Manager, Hospital to Home and Clinical Programs

Circle of Care Job Posting

The Manager, Hospital to Home and Clinical Programs is accountable for leading a dedicated service team in delivering seamless and timely care that meets the unique needs of clients transitioning from hospital to home, as well as those receiving community-based services. The Manager ensures the team effectively plans, organizes, implements, and delivers high-quality, responsive, and integrated care.

The Manager supports the success of the transitional care program, while also ensuring continuity and excellence across broader clinical services. The Manager develops and retains a high-performing team of front-line staff, providing strong leadership and operational oversight. This includes driving the adoption of effective systems and business processes, supporting clinical accountability, and fostering a collaborative and positive workplace culture.

We are looking for: A Full-Time Permanent Manager, Hospital to Home and Clinical Programs

Hours of Work: Monday – Thursday: 8:30AM to 4:30PM, Friday: 8:30AM to 3:30PM. This is a hybrid work from home role. On-Call is required.

Reports to: Director, Client Services

Compensation

Hiring

Salary

Range: The salary for this role ranges from $80,000 to $110,000 per year, depending on your skills and experience.

Circle of Care Benefits:

Hybrid Environment: This is a hybrid position, with a mix of 3 in-office work and 2 work-from-home days, offering a balanced hybrid schedule. Our main office at 4211 Yonge Street has subsidized underground parking and is located conveniently on the subway line and GO transit.

Health and Dental

Benefits

• A robust benefits plan with comprehensive health, dental, paramedical and vision coverage with employer paid premiums to support you and your family through all stages of life.

• Retirement Savings Plan: As part of our commitment to your long-term well-being, we provide an RRSP program through RBC with employer and voluntary employee contributions.

• Learning and Development: We support your continued growth and learning through paid training and professional development opportunities throughout your career.

Responsibilities

• Excellence and Quality Improvement

• Manage relationship building and rapport with external partners.

• Provide professional leadership to the service team members and ensure employees are fulfilling their mandate and accountabilities.

• Ensure that clients and their families experience high-quality, responsive healthcare service and goal-based outcome.

• Implement quality assurance and improvement programs, processes, and accountability for the team.

• Work closely with the Quality team to ensure timely and accurate data collection, reporting to Sinai Health, as part of ongoing program evaluation and improvement.

• Conduct documentation audits to ensure compliance with clinical and reporting standards.

• Support the development and implementation of professional practice guidelines and standards across client services.

• Monitor program indicators, including time to first service, missed care, client experience, and length of stay use where data is available.

• Translate audit findings, client feedback, and performance trends into improvement plans with assigned responsibilities and timelines.

• Report program performance, emerging risks, and corrective actions to the Director and relevant partners.

• Leadership & Change Management

• Actively develop and foster trust-based, collaborative partnerships with external key organizations, including OHAH, funders, and hospitals.

• Lead weekly huddles with the Sinai Health team to provide updates on active H2H clients and discuss care plans and barriers.

• Participate in case conferences with patients and families where necessary to ensure transparent care coordination.

• Support smooth patient discharges and transitions to Ontario Health at Home, self-care, or long-term care.

• Identify opportunities to demonstrate Circle of Care’s service assets and commitment to excellence to key partners and funders.

• Lead and resolve client or family escalations, participating in challenging conversations to support service recovery and continuous improvement.

• Lead recruitment, onboarding, performance reviews, and staff development with HR

• Set clear performance expectations and address practice or performance concerns through coaching and follow-up.

• Develop succession plans and strengthen team capability

• Complete regular risk assessments to identify operational risks, service gaps, and anticipated increases in staffing requirements.

• Collaborate with Finance to review program demands, assess financial implications, and develop proposals to support additional staffing and resource needs.

• Facilitate regular huddles with Rehabilitation, Nursing, and Social Work teams to ensure client goals are being met and appropriate transition supports are in place.

• Provide oversight and guidance to the Program Supervisor regarding caseload assignments, workload distribution, and resource utilization.

• Ensure all partners supporting the program adhere to established program guidelines, eligibility criteria, service expectations, and operational standards.

• Monitor program performance, client outcomes, service utilization, and staffing capacity to identify opportunities for improvement.

• Maintain ongoing discussions with leadership and key stakeholders regarding program needs, service pressures, and opportunities for expansion.

• Participate in strategic planning to support program growth, sustainability, and enhanced service delivery.

• Participate in relevant conferences, meetings, and presentations to share program outcomes, best practices, and lessons learned.

• Identify opportunities for continuous quality improvement and strengthen collaboration among hospital, community, and care transition partners.

• Management of Relationships with Internal Partners

• Model the way for employees through personal example and a dedication to action, results, and client service excellence.

• Develop and sustain a team culture that embodies open, two-way communication, client-centered focus, learning and innovation, accountability, teamwork, and continuous improvement.

• Provide consistent coaching, communication, and support to front-line staff, ensuring clarity on clinical practice and program expectations.

• Hold regular team meetings and training sessions to ensure ongoing staff education aligned with program needs and best practices.

• Lead CRM development and improvement work to ensure the system meets program needs, supports daily workflows, and enables accurate documentation and reporting.

• Actively participate in program design and development discussions, contributing operational insights and innovations.

• Engage in conversations and planning related to resource optimization, including changes to staffing models to ensure the right care is delivered by the right team members at the right time.

• Operational and Financial Management

• Oversee referral intake, eligibility review, service initiation, and discharge planning.

• Monitor client volumes, acuity, staffing capacity, and workload, adjusting resources as needed.

• Manage program budgets within approved allocations.

• Establish coverage and escalation plans for staffing shortages, service disruptions, and urgent client needs, including after hours.

• Ensure services meet contractual commitments and funder requirements.

• Provide hands-on support to the supervisor and team when volumes increase, or coverage is limited, taking an all-hands-on-deck approach.

• Risk, Health and Safety Management

• Identifying and reporting health and safety incidents and concerns in a timely manner to the appropriate supervisors and/or funders, documenting incidents in EasyCare and escalating appropriately to the designated supervisors as outlined in the Client Safety Reporting policy (C.01.38).

• Participating in health and safety processes and procedures

• Participating in maintaining a safe workplace environment by cultivating a positive safety culture and encouraging best practices to promote both staff and client safety and well-being

• Participating in all health and safety training initiatives on a regular basis.

• Taking proactive action against client incidents within your scope of practice.

• Developing a plan to identify, manage and/or minimize client safety risks or situations in adherence with risk management operations policies.

• Assessing the severity of an adverse client safety/risk event and determining the best follow-up and developing an action plan following the event. Collaborating with funder (ex. HCCSS) and following any additional processes as required.

• Calling emergency services (911) when the client is at an imm