Patient Care Contracts Specialist - Family Managed Home Care

Are you highly organized, self-motivated and have knowledge and experience in contract administration management? Are you passionate about exceptional healthcare and driven by a desire to help others? If so, you are looking in the right place!

As a Patient Care Contracts Specialist - Family Managed Home Care, you are responsible for supporting the development, implementation and monitoring of Family Managed Home Care contracts. As a member of the provincial Patient Care Contracts - Specialty Contracts team, the Patient Care Contracts Specialist builds and maintains relationships with the Contracts Specialists, Contracts Manager, Care Coordinators, Finance leads, as well as the patients and families registered in the FMHC Program with information and timely access to the program.

What will you do?

• Provides contract information and guidance to identified patients/Substitute Decision Makers (SDMs) regarding newly implemented Ontario Health atHome priorities, such as the FMHC program;
• Responsible to maintain processes and strategies to ensure accurate and timely patient onboarding to the FMHC Program and compliance to the Standard Work;
• Reviews FMHC agreement with each patient/SDM to ensure understanding of different requirements and ensures information is complete and accurate;
• Provides education and training to patient/SDM as needed regarding FMHC agreement, onboarding, funding, reporting processes and ensuring they receive prompt reimbursement for services that are compliant with the Ontario Health atHome agreement and the relevant policies and directives of Ontario Health atHome;
• Prepares and sends appropriate correspondence to patient/SDM ensuring confidentiality;
• Participates as part of a larger Ontario Health atHome team in determining patient's/SDM's ability to manage responsibilities of the FMHC agreement, in conjunction with Patient Services and Finance and other Ontario Health atHome programs as appropriate;
• Drafts, reviews and coordinates completion of agreements within and administers amendments as necessary;
• Monitors receipt of required onboarding documents, confirms accuracy of information and follows up with patient/SDM as required;
• Interacts directly with patient/SDM and assists as required to resolve any concerns with patient/SDM;
• Performance monitoring and compliance auditing and notifies management of trends where appropriate;
• Consult on issues and where necessary, assist families to handle and resolve issues in a timely and effective manner, engaging the escalation process as required;
• Maintains detailed filing system for audit, and is compliant with records management policy of the organization
• Liaises within the provincial FMHC team and with other departments as required to resolve issues;

What must you have?

• Ability to communicate effectively orally and in writing in both official languages (English and French) is required
• Demonstrate knowledge of analytical and interpretation skills that would support quality outcomes
• Understanding of relevant legislation and regulations (i.e. OHSA, CCA)
• Experience in change management, project management, quality improvement
• Demonstrated leadership abilities to form effective working relationships with internal and external customers and patients as well as build and lead teams through system level change.
• Excellent organizational, interpersonal and communication skills.
• Excellent communication skills, both oral and written.
• Experience drafting and executing contracts on behalf of the Organization.
• Ability to troubleshoot and create innovative solutions to systematically and effectively resolve problems or issues.
• Able to use MS Office applications (e.g., Word, Excel, PowerPoint, SharePoint etc.).
• Demonstrated ability to work collaboratively to achieve goals;
• Demonstrated ability to organize/prioritize work appropriately;
• Ability to work in a fast-paced and deadline-driven environment, with frequent changes and interruptions;
• Demonstrated ability to prepare and effectively communicate contractual information;
• Ability to communicate and explain complex finance and contract information to patients/SDMs;
• Ability to collaborate with Ontario Health atHome internal and external partners as well as Ontario Health atHome staff at all levels and identify problems, handle complaints, and suggest changes to current practices and procedures;
• Ability to handle sensitive and confidential information, deal with complex issues, exercise diplomacy and discretion;
• Excellent customer service skills;
• Self-starter with a commitment to learning;
• Proven proficiency with Microsoft spreadsheet and word-processing programs;
• Must have a valid driver's license and access to a reliable vehicle, as some travel may be required;
• Advanced oral and written proficiency in both English and French is required.

What would give you the edge?

• Experience in a healthcare or public sector enviornment

What do we offer?

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer:

• Attractive comprehensive compensation packages and benefits
• Valuable development opportunities
• Membership in a world class defined benefit pension plan
• Salary: $67,765.50 - $80,915.67

Who are we?

We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.

Why join us?

If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.

Equity, Inclusion, Diversity and Anti-Racism Commitment

Ontario Health atHome 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. Accommodations for persons with disabilities required during the recruitment process are available upon request.

We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Date Posted: January 23, 2025 Closing Date: January 30, 2025

Job Title: Patient Care Contract Specialist - Family Managed Home Care

Job Type: Temporary Full Time (up to 11 months)

Hours in a Bi-weekly Period: seventy-five (75)

FTE: 1.0

Reports To: Provincial Manager, Patient Care Contracts, Specialty Programs

Department: Quality, Safety and Risk

Group: Non-Bargaining

Location: Provincial (can be located at any of the Ontario Health at Home offices)