Job Description

Sunnybrook Health Sciences has an exciting opportunity for a Social Worker in outpatient geriatric services in the Cipriano Centre for Seniors Health. The Cipriano Centre includes a Day Hospital (rehab), Outreach Team and Geriatric Medicine & Specialized Clinics with a vision to help seniors remain healthy and independent in the community.



Patients seen in the Cipriano Centre consists of individuals aged 65 and older who are at risk of or facing health and social challenges that may include multiple chronic conditions, frailty, cognitive impairment, functional decline, and non-medical factors that impact health outcomes (social determinants of health). Access to an interprofessional team that works across the Cipriano Centre allows for seniors' health needs to be addressed in a collaborative and comprehensive manner, such that care is integrated in partnership with community services to provide care as One Team across sectors.

Summary of Duties:

Provision of SWK services to patients and/or their families in the Cipriano Centre for Senior's Health at an advanced level of practice and within an interprofessional team. This includes psycho-social assessments, psycho-education, counselling to patients and/or their families, advocacy, team consultation, system navigation and linkage to community resources. Member of interprofessional health care team leading, developing, and implementing comprehensive plan of care for patients and their families. Provide consultation to health care professionals and patients/families regarding geriatric issues. Be a role model for exemplary senior friendly care best practices Collaboratively exploring additional standardized tools, processes and guidelines to support integration of practice across the Cipriano Centre. Foster a One Team approach, ensuring integration, collaboration and navigation are embedded across all services. Commitment to Student Education at minimum every 2 years Other duties as assigned related to departmental tasks.

Qualifications/Skills:

Master's Degree in Social Work required Member in good standing of the Ontario College of Social Workers and Social Service Workers (OCSWSSW) Minimum three (3) years' experience working in a Hospital setting and/or outpatient Ambulatory care setting, and/or community healthcare team. Excellence and demonstrated competency in the full scope of SWK practice Good understanding working in Specialized Geriatric services and/or with seniors and their families is strongly preferred. Knowledge of Comprehensive Geriatric Assessments (CGA) is an asset. Experience working with elderly patients with frailty and complex medical and social needs is essential. Commitment to person and family centred care. Knowledge of legislation related to health care context of practice. Experience in facilitating Advanced Care Planning (ACP) and participating in Goals of Care (GOC) conversations. Well-established knowledge of relevant health care system processes, Regional Geriatric Program and community resources required. Excellent assessment, interviewing, counselling and problem solving skills. Strong collaborative interprofessional team skills, negotiation and conflict resolution skills. Comfort in providing public presentations representing the team and/or program. Proven well-developed organizational and time management skills; flexible and adaptable to change and adjusting priorities. Excellent interpersonal and communication skills (oral, written and comprehension). Knowledge and experience in group work dynamics and facilitating groups (i.e. support, educational, etc.) through various platforms (i.e. in-person, virtual) is an asset. * Experience and commitment to quality improvement initiatives.