Discharge Planner in Bracebridge

Muskoka Algonquin Healthcare (MAHC) is a multi-site organization that includes the Huntsville District Memorial Hospital Site and the South Muskoka Memorial Hospital Site, providing outstanding, integrated care to support people in living their healthiest lives.

The Discharge Planner utilizes their knowledge, skill, and judgement within their nursing scope of practice to assist and facilitate timely, effective discharge planning and efficient patient flow at their affiliated site. In collaboration with the interprofessional health care team and external partners, the Discharge Planner promotes effective utilization of resources by reducing and/or eliminating any impediment to effective patient flow. This role also involves admission avoidance in the Emergency Department if a patient is not a Home and Community Care Support Services North Simcoe Muskoka (HCCSSNSM) or Seniors Assessment and Support Outreach Team (SASOT) client.

ROLE

• Coordinate and lead discharge planning for designated patients from admission through discharge.
• Complete discharge screening assessments within 24–48 hours of admission to identify patient needs and barriers.
• Participate in interdisciplinary rounds and lead patient care discussions as required.
• Collaborate with patients, families, physicians, and the care team to support safe and timely discharges.
• Arrange community services, referrals, transportation, and follow-up care to ensure continuity of care.
• Support patients at risk of Alternate Level of Care (ALC) designation through proactive planning and family meetings.
• Complete referrals and applications for rehabilitation, mental health, and other specialized community services.
• Ensure accurate discharge documentation, medication reconciliation, and communication with receiving care providers.
• Monitor patient outcomes, complete quality indicators, and contribute to admission and discharge process improvements.
• Provide patient and family education while connecting individuals with appropriate community resources and support.

QUALIFICATIONS

• Current Registration in good standing with the College of Nurses of Ontario.
• 3 years of hospital nursing experience in an acute care setting.
• Current BLS (Basic Life Support).
• Working knowledge of hospital policies/procedures and protocols.
• Demonstrated ability to lead projects and initiatives.
• Excellent computer skills having worked with Microsoft Office Suite and electronic health records programs (i.e., CERNER).
• Awareness of community supports and services for identified populations would be an asset.

ADDITIONAL PERKS AT MAHC

• Staff referral program $1000 (for each successful permanent part-time and permanent full-time new hire you refer to MAHC).
• Retention Bonus $7500 (permanent full-time/permanent part-time, eligible positions only).
• Extended health benefits (permanent full-time).
• Enrolment in the Healthcare of Ontario Pension Plan (HOOPP).

ADDITIONAL INFORMATION

• Location: Multi-Site, working on site at both the South Muskoka Memorial Hospital (SMMH) located in Bracebridge and Huntsville District Memorial Hospital (HDMH) located in Huntsville. Applicants must reside within 125km of one of our hospital campuses or be willing to relocate prior to starting. Exceptions will be considered on a case‑case basis.
• Hours of Work: Must be available to work shifts including days, evenings, nights and weekends. Shifts and hours may change according to departmental requirements per the collective agreement.
• Conditions of employment for external hires includes; Proof of immunization and vaccination records to the Hospital’s Occupational Health and Safety department, Legal entitlement to work in Canada, Satisfactory Criminal Record and Vulnerable Sector Check.

Our organization: MAHC is committed to a selection process and work environment that is inclusive and barrier-free. We encourage applicants from all equity-deserving groups, including but not limited to, individuals who identify as Indigenous, racialized, seniors, persons living with disabilities, women, and those who identify as 2SLGBTQ+. Accommodation will be provided in accordance with the Ontario Human Rights Code. If you have accommodation needs for attendance at the interview, please advise us at time of the interview being scheduled.