Social Service Case Worker

The Social Service Case Worker provides assessment, system navigation, and advocacy to support patients and families dealing with social, emotional, financial, or mental health challenges. Working within an interprofessional primary care team, the Social Service Case Worker ensures patients receive coordinated, holistic, and culturally responsive care.

• Conduct comprehensive biopsychosocial assessments to identify patient and family needs.
• Provide short-term counselling, crisis intervention, and supportive case management.
• Assist patients in accessing community and government services (e.g. housing, financial aid, mental health supports, legal and settlement services).
• Collaborates closely with family members and caregivers, senior services, transitional and acute care teams, EMS, emergency departments, rehabilitation centres, community agencies, landlords, and other professionals to identify challenges and develop effective solutions for service delivery and system improvement.
• Provides comprehensive case management and care coordination, including advocacy, coaching, risk assessment, crisis prevention and intervention, and referrals to appropriate supports such as primary care providers, financial assistance programs, assistive devices, home and safety assessment resources, food banks and meal programs, transportation services, and social or recreational programs.
• Facilitates and coordinates communication among clients, caregivers, healthcare providers, the Office of the Public Guardian and Trustee, landlords, and community organizations to ensure continuity and quality of care.
• Maintains accurate, up-to-date client records, case notes, and workload documentation in the EMR, in accordance with organizational policies, professional standards, and privacy legislation.
• Develop and implement care plans in collaboration with physicians, nurses, and interdisciplinary health providers.
• Participate in case conferences, quality improvement initiatives, and program development within the Family Health Team.
• Contribute to the development and delivery of health promotion or mental wellness initiatives.
• Provide education and health promotion to individuals and groups as needed.
• Uphold patient confidentiality and comply with relevant legislation such as PHIPA, Mental Health Act, and the Health Care Consent Act.
• Take on additional initiatives that contribute to the growth of the health team.

• Bachelor’s degree in Social Work (BSW) or Social Service Work diploma
• Registered and in good standing with the Ontario College of Social Workers and Social Service Workers (OCSWSSW).
• Minimum 2 years of experience providing counselling or case management in a primary care, community health, or social services setting.
• Knowledge of social determinants of health, local community resources, and health/social systems in Ontario.
• Strong interpersonal, communication, and documentation skills.
• Demonstrated ability to work independently and collaboratively in a multidisciplinary environment.
• Experience with EMR systems considered an asset.
• Proficiency in a second language such as Mandarin, Cantonese, Korean, Farsi, Tagalog, and Spanish is a strong asset.
• Culturally competent and trauma-informed approach to care.
• Dental care
• Extended health care
• On-site parking

Contact: Please email cover letter, resume, and references to (Use the "Apply for this Job" box below). will receive applications and contact you further for an interview if you meet preliminary requirements.

Thank you for your interest!