Salary Range: $63,879.00 To $69,994.00 Annually

Nurse Case Manager (RN) – Primary Care ( Full Time – Permanent )

The Role and Opportunity The Nurse Case Manager – Primary Care delivers comprehensive, person-centred primary health care within an integrated primary care and mental health setting. This role works across two service locations: CMHA Toronto at 700 Lawrence Ave West and Flemingdon Health Centre. The role focuses on addressing complex, multi-faceted health needs, including chronic disease, preventive care, mental health and substance use concerns, and the impacts of social inequities on health and access to care. As part of an interprofessional team, the Nurse Case Manager provides and coordinates primary care services, supporting physical health, early intervention, disease prevention, and ongoing management of complex and chronic conditions. The role emphasizes continuity of care, care coordination, health system navigation, and reducing barriers related to the social determinants of health to improve access and outcomes. Practice is grounded in primary health care principles, including recovery-oriented practice, harm reduction, and culturally responsive care for diverse populations.

Hours of Work: 35 per week

Location : 700 Lawrence Ave West and Flemingdon Health Centre

About CMHA Toronto
CMHA Toronto is the city’s leading community mental health agency. We provide accessible, quality care for Toronto residents through programs, research and advocacy that create belonging and hope. At CMHA Toronto, we take a client-first, recovery-oriented approach to supporting people and their families when they experience mental health challenges or live with mental illness. By integrating health and social care, we provide services that aid in long-term wellness including housing, employment, community connections and so much more. Our goal? Help everyone thrive in the community.

Responsibilities

Conduct holistic health assessments addressing physical, mental health, and psychosocial needs

Provide nursing interventions including health education, chronic disease management, medication support, and treatment monitoring

Support clients with co ‑ occurring mental health, substance use, and physical health conditions

Monitor changes in client health status and collaborate with Nurse Practitioners and the care team to adjust care plans

Coordinate care across primary care, mental health, hospitals, and community services





Develop and monitor individualized care plans in collaboration with clients and the interprofessional team

Facilitate referrals and link clients to housing, income supports, social services, and specialized care

Advocate to reduce barriers and support continuity of care

Collaborate with physicians, nurse practitioners, social workers, case managers, peer workers, and other team members

Participate in case conferences, care planning, program development, and quality improvement activities

Build therapeutic, trauma ‑ informed , recovery ‑ oriented relationships

Support client self ‑ management , goal ‑ setting , and informed decision ‑ making using harm reduction and culturally protected approaches

Maintain accurate, timely clinical documentation in accordance with policies and legislative requirements

Contribute to program outcomes tracking, evaluation, and continuity of care

Assess and respond to changes in clinical status, including crisis intervention and appropriate referrals

Experience & Education Required
Education
Degree in nursing and Registration with Ontario College of Nurses, certification in primary care training is an asset

Related Experience:

Minimum 2+ years of nursing experience, preferably in primary care, community health, or ambulatory settings

Experience conducting intake assessments, health histories, triage, and ongoing care

Strong background in chronic disease management, health promotion, and preventive care

Demonstrated ability to work independently and collaboratively within interprofessional teams

Experience providing consultative and educational support to healthcare and community partners

Skills Required

Clinical knowledge of physical and mental health conditions in primary care or community settings

Ability to conduct holistic assessments and use screening tools to inform care planning

Knowledge of physical and psychotropic medications, including monitoring and adherence support

Skilled in recovery ‑ oriented , trauma ‑ informed , and client ‑ centred practice





Strong collaboration and referral ‑ coordination skills within interprofessional and community systems

Why Choose CMHA Toronto?
If you care about mental illness and mental health and you have the right skills, then CMHA Toronto may be the place for you. We have a positive and fair workplace culture, where staff are provided with opportunities for learning and advancement.

Our benefits include:

Health Care of Ontario Pension Plan (HOOPP), a predictable, secure monthly income upon retirement

Short-term and Long-term Disability programs and life insurance to protect your income upon illness or injury

Work-life balance and flexibility – to ensure you have time for the things that matter to you

Annual Professional Development Funding for career learning and advancement

Work with like-minded, passionate individuals and make an impact on mental health service delivery

Build genuine and authentic connections, with colleagues and clients, with the goal of making a difference

CMHA Toronto is an award-winning workplace committed to fostering a culture of collaboration, empathy, and accountability. Our staff value the flexibility in work schedules, the emphasis on work-life balance, and the organization's commitment to continuous learning through training and development opportunities. Many employees highlight the strong sense of community and support that make CMHA Toronto feel like more than just a workplace—it feels like a community.

As an equity-informed employer, CMHA Toronto reflects the diversity of the communities we serve and is committed to fostering an inclusive and equitable workplace. We encourage applications from equity-deserving candidates, including Black, Indigenous, and racialized individuals, people with disabilities, 2SLGBTQ+ individuals, and women. We recognize and honour the intersectionality of equity-based identities. Personal experience with mental health challenges, whether firsthand or through a loved one, is considered an asset. If you are contacted regarding a job opportunity, please inform us before the interview if you require an accommodation.

To be eligible for this role candidates will be required to adhere to our COVID-19 policy and provide proof of vaccination.

We do not use artificial intelligence (AI) to screen, assess, or select applicants at any stage of the hiring process.

This posting is for a new vacancy.

CMHA Toronto thanks all applicants for their interest, however, only those selected for an interview will be contacted.

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📌 Nurse Case Manager (Ontario)
🏢 Canadian Mental Health Association Toronto Branch
📍 Ontario