Social Worker, Community Health

City of Lakes Family Health Team has 4 sites throughout the region including sites at:
Sudbury, Val Caron, Chelmsford and Walden. Sudbury and Val Caron to be the main sites, but visits to the other sites may be required.

18-Month Contract, Full-Time

37.5 hours/week Monday to Friday

Friday, November 20, 2026

Are you a compassionate and resourceful Social Worker looking to make a meaningful impact in primary care?

Join the City of Lakes Family Health Team, where you’ll be part of a dynamic interprofessional team dedicated to collaboration, innovation, and delivering exceptional patient-centered care.

CoLFHT delivers comprehensive, team-based primary care designed to support our patients. You will join a collaborative and innovative team dedicated to improving access to comprehensive primary care across Greater Sudbury. Our Social Workers practice to their full scope within an interdisciplinary environment that values patient-centered care. This role offers a unique opportunity to make a meaningful difference in the lives of patients while helping shape and enhance social work services within our organization.

• Provide brief assessments and therapeutic interventions
• Proficient in assessment, psychotherapy and psychological counseling techniques including CBT, SFT, motivational interviewing for working with individuals, couples, families and communities
• Support patients through counseling, education, and outreach
• Demonstrated ability to form and maintain helping relationships with patients.
• Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources;
• Establish collaborative treatment planning and goal setting with patients
• Conduct home visits and community outreach
• Participate in case reviews and team discussions
• Educate patients, families, and staff on psychosocial health and prevention strategies
• Stay current with best practices and share knowledge with the team
• Create and support pathways that facilitate the social worker working to their full scope of practice
• Ability to work effectively as part of an interdisciplinary team
• Be a part of our Patient Navigation program, lead by our Patient Navigator
• Help patients access community and social services
• Advocate on behalf of patients with external agencies
• Strengthen communication between community partners and our care team
• Refer patients to the program for supports accessing financial supports, housing, legal aid, and social services
• Build capacity among providers to identify and support patient navigation

• Develop tools and guidelines to support best practices
• Collaborate with our Quality Improvement team to measure impact
• Enhance EMR functionality to support navigation and tracking
• Participate in data collection and program evaluation

• A supportive, inclusive, and forward-thinking work environment
• A collaborative team culture that fosters learning, innovation and a shared purpose
• Opportunities for professional growth, leadership, and continuing education
• A chance to make a lasting impact in the Greater Sudbury community

• Bachelor’s degree in Social Work from an accredited institution
• Minimum 3 years of relevant experience
• Registered and in good standing with the Ontario College of Social Workers and Social Service Workers
• Experienced in social work interventions and strategies to assist clients or families to achieve optimum psychosocial and social functioning
• Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources
• Experience in providing one‑on‑one supports to individuals with diversity…