Utilizes components of evidence-based models of care coordination and case management to foster continuity of treatment. Co-ordinates a patient’s specific needs with appropriate community supports or social services. Follows up with direct contacts and advocates on a patient’s behalf for support services/resources.

Facilitates timely access to services through established partnerships and supports. Supports effective discharge coordination through psychosocial assessment in collaboration with the interprofessional team. Co-ordinates the treatment plan with a patient, natural supports, social services, and community service providers.

Assists patients with personal/environmental causes of social dysfunction which predispose illness or interfere with achievement of patient goals.

Care Coordinator

Utilizes components of evidence-based models of care coordination and case management to foster continuity of treatment. Co-ordinates a patient’s specific needs with appropriate community supports or social services. Co-ordinates the treatment plan with a patient, natural supports, social services, and community service providers.

Assists patients with personal/environmental causes of social dysfunction which predispose illness or interfere with achievement of patient goals. Offers educational consultation in regard to community resources for patients’ psychosocial adjustment to mental illnesses, and reintegration into the community. Performs committee work as part of the ongoing work of the Ontario Shores Social Work Professional Advisory Council.

Attends professional and clinical events and continuous development of social work competence. Provides consulting services to other social workers or members of the interprofessional team in relation to social work activities. Assists in providing skilled supervision to BSW social work students as required.

Community Liaison And Resources Person Represents

Ontario Shores by serving on administrative, clinical and community boards, committees and in other cooperative forums. Identifies community program needs. Provides information/education to community agencies/groups.

Participates collaboratively in hospital and program committees/meetings in planning, implementing and evaluating of hospital/program policies and procedures. Participates in program education, research projects. Patient safety and organizational safety (environmental and employee) standards are embedded into the job descriptions of everyone employed by the hospital.

Performs all work at all times in compliance with all hospital policies and procedures and legislation (Occupational Health &Safety; Act, Fire Code, WHMIS, etc.) relevant to health and safety,



security (including relational/therapeutic security) and potential risk hazards, and in particular, “duties of the worker” as defined in Section 28 of the OH&S; Act. Assist in continuous quality improvement and evaluation of the interprofessional clinical team services/partnerships by: Assisting in the collection, analysis and preparation of pertinent data for periodic and regular reports and where permitted formulating, collecting and analyzing clinical research data; Attending to management information system requirements; Bachelor’s of Social Work degree from a recognized university. Current registration as a Social Worker with the Ontario College of Social Workers and Social Service Workers.

Knowledge of mental health and social work theory and practice gained through preparation from an undergraduate social work program – i.e. recovery-based psychosocial rehabilitation principles and techniques, including: group, family/individual, crisis intervention; Knowledge of theories involving social interactions and dynamics of individuals and families and conditions which contribute to dysfunction in order to facilitate development of appropriate treatment plans. Sound knowledge and skill of evidence based social work assessment, identification, treatment, interventions and best practices which incorporates psychosocial rehabilitation values and principles and applied in mental health settings i.e. hospital and community; Advanced knowledge of relevant community resources and service systems to facilitate support for people with mental illness and natural supports through the process of community development, integration and advocacy; Knowledge of facility/program policies and procedures by which: to advocate on patient’s behalf to safeguard patient entitlements and rights, and to ensure accepted social work standards of practice; and to report appropriate observations to supervisor that may affect patient treatment, care, or safety.

Mental Health

Act, Long Term Care Act, Health Care Consent Act, Homes for Special Care Act, Regulated Health Professions Act, Social Work Act … etc - to ensure compliance and consistency, and to ensure that legislated client entitlements such as consent to treatment are observed.



Reasoning skills to gather and interpret information from multiple informants and sources - e.g. patients, families, community health services providers … etc., and e.g. referral documents, court and other historical reports, clinical notes … etc.

- to identify problems, evaluate information and draw conclusions when developing a treatment plan. Analytical skills to apply a bio-psycho-social model and an ecological perspective to evaluate service needs and requirement for differential intervention in service delivery. Also, to elicit and interpret information from patients, families, community health service providers and other sources; to identify problems, evaluate information and draw conclusions when developing a treatment plan; Exercising independent judgment and initiative particularly as they relate to treatment of people with serious mental illness and working with their caregivers in the community. Sensitivity in responding to ethno-cultural and religious aspects of patient circumstances in rendering assessment, treatment planning, and advocacy intervention. Collaborative skills in working with an interprofessional team, and fostering cooperation with multiple stakeholders when recommending and implementing treatment plans. provide education and consultation regarding mental health treatment issues to community based service providers. Organizational skills to facilitate community services and resource acquisition in order to maintain community tenure and to function independently while working within the interprofessional team utilizing components of care coordination. Computer skills at functional level to develop documents, produce research data, ability to use e-mail, intra and internet; Position may require travel. Working independently and collaboratively within the interprofessional team context and within facility, hospital, legislative and social work practice parameters. Communicating issues such as non‑compliance with social work standards and facility procedures to the team for group discussion and resolution, and to supervisor. Developing community liaison programs which are responsive to hospital and community requirements, and treatment programs to meet patient/family/stakeholder needs and goals. Freedom of action and initiative in assessing patients’ needs, in collaboration with the interprofessional team, determining which hospital/community resources would best fulfill these needs, and in facilitating linkages with those resources. Participating in research and analysis of data as well as quality improvement tasks. Link to OPSEU Wage Table - This position is part of the OPSEU bargaining unit. This is a 12 month contract.

📌 Temporary, Full-Time Social Worker, Social Work (Whitby)
🏢 Ontario Shores Centre for Mental Health Sciences
📍 Whitby