CASE MANAGER, REGISTERED NURSE
Housing First for Encampment & Street Homelessness (H-FRESH)
Full-Time Position, until September 2027
Sunday - Thursday 11:00am-7:00pm
Existing Vacancy
Compensation: $35.07/hour – 39.07/hour
Cota is an accredited not-for-profit organization that has been providing community-based support to people living with mental health and cognitive challenges for over 50 years. At present, our wide array of services delivers much needed support to over 4,000 people/year who live with mental health challenges, psychogeriatric mental health conditions, acquired brain injuries, developmental disabilities, dual diagnoses and/or the experience of homelessness. These services include, but are not limited to, case management, supportive housing and adult day program services. A full listing of our services can be viewed on our website at https://cotainspires.ca/

Role Overview
The Case Manager, Registered Nurse is responsible for providing Recovery Oriented services to COTA Health clients in a manner consistent with COTA Health’s Mission, Vision and Values.

The Case Manager, Registered Nurse provides case management support and care for the over all well-being of clients.

About The Team
The Case Manager, Registered Nurse is linked to Cota’s Assertive Housing First Team (AHFT), with a targeted focus on individuals residing in encampments in East Toronto. The Housing First for Encampment & Street Homelessness (H-FRESH) branch of AHFT, provides targeted, assertive outreach supports specifically to 40 individuals currently residing in encampments in East Toronto. H-FRESH is a City of Toronto funded research project, in collaboration with CAMH and LOFT.

The Assertive Housing First Team (AHFT) utilizes an interdisciplinary team model and a Housing First approach to support individuals who are homeless and living with mental health challenges. AHFT is an interdisciplinary team comprised of Case Managers who have expertise in Mental Health, Addictions and Nursing, Personal Support Service Worker, Peer Support Specialist and Access to team psychiatric hours.

The Case Manager, Registered Nurse will contribute to the development of comprehensive person-centered psychiatric and physical health assessments and treatment plans, and provide community-based case management supports to an assigned group of service users, including education, crisis intervention, and linking to community resources. This position also will provide social, educational, and addiction group activities.

Primary Responsibilities

Assertive outreach to client coming out of Encampments

Conduct face-to-face assessments with clients at their locations including but not limited to encampments, streets, shelters and hospitals

Initiate services to clients at the point of intake to ensure that proper assessment and initial service response occurs

Develop coordinated care plans with/for clients and complete the Ontario Common Assessment of Need (OCAN) and other assessments as required





Administering and Management of client’s medications in conjunction with team psychiatrist

Provide community-based case management supports, including education, crisis and harm reduction intervention

Making referrals to community services

Interact directly with referral sources,physicians, and other services involved in client’s care

Collaborate with other systems, organizations and individuals from courts, probation, safe beds, hospitals and community to ensure a well-coordinated service system

Linking to community services and agencies and/or providing support and resources

Provide housing support to ensure stabilization and eviction prevention

Assist with ID cards, OAS, OW/ODSP, Trillium, etc.

Support with medical and or mental health challenges.

Support with food security, including purchased of food items for clients

Accompany to appointments

Record client status/progress using the appropriate documentation system

Clinical Skills

Review referral information of applicants to the program, assess eligibility for the program and confirm acceptance of clients into the program

Develop collaborative, supportive and therapeutic relationships

Complete comprehensive psychiatric and physical healthassessment of the nature of each client's unique goals and needs through collaborative engagement with each client's, and their respective support networks

Provide guidance and assistance to each client in relation to the development of both a personalized Safety Plan and aRecovery/Goal Plan

Provide health education to client and teamto promote health and well-being

Provide direct practical support, coaching and counsel to clients in their pursuit of identified goals and needsSupport administration of medication program in collaboration with AHFT psychiatrist, including administration and delivery of medications and administration of intramuscular injections

Assisting clients with emergency and/or crisis needs as required/appropriate

Qualifications
Education:

Bachelor’s Degree in Nursing

Registered with the College of Nurses of Ontario

Experience

Minimum 2 years’ experience in nursing, psychiatric nursing preferred community outreach experience preferred

Experience working with clients with a concurrent disorder and those living in unstable housing situations or homelessness

Experience working in acommunity agency an asset

Knowledge & Skills

Demonstrated commitment to the Housing First model and philosophy

Familiarity with the Ontario Mental Health Act and Mental Health reform

Knowledge of PSR and Recovery as guiding principles for assessing and developing treatment plans for clients





Demonstrated skill and competence to establish supportive trusting relationships with persons with a serious mental illness with respect for clients’ rights and preferences

Excellent mental health and addictions clinical mental health assessment/interview skills

Taking the lead role or participation in providing medication administration and medical services

Knowledge of psychotropic medications, especially the newer neuroleptics and their intended effects and possible side effects in order to develop, revise, maintain and supervise team pharmacologic and medical treatment and medication policies, including evaluating and charting psychotropic medication effectiveness, complications, and side effects; and arranging for required blood work according to protocol

Ability to dispense and inject neuroleptics

Demonstrated ability to work independently, cooperatively and constructively within a multidisciplinary team environment

Excellent organizational and interpersonal skills, and the ability to work flexible schedule, including weekends and holidays

Excellent computer skills (e.g., Word, Excel, Microsoft Outlook)

Other

Conduct visits in encampments, clients’ homes, hostels, hospitals and other community settings working in sometimes difficult conditions, including hoarding and pest infestation.

Must have access to vehicle (Please note that access to a vehicle means owning, borrowing, or renting the vehicle. Alternatively, using ride services, such as Uber, cab, and taxis at no cost to Cota)

Benefits

Extended health care

Life insurance

Accidental death and dismemberment insurance

Dental care

Travel assistance

Vision care

Interview Process
Cota may choose to conduct parts/all of the hiring process virtually. Please note that as part of maintaining an agile workforce, all Cota staff may be required to be reasonably reassigned to support the operational needs of our essential services.

Screening Process
Please note that Cota uses AI to screen potential applicants for all roles.

We would like to thank all those that apply; however, due to high volumes of interest, only those selected for an interview will be contacted.

Application deadline
August 27, 2026 at 4:00pm.

Values
Hope, Respect, Dedication, Equity, Accountability, Collaboration, and Innovation are key values of Cota. We are dedicated to promoting a diverse and inclusive workplace, upholding dignity, and acknowledging each person's individual contributions and potential as an equal-opportunity employer. We uphold the Ontario Human Right Code and strongly encourage applications from people of color, women, Indigenous Peoples, people with disabilities, LGBTQ2S+ people, and others who provide various viewpoints. Cota ensures an accessible hiring process in line with the AODA principles, providing accommodations for applicants with disabilities. For any accommodation requests, please contact [email protected]

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📌 Case Manager, Registered Nurse (Ontario)
🏢 Cota
📍 Ontario