Social Worker

About the Clinic

Our clinic operates as an Inter-professional Primary Care Team (IPCT) that optimizes the principles of population health management and is designed to provide comprehensive and patient-centered care. We aim to deliver holistic services that address medical and social health determinants. Our clinic serves diverse populations, including vulnerable and equity-deserving communities, by offering in-person, virtual, and mobile health services. By deploying a novel team-based care approach with team members working to the top of their scope, we strive to improve health outcomes and ensure equitable access to care for all our patients. We are committed to Indigenous and trauma-informed care, as well as providing care to the homeless. Support for training to provide such care will be provided.

The Social Worker is responsible for coordinating and delivering comprehensive mental health and addiction services to patients. The Social Worker will work collaboratively with patients, their families, and the Inter-professional Primary Care Team (IPCT) to provide holistic care, ensuring that patients receive the support they need to optimize their mental health. Note that the role's deliverables and responsibilities may evolve to match provincial and or local OHT priorities.

Requirements

• B.S.W. or M.S.W. degree.
• Registered Social Worker through the Ontario College of Social Workers and Social Service Workers.
• Experience in community-based mental health settings.
• Proficiency in EMR systems and healthcare technologies.
• Strong communication and interpersonal skills.
• Cultural sensitivity and commitment to equity.
• Valid driver's license and access to a vehicle.

Job Description: Summary:

Direct Service Delivery - Care Coordination

• Primary contact for mental health and addiction services, ensuring seamless communication between patients, families, and the Inter-professional Care Team (IPCT).
• Coordinate care plans for patients with various mental health conditions.
• Collaborate with Primary Care Providers (PCPs) and IPCT to develop and adjust individualized care plans.
• Assess and address social determinants impacting patient well-being, facilitating connections to resources.
• Facilitate warm transfers to external services for continued patient support.

Addictions Support

• Provide comprehensive support for patients with substance use disorders, including counseling and rehabilitation coordination.
• Assist patients in accessing community resources and prevent relapse through ongoing monitoring.

Appreciative Inquiries and Therapeutic Use of Self

• Conduct appreciative inquiries to identify patient strengths and resilience factors.
• Use patient strengths to enhance mental health treatment and resilience building.
• Perform risk assessments to promptly address mental health risks.

Documentation

• Maintain timely and accurate case notes and documentation in EMR systems.
• Ensure all documentation follows agency and clinic policies.

Advocacy

• Advocate for clients to ensure their mental health needs are met.
• Develop advocacy plans with clients to access necessary services.
• Engage in systemic advocacy efforts.

Agency Wide Responsibilities

• Support organizational vision, mission, and values.
• Participate in supervision, performance reviews, and professional development.
• Represent the agency in community initiatives and events.
• Serve on committees and assist in service access development.

Policies, Procedures, and Legislation

• Adhere to organizational policies, procedures, and legislative requirements.
• Stay informed on mental health legislation and standards.

Additional Requirements

• Valid Canadian driver’s license and appropriate insurance.
• Satisfactory Vulnerable Sector Screening (Police Check).

Working Conditions

• Office work, community clinic, community settings, meetings in clients’ homes, and travel with clients. May occasionally require evenings and weekends.

Disclaimer

In keeping with mental health reform, best practices, funding, and direction this position may later require knowledge, skills, abilities, and working conditions not noted here.

To request this posting in an alternate format or to request accommodation in the application process, email AODA@cmha-yr.on.ca [AODA@cmha-yr.on.ca]

Application Procedure

If you are interested in this opportunity, please visit https://cmha-yr.on.ca/careers/. Click on the “Apply Now” button and proceed to upload your cover letter and resume.

Complete the application form and submit the following

• Optional Cover letter with 300 words or less and tell us why you would want this role and why you should be considered for the position (PDF or Word)
• Resume (PDF or Word) (applications without resumes will not be considered)

• CMHA-YRSS is dedicated to promoting employment equity and dismantling obstacles to employment for marginalized communities. CMHA-YRSS supports the journey to mental wellness, and we welcome applicants with lived experience of mental illness. In acknowledgment of the systemic underrepresentation faced by Black, Indigenous, racialized peoples, and those living with disabilities, this opportunity has been developed based on the special program provisions of the Ontario Human Rights Code. We therefore extend invitations for applications from the following groups:
• Racialized Persons
• Indigenous Persons
• Persons living with Disabilities

While we thank all candidates for their interest, only those selected for an interview will be contacted.