Caregiver with patient

Care Navigation in St. Vital

Care Navigation. Nurse-led. Doctor-supported.

Nurse-led coordination across physicians, specialists, WRHA Home Care, insurance, and community resources — so families stop playing case manager for a system that does not talk to itself.

Care planning in St. Vital: Care in St. Vital can be planned around appointments or a return home from Victoria General or St. Boniface, then supported through personal care, nursing, foot care, respite, transportation, or rehabilitation at home.

How this service connects to local care

A plan for the person, the home, and the schedule

How the service fits

Care navigation can organize referrals, discharge planning, equipment, public Home Care applications, Self and Family Managed Care, insurance, and the handoff between family and paid care.

Hospital and appointment handoff

If care follows a stay or appointment at Victoria General Hospital, share the discharge date, written instructions, medication changes, mobility limits, equipment needs, and follow-up schedule. Prime provides discharge planning, hospital-to-home transportation, appointment escorts, nursing, and post-surgery support.

Home and scheduling details

The nurse assessment should review entrances, stairs or elevators, bathroom access, safe transfers, medication storage, caregiver access, parking, and whether overnight support is required. Confirm preferred visit times, appointment dates, family handoffs, language preferences, and whether overnight care means an awake shift or a live-in arrangement.

What's Included

Physician & specialist coordination
WRHA Home Care liaison
Insurance navigation & direct billing
Hospital discharge planning
Community resource referrals
Funding & benefit application support
Family care meetings
Care plan development & updates

What Your Family Gains

Family burden lifted

Adult children stop being the full-time case manager for a parent.

Funding maximised

We know the programs and paperwork most families never find.

Gaps closed

The cracks between hospital, family doc, specialist, and Home Care get bridged.

Nurse-led

Care navigation with clinical expertise — not a call centre script.

Geographic and facility context for St. Vital, Winnipeg

Nearest hospital

Victoria General Hospital (~7 min) and St. Boniface Hospital (~10 min)

Care facilities nearby

Riverview Health Centre · Misericordia Place (nearby) · Park Manor Care (Transcona, short drive)

Area character

Large established south-east district along the Red River, a mix of postwar bungalows and newer infill with a strong small-business main street on St. Mary's Road.

Community context

Aging-in-place suburb with a large cohort of 65+ homeowners who bought in the 1970s–80s; mixed English and some francophone households near Norwood.

Common Questions