams, discharge planners, unit staff, consulting services, and external partners, the RN facilitates timely and appropriate transitions of care. The role balances clinical appropriateness with operational priorities, monitors bed pressures, and proactively identifies opportunities to improve patient flow and system efficiency.
The RN maintains accurate and timely documentation related to screening and patient flow activities and contributes to quality improvement initiatives aimed at enhancing patient outcomes and overall organizational effectiveness.
Qualifications:
Current registration with the College of Nurses of Ontario required
RNAO, CNA or other professional association membership preferred
Gentle Persuasive Approach training preferred
Demonstrated knowledge, sensitivity and expertise in the care of Post Care changing population
Minimum 3 years of recent related to Post- Acute care experience with demonstrated knowledge, skill and ability in the care of Post Acute Program required.
Conduct clinical screening and assessment of patients to determine appropriateness for placement within Post Acute Care Bedded Programs.
Systems thinking and ability to balance clinical and operational priorities
Critical thinking and sound clinical judgment under pressure
Coordinate and manage patient flow to ensure optimal bed utilization and support hospital-wide capacity strategies
Liaise with health professional teams (physicians, therapies, discharge planners, unit staff, and consulting teams) to facilitate appropriate admissions, transfers, and discharges
Monitor bed pressures and proactively identify opportunities to improve flow
Participate in bed allocation decisions and balancing clinical appropriateness within units
Support timely transitions of care, including repatriation and transfers to alternative care settings
Communicate effectively with internal and external key partners to ensure alignment on patient placement decisions
Maintain accurate documentation related to screening decisions and patient flow activities
Contribute to process improvement aimed at enhancing patient flow and system efficiency
Demonstrated knowledge, skills and judgement required to provide a full range of care and treatment in the clinical area of practice to patients/clients including those with complex needs, high acuity and less predictable outcomes required
Demonstrated ability to communicate (written and verbal) effectively with patients/clients and families required
Demonstrated ability to practice collaboratively and communicate clearly with members of the health professional team to provide care for a full range of patients/clients required
Demonstrates excellent organizational skills and ability to prioritize the needs of a variety of clinics throughout the day
Demonstrated commitment to ongoing learning, professional development and continuous quality improvement required
Demonstrated basic skill level with computers, MS Word, incident reporting systems, internet searches, data entry and patient information systems required
Demonstrated knowledge and skill related to crisis intervention and conflict resolution required
Demonstrated strong leadership, problem solving, critical thinking, team building, and interpersonal skills required
