Case Manager (Primary Care Team)

Deadline: Posting Has Expired
Location: Sioux Lookout, ONCommitment: Full Time

The Primary Care Team is a regional resource to 33 First Nations Communities and the community of Sioux Lookout. The Primary Care Team brings together a diverse group of health care professionals to work together collaboratively to help meet the individual and complex needs of clients. They deliver primary care to help clients with the specific health care goals and needs, ranging from managing chronic disease, to addressing complex health needs, to helping a client deal with a life challenge that is negatively impacting their health. These teams also empower clients and their families to be active participants in working towards their health care goals.

Under the Sioux Lookout Area Primary Care Team (SLAPCT), the PCT Case Manager be responsible for the provision of case coordination to complex Primary Care clients, including assessments, education, treatment and follow-up. The Case Manager will work alongside the Primary Care Team, caregivers and community resources to ensure high quality and timely health services/interventions using culturally appropriate practices and best practice standards of care.

The Case Manager is a key part of the client circle of care and will work to their full scope of practice. Responsibilities will include case management services to Primary Care Clients identified by AHP’s working in the Primary Care Team. The provision of general information, determine eligibility, complete intake, prioritize services using standardized tools, develop initial service plan, refer to appropriate services and track client status. The position will ensure safe and competent care through the application of professional knowledge; technical aspects of professional practice and the demonstration of compassion, professionalism and respect. The Case Manager will work in both the clinic environment and communities.



  • $67,307 - 86,627



  • Registration in good standing with the College of Nurses of Ontario
  • Baccalaureate Degree in Nursing BScN from an accredited University with identifiable community health nursing content
  • Minimum of two (2) years’ work experience as a Registered Nurse
  • Current CPR Certification
  • Knowledge of First Nations’ people, history, culture, health priorities and social issues 
  • Proficiency in current evidenced-based methods and practice of primary care delivery
  • Knowledge of health promotion and risk reduction
  • Knowledge and sensitivity to First Nations culture
  • Knowledge of government health policies and regulations as they apply to First Nations
  • Knowledge of Case Management principles and Service System Principles
  • Experience and training in First Nations cultural competency 
  • Experience working collaboratively within a Primary Care Team or other health care professional group
  • Innovative problem solving and decision-making skills
  • Strong computer skills and previous experience with Microsoft Office 
  • Excellent interpersonal, verbal/written communication skills
  • Ability to function effectively during change management; periods of rapid change and transition 
  • Must be willing to travel by various modes
  • Must have a valid Driver’s License 
  • Must be willing to relocate and live in Sioux Lookout (or within a daily commuting distance) 
  • Ability to communicate in one of the First Nations dialects of the Sioux Lookout region is an asset
  • Previous experience with an Electronic Medical Record would be an asset





  • Provision of case management services for complex Primary Care clients.
  • Facilitation of access to services by providing case management and service coordination for clients and their families.
  • Provide general information, determine eligibility, complete intake, prioritize services using standardized tools, develop initial service plan, refer to appropriate services and track client status in CIMS
  • Monitor and document client’s progress with the treatment plan and evaluate progress of treatment
  • Maintain ongoing communication with family and service providers.
  • Participate / lead case management meetings with service providers staff
  • Partner in the development of community services through participation and leadership in community networks
  • Coordinate care and services for clients with service providers, hospital, physicians, specialists and resources at the community level
  • Provide a service coordination role and participate in Case Resolution, Integrated Transition Planning processes and discharge plan with family and service providers 
  • Collaborate effectively with all members of the Primary Care Team and assists as needed
  • Educate and counsel clients’ family members and caregivers to promote function and independence including health promotion and injury prevention.  
  • Stays current and aware of opportunities to implement new evidence-based methods of client’s assessment and treatment
  • Participates in self-directed learning to ensure that practice remains relevant
  • Handling of sensitive/confidential material strictly in confidence in accordance with office policy/PHIPA
  • Ability to work independently and to assess/monitor client’s level of care
  • Maintain required professional memberships and professional competence through participation in professional development programs and by self-directed study
  • Input data/treatment plans within the Electronic Medical Record (EMR)
  • Other duties that may be deemed necessary by immediate supervisor