Job Description

Position:

(1.0 FTE Position, Contract until March 31, 2026, no benefits)

Reports To:

Manager of Specialized Programs & Services

Position Summary:

The Registered Social Service Worker (RSSW) will provide comprehensive care for clients with chronic disease, communicate and collaborate with other members of the health care team and physician champions for the provision of evidence-based care and development of coordinated care plans.

The RSSW will be expected to identify service gaps and duplication. This position will establish a network within the community creating links between health care agencies, while assisting in developing coordinated care plans for individuals with chronic disease. The RSSW will be involved with patient and caregiver interviews, current and future state mapping, data analysis and reporting.

Roles and Responsibilities:

Work to support the creation of coordinated care plans for individuals

Identify service gaps and duplication in the community

Communicate goals of Complex Care Team in the community

Create links within the community with ODSP, OW, and community housing

Complete required forms to support patient goals

Prepare quarterly reports and monitor daily statistical date to ensure statistics are reported to Ontario Health in a timely fashion

Collaborate and/or consult as appropriate, with members of an interdisciplinary team within the clinic and externally with the community of care

Provide assessment of goals, linking with community partners, advocate for clients and manage social issues that are barriers to care

Participate in committees or community groups where an identified need for advocacy or representation is required

Sit on core working groups as needed

Provide culturally sensitive care

Conduct in-services and workshops for team members, other health professionals and community partners as appropriate

Assist with Home Visits by adhering to the Home Visit Policy Guidelines

Additional Roles and Responsibilities:

Maintain current knowledge of policies and procedures

Manage personal health and social information in accordance with privacy laws and ethical standards.

Maintain confidentiality in accordance with the Municipal Freedom of Information and Protection of Privacy Act.

Work in compliance with Health and Safety laws adhering to safe work practices and procedures established by the CFHT

Other duties as required

Skills/Knowledge Requirements:

Exceptional understanding of current, evidence based and best practice guidelines

Maintain and upgrade knowledge and skills

Excellent communication and organizational skills

Demonstrated ability to work independently and in a team environment

Knowledge of community assessment and development

Education/Specific Job Requirements:

Degree or Diploma in Social Service Work, and registration with the College of Social Workers and Social Service Workers of Ontario

Additional training or credentialing is considered an asset.

Certification in CPR (BLS-C)

Current Ontario Driver's License

Able to work flexible hours including evenings if required

Ability to travel within the community

Police Record Check

It is a condition of employment that you receive the necessary vaccinations to protect against infection of COVID-19, or any similar infectious diseases, which may be recommended by governmental and public health authorities from time to time

Experience:

2 to 3 years related or applicable experience in a community, hospital or primary health care setting

Experience working with ODSP/OW, housing, and providing intensive case management in a home setting is required.

Experience with Practice Solutions as asset

The Couchiching Family Health Team supports diversity, equity and a workplace free from harassment and discrimination. The CFHT is committed to an inclusive, barrier-free recruitment and selection process and workplace. If you are contacted to participate in our recruitment process, please advise the interview coordinator of any accommodations. The CFHT has an Accommodation Policy and Procedure to ensure you have access to a fair and equitable process. While we thank all applicants, only those contacted for an interview will be acknowledged.

Please submit cover letter and resume including position title in subject line to: careers@cfht.ca

Job Types: Full-time, Fixed term contract
Contract length: 6 months

Pay: $58,000.00-$63,000.00 per year

Work Location: In person