Case Manager, Integrated Seniors Team (IST) Program
Job Posting #IST-CM-050/2025-26
Date Posted:
Dec 30, 2025
Reports to:
Senior Manager of Health Promotion and Prevention
Position Type:
Full Time
Date Closed:
January 12, 2026
About Organization:
Punjabi Community Health Services (PCHS) is a pioneer community-based not-for-profit, charitable organization. PCHS has been fulfilling the needs of diverse populations for 35 years by providing services in the areas of addictions, mental health, geriatric care, health promotion, domestic violence, parenting, settlement, and services for women, children, and youth. PCHS has several research studies to its credit and is recognized as an innovative organization for community development, as well as for its Integrated Holistic Service Delivery Model. PCHS is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) International and Imagine Canada
About Position:
Integrated Seniors Team (IST) Program is a partnership project with Punjabi Community Health Services (PCHS), Services and Housing in the Province (SHIP) and Peel Senior Link (PSL) to provide supportive and health services that maximize the ability of high risk seniors to live independently in their homes. IST Case Manger will provide risk assessment and education and, connect the clients with mental health services, personal support services, supportive housing options and other community services, as required. IST Case Manager will closely work with program partners using Integrated Holistic Service Delivery Model to serve the South Asian seniors in the Central West Ontario Health team boundaries.
About the Position:
Integrated Seniors Team (IST) Program is a partnership project with Punjabi Community Health Services (PCHS), Services and Housing in the Province (SHIP) and Peel Senior Link (PSL) to provide supportive and health services that maximize the ability of high-risk seniors to live independently in their homes. IST Case Manager will provide education, conduct risk assessment, and connect the clients with mental health services, personal support services, supportive housing options and other community services, as required. The IST Case Manager will closely work with program partners using the Integrated Holistic Service Delivery Model to serve the South Asian seniors in the Central West boundaries.
Qualifications and Skills :
Diploma or Degree in social work or related field
Registration with applicable regulatory body is required
Understanding and knowledge of the needs of the seniors
Demonstrates understanding of case management, care plan creation and resources navigation for seniors
Experience in supporting seniors and their caregivers through counselling, home visits and active advocacy
Ability to work in collaboration with partner agencies
Experience in crisis management and supportive counselling
Excellent working skills of MS Word, Excel, PowerPoint, internet and email
Familiarity with Cloud technology and Share-Point is an asset
Effective communication skills with individuals at all levels of the organization
Superior time management skills, multi-tasking and ability to prioritize tasks with minimal supervision
Excellent written and verbal skills
Ability to work independently, as well as in a team
Requirements:
Fluency in South Asian Languages (Urdu, Hindi, Punjabi)
A satisfactory current Vulnerable Sector Screening (Criminal Record Check) report
Current CPR and First-Aid certification
Vaccines (COVID-19 and others) are encouraged
Must possess a valid Ontario Driver's License, have regular access to a reliable vehicle and provide proof of adequate vehicle insurance. Role requires frequent travel in the community to visit clients.
Key Responsibilities:
The Case Manager will work collaboratively with the partnership to provide prompt and appropriate access to services for the high risk seniors. The Case Manager will provide both intensive and non-intensive services depending on client needs, which include but are not limited to the following:
Assess client needs
Home visiting as required
Service care planning based on client's needs and goals
Teaching independent living skills and social skills
Symptom management
Linking with appropriate community resources and natural supports
Crisis prevention/ intervention
Use Inter RAI-CHA and other assessment tool
Case Management functions (outreach and client identification, comprehensive individualized assessment and planning, direct service provision, coordination and support, monitoring and evaluation, systems advocacy and discharge planning)
Program development and capacity building
Monitor and regularly review and if appropriate revise service plans with clients to facilitate the provision of services that are relevant
Participate effectively in staff and other designated internal meetings
Participate in IST meetings with SHIP and Peel Senior Link
Assists clients in identifying and advocating for their rights
Advocate on behalf of client where necessary
Maintain client files and documentation as per agency policies, procedures, standards and guidelines
Collection of data that are appropriate and relevant to the program
Set performance and development goals aligned with program requirement
Participate in regular supervision with supervisor
Attend relevant conferences, workshops and other in-service events as appropriate and approved
Work Hours:
Full-time, 37.5 hours per week (Some evenings and weekends work is required)
Annual Salary:
$50,000-$55,000
Position to commence:
January, 2026
Please submit your resume by January 12, 2026 via Indeed
PCHS offers an attractive and rewarding work environment. We appreciate all applicants' interest, but only those under consideration will be contacted for an interview.
PCHS is committed to diversity in its workplaces and welcomes applications from all visible minority groups, women, Aboriginal persons, 2SLGBTQ, persons with disabilities, among other self-identified diverse groups. We also provide accessible employment practices that comply with the Accessibility for Ontarians with Disabilities Act ('AODA'). If you require accommodation for a disability during any stage of the recruitment process, please notify Human Resources.
Job Type: Full-time
Pay: $50,000.00-$55,000.00 per year
Benefits:
Dental care
Employee assistance program
On-site parking
Vision care
Wellness program
Ability to commute/relocate:
Brampton, ON L6T 3T6: reliably commute or plan to relocate before starting work (required)
Education:
DCS / DEC (required)
Experience:
supporting seniors : 1 year (required)
Location:
Brampton, ON L6T 3T6 (preferred)
Work Location: Hybrid remote in Brampton, ON L6T 3T6
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