System Navigator - Burlington FHT (Burlington)

Organization Name
Burlington FHT (Burlington)
System Navigator
FTE Type
1.0 FTE

103-1221 Lakeshore Road
Burlington ON L7S 0A1

Closing date

The Burlington Family Health Team is looking for a System Navigator who is a dynamic team player to join an innovative, community-based primary care health team.

Position Summary:

  • Collaborating with clinicians, patients and community resources to address non-medical issues impacting patient health and wellness.
  • Assessment of patients’ needs and goals around social determinants of health.
  • Identifying community resources and linking patients through referral, advocacy and collaboration.

Primary Role

  • Assessments –identify patient needs, create goals and care plans, review eligibility criteria for services needed
  • Case management – care plans, direct patient follow up, contact with patients community supports, phone calls, advocacy
  • Supportive counselling to support patients throughout the process
  • Knowledge of community resources and various legislations ex. OW/ODSP, CPP-D, CFSA, WSIB – to provide information and referrals for patients, completing applications and forms, explaining processes and systems, education for clinicians regarding services available
  • Problem-solving, engagement, interview skills – building relationships with patients, clinicians and community services, completing needs assessments, identifying needs and goals to develop care plans


  • Comprehensive understanding of PHIPA legislation
  • Experience with the use of Electronic Medical Records and Clinical Connect
  • Adept at identifying resources through the internet and networking with community agencies
  • Valid driver’s license; home visits may be required


  • Social Service Worker Diploma; Registered Practical Nurse Diploma


  • 2-5 years of experience with working with patients and community agencies

Consults With:

  • Physicians
  • Community Partners
  • IHP’s and other team members
  • Executive Director

How to Apply
Email all resumes to