As part of the multidisciplinary team, provide holistic and incredible care, empower patients and caregivers to take charge of their own health through technology, raise awareness and accessibility of available resources that can be tapped on, nudging them towards action.

• To build relationships with internal (care team) and external stakeholders (patients and caregivers).
• To contribute to achieving clinical outcomes for preventive health screenings and reduce readmission and escalations to tertiary care, and, to gather social determinants of health pertinent to influencing social and health outcomes in positive ways
• Leverage on technology to empower patients to improve health literacy and accessibility to resources
• Responsible for assisting in coordinating and providing patient care activities. This includes the use of IT systems to track, perform and document established clinical indicators and care...