Care Navigator - Social Worker (12-Month Contract)

Navigation, Care Coordination and Counselling Support clients in navigating the system to access appropriate learning opportunities, support services, care and resources as identified in their individualized plan of service Pro-actively facilitate linkages, communication, information exchange and coordination between clients and service providers along the continuum of care Facilitate regular and ongoing care conferences between clients/care partners and all members of client/care partner care team. This may include in-person meetings and use of a range of technology options and/or accommodations, including language translation services, video conferencing, etc. Provide individual, goal-based, solution-focused, dementia specific counselling to clients for whom the Single-Session counselling model does not meet their needs Provide Support Groups facilitation to various client co-horts as needed In collaboration with internal and external parties, engage in problem solving and develop strategies to address/overcome barriers in effective coordination/integration of supports and services Leverage and maintain positive working relationships with physicians, health care professionals, health and community support service providers (e.g. hospitals, primary care, mental health, BSO, long-term care, retirement homes, police/EMS, specialized geriatrics, community Health Links), and other relevant partners through proactive outreach activities Support awareness of First Link to health professionals, service providers and other relevant community stakeholders in collaboration with internal and external partners Participate in internal/external committees on an ad hoc basis

Proactive Follow-Up / Monitoring & Evaluation

Monitor and provide proactive follow-up for clients and care partners to ensure ongoing collaboration across services/providers and to identify opportunities for new or emerging care options to meet changing needs and to address service/support gaps Provide solution-focused, dementia specific counselling supports to clients and care partners as they transition through use of different parts of the health, social and residential care systems Collect, maintain and report required quantitative and qualitative data to support province-wide monitoring, evaluation and reporting In collaboration with the Alzheimer Society of Ontario and Ontario Health at Home, participate in planning and implementation of evaluation to examine the overall effectiveness of First Link referral, intake, navigation, care coordination, and proactive follow-up functions, to ensure a timely response to emerging needs

Service Delivery Standards and Quality Improvement

Maintain confidential, accurate and current client records, including complete and thorough documentation for each client contact, in compliance with relevant privacy legislation and in accordance with professional standards and internal policies Ensure that client consents, privacy, and confidentiality are maintained in compliance with legislation, professional standards/regulations and internal policies Maintain an advanced level of knowledge of Alzheimer’s disease and other dementias, including clinical manifestations, behaviours, current care practices, treatment options, placement options, available community resources, and all relevant legislation Assist with the development and maintenance of policies, procedures and resources to support First Link referrals, intake, system navigation, care coordination, and follow-up activities Participate in knowledge transfer and exchange and collaborate with Alzheimer Societies across Ontario to support the delivery of best practices and ongoing quality improvement

Expectations - What You Bring

• Education and Experience Minimum bachelor’s degree in social work, MSW preferred. Registration with OCSWSSW, in good standing, required.
• Three (3) to
• Five (5) years’ relevant experience: Working in the health and/or social service sectors, preferably managing chronic and complex health conditions and in settings requiring inter-professional collaboration Providing individual, goal-based, solution-focused, dementia specific counselling to clients is required Working directly with people living Alzheimer’s disease or other dementias and their care partners Conducting assessments and care planning/coordination
• Other
• Knowledge,
• Skills,
• Abilities or
• Certifications: As English is the primary working language at the Alzheimer Society, exceptional written and verbal communication skills is required Bilingual or multilingual - effective verbal and written communication skills French or other languages is an asset Knowledge of available community services/supports and clinical, social and residential care options Understanding of roles and linkages across primary care, community care and specialized geriatric services Strong knowledge of client-centred philosophy Knowledge of clinical practices and training models related to dementia (eg: P.I.E.C.E.S. and U-First!) Exceptional interpersonal skills, including shared decision-making and facilitation Ability to prioritize workload and manage competing tasks Ability to take initiative and be resourceful Excellent problem-solving and changing management skills Proficiency in technology (e.g.: Microsoft office and case management and care coordination systems) Demonstrated ability to work independently and within a team Expertise and experience in cultural sensitivity and diversity

Employment Conditions Work status

• Must be legally entitled to work in Canada. Experience gained in Canada or internationally is valued.
• Travel requirements: Occasional travel may be required.
• Physical demands: Significant periods sitting at the computer, but with the opportunity to move away from the workstation. Sensory attention is required for the majority of the workday (looking at computer screen, reading documents, etc.) Total Compensation /

What We Offer

Hiring salary range: $62,000 - $68,000. Paid time off: Paid Vacation (15 days), sick leave (18 days), personal days (2) & Equity Floater days (3) per fiscal year (prorated from start date) Work arrangement: Hybrid Work; working from home, choice of offices and flexible hours, minimum of 1 day per week. Commitment to Equitable Recruitment The Alzheimer Society of Toronto recognizes the value and dignity of each individual and ensures everyone has genuine, open, and unhindered access to employment opportunities, free from any barriers, systemic or otherwise. Accommodation is available on request for candidates taking part in all aspects of the selection process, in accordance with the Human Rights Code and AODA.

The Alzheimer Society of Toronto welcomes those who have demonstrated a commitment to upholding the values of equity and social justice and we encourage applications from First Nations, Inuit and Métis, Indigenous Peoples of North America, Black and persons of colour, persons with disabilities, people living with dementia, care partners and those who identify as 2SLGBTQIA+.

Application Instructions If you are passionate about supporting inclusive, culturally responsive programs for individuals living with dementia and their care partners in diverse communities, we encourage you to submit your resume and cover letter by the end of day May 26, 2026.

Our organization does not use AI tools to screen or evaluate resumes. All applications are reviewed directly by members of our hiring team. We thank everyone for their expressed interest – and are truly appreciative of the time individuals put into applying – but with the limitations of time, only those selected for an interview will be contacted. All application materials will be retained for a minimum of three years after access to the posting by the public is removed.

Closing Date: End of May 26, 2026