Integrated Comprehensive Care (ICC) Lead

Central Toronto Roselawn, ONTARIO | 8 days

Job Summary

$151,100 Average salary of similar jobs | Check Salary...

Job Description


Position: Integrated Care (IC) Lead
Site: Toronto General Hospital or Toronto Western Hospital
Department: Surgery
Hours: 37.5 hours per week; Shifts: Rotating day shifts, including on-call evenings, nights, weekends.

Salary: $75,676 to $94,595 per annum
Status: Permanent Full-Time

University Health Network (UHN) is looking for an experienced professional to fill the key role of Integrated Care (IC) Lead

Transforming lives and communities through excellence in care, discovery and learning.

The University Health Network, where “above all else the needs of patients come first”, encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education at UHN. The University Health Network (UHN), Canada’s largest research teaching hospital, brings together over 16,000 employees, more than 1,200 physicians, 8,000+ students, and many volunteers. UHN is a caring, creative place where amazing people are amazing the world.

UHN Connected Care oversees and delivers programs focused on improving the experience for patients, essential care partners and clinical care teams. We break down barriers to change and connect people who want to solve these problems, bringing policy makers, funders, thought leaders, clinicians and patients to the table to build solutions together.

To inspire, invent and deliver tomorrow’s care the Integrated Care Program looks beyond our walls and identifies and integrates the health and well-being services and supports patients need for comprehensive care.  The program leverages an integrated delivery model, care team, health record and funding model to optimize patient care outcomes, efficiency and costs for providers. 

If you have a passion for improving patient care and the desire change the way care is delivered please consider joining us.


The Integrated Care Lead is a critical member of the Integrated Care Program and is a primary contact for patients, essential care partners and the clinical team representing acute care as well as home and community care services. Dual reporting to the Senior Program Director of Integrated Care Program and the relevant Clinical Leadership (Division Head and Clinical Director), the IC Lead supports a seamless care experience and integrates the work of in-patient and home and community care team. As a leader for this multidisciplinary care team the role focuses on providing care that supports a patients overall health and well-being including patient-centered navigation, intensive case management, coordination of services, coaching and mentoring to care team and supports program management responsibilities.  


  • Acting as the key lead liaising between patients, the UHN Surgery team, primary care and home and community care providers to ensure all components of a patient’s care are considered and provided
  • Developing, supporting and overseeing a patients care path through the various care settings to ensure continuity of care including ongoing assessment and adjustment to support changes in patient needs
  • Working collaboratively and providing mentorship, coaching and knowledge translation to an inter-professional team, family members, support network, and a variety of informal and formal service providers, including home and community care
  • Coordinating seamless care transitions through appropriate and effective exchange of knowledge related to respective health conditions and the continuum of services and resources to enhance patient self-management and quality of care.
  • Supporting program management including monitoring to ensure that the patient and system level objectives of the bundle of care are met.
  • Acting as a subject matter expert to support Program delivery components including: implementation planning, evaluation and innovation and optimization strategies
  • Leading ongoing innovation and optimization efforts with regular monitoring of Program data and metrics, synthesizing data to make recommendations or act upon trends or patterns to inform care planning.
  • Works within UHN’s Safety and Quality policies and procedures.
  • Provide cross-coverage of other IC Programsand pathways


  • Undergraduate/Graduate degree in a related health profession; Nursing preferred.
  • Current membership in good standing with applicable/relevant regulatory health professional body in Ontario is required.
  • Five (5) years of clinical experience required, experience in a community health setting preferred
  • Five (5) years of recent, related acute care setting experience required.
  • Demonstrated experience and competence in areas of patient need relevant to surgery including: thoracic, head and neck, cancers and a willingness to learn or existing knowledge regarding other surgical pathways
  • Demonstrated experience and competence in case management is preferred.
  • Demonstrated recent comprehensive knowledge of community resources and health care delivery systems in acute and community settings is preferred.
  • Demonstrated willingness and ability to use new assessment tools and systems as required by the Ministry or in keeping with legislated requirements.
  • Demonstrated ability to quickly respond to patients and situations with resourcefulness, flexibility and adaptability is required.
  • Excellent interpersonal, communication, organizational and decision-making skills required.
  • Demonstrated leadership skills, including problem solving, critical thinking, conflict resolution and the ability to effectively persuade / influence behaviour of others to align with patient care objectives and desired outcomes, are required.
  • Demonstrated ability to work both independently and collaboratively with an interdisciplinary team, family members, support networks, and a variety of formal and informal service providers, including home and community care, is required.
  • Demonstrated cultural sensitivity awareness and skills to inform and best plan and facilitate coordination of patient care.
  • Excellent time management and stress management skills are required.
  • Computer literacy and basic proficiency is required with a demonstrated willingness to learn and adapt to new technology.
  • Fluency in English (verbal and written) is required.
  • A valid driver’s license, adequate insurance (personal automobile policy with a minimum $1 million liability limit) and use of a reliable vehicle that qualifies for physical damage coverage is required.

Application Submission Closing Date: Until Filled

If you are interested in making your contribution at UHN, please apply on-line. You will be asked to copy and paste as well as attach your resume and covering letter. You will also be required to complete some initial screening questions.

University Health Network thanks all applicants, only those selected for an interview will be contacted.

UHN is a respectful, caring, and inclusive workplace. We are committed to championing accessibility, diversity and equal opportunity. Requests for accommodation can be made at any stage of the recruitment process providing the applicant has met the Bona-fide requirements for the open position. Applicants need to make their requirements known when contacted

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