DUTIES AND RESPONSIBILITIES:

 Provide comprehensive culturally-responsive and community-based case management services, needs assessments, service navigation support and care plan development to a diverse caseload of up to 30 clients;

 Complete client intakes for approved referrals and coordinate client enrollment documentation;

 Participate in workshops, training and meetings facilitated by the City of Toronto as per funding requirements;

 Engage effectively with Black, Indigenous and Persons of Colour experiencing mental health, addictions, cognitive issues, physical health issues and/or homelessness;

 Use a harm reduction and strengths-based approach in service provision, acknowledging historical mistrust and fear of the target population in accessing services;

 Use an Intensive Case Management approach for clients with high support needs, including contacts 2-3x week;

 Advocate on behalf of clients to access a range of services;

 Conduct outreach in the community, including visits to client units, encampments, parks, shelters, and other sites;

 Participate in joint case conferences and use a team-oriented approach to coordinate access to services and facilitate referrals, such as housing, identification replacement, legal, financial assistance, primary care, HIV specialists, mental health and addiction supports, emergency shelters, etc.;

 Collaborate with internal Fife House residential programs to facilitate joint case management meetings and regular communications in regards to client support;

 Provide appointment accompaniment where necessary to promote housing stability and liaise with relevant service providers to coordinate supports;

 Engage in crisis intervention/prevention with clients, safety planning,



and provide supportive counselling;

 Complete housing and respite applications, advocate for appropriate housing opportunities and supports within and outside of Fife House, and assist with market rent searches where appropriate;

 Provide eviction prevention support, including liaising with client’s landlords, social assistance programs, legal services, extreme clean services, trusteeship programs, Landlord and Tenancy Board, etc.;

 Directly assist with clients' activities of daily living as it supports housing and health maintenance, including the acquisition of life skills such as hygiene, medication management, cooking, cleaning, shopping and budgeting;

 Facilitate and document a comprehensive discharge plan;

 Provide co-supervision to placement students with the Program Manager;

 Provide guidance and/or peer-to-peer coaching to students, volunteers, and colleagues where appropriate;

 Document client-related and care coordination activities in the case management system in an accurate and timely manner;

 Maintain accurate and updates client and program records;

 Conduct Office Hours at program location on a rotational basis as scheduled;

 Participate in team meetings, case management rounds, supervision, and professional development;

 Submit expense claims and relevant documentation in accordance with agency regulations;

 May be required to work evenings and/or weekends, or schedule may change as per program needs;

 Participate in program partnership with the Blue Door Clinic and provide time-limited case management services as directed;

 Participate in program evaluation and development activities, and liaise with agency community partners;

 Other duties as assigned by the Program Manager or designated manager;

📌 Test (Toronto)
🏢 Fifehouse
📍 Toronto