Community Care Coordinator

CMHA • Aurora, ON

2d • CA$56,444 - CA$60,461 • Hybrid

About The Position

The Community Transition Team supports clients 16 years of age and older who are being discharged from hospitals to connect with the supports they need to stay safely in the community. The Community Transition Team also assists people to stay out of hospitals. Working with our community partners, the team helps clients to transition to the community after being discharged, access immediate support to prevent a visit to the emergency department, develop a wellness plan, find housing, get support for mental health and substance use issues and access peer support.

Requirements

• Diploma in health service field or equivalent
• Member in good standing with one of the following five Colleges regulated to perform in Ontario: The Ontario College of Social Workers and Social Services Workers as Social Worker, The College of Nurses of Ontario, The College of Occupational Therapists of Ontario, The College of Registered Psychotherapists of Ontario, The College of Psychologists of Ontario
• Minimum one year experience in a mental health environment
• Direct personal experience or the experience of a family member and/or friends in living with mental health issues
• Knowledge of the Ontario Mental Health Act, mental health reform principles, the Substitute Decisions Act, the Health Care Consent Act and PHIPA requirements
• Knowledge of systemic issues such as poverty, unemployment, stigma and the isolation felt by individuals with serious mental illness and their families
• Extensive knowledge of supports and services in York Region, including formal and informal resources
• Excellent oral and written communication skills
• Demonstrated ability to work collaboratively with clients
• Ability to use knowledge of functional abilities and mental status to informally assess these in clients
• Ability to apply Recovery principles and empowerment oriented philosophies and practices in work with clients
• Ability to demonstrate diplomacy and professionalism when working with families and other professionals
• Ability to manage time effectively, establish priorities, efficiently organize work, and meet deadlines by engaging in effective problem solving and decision making
• Demonstrated ability to observe boundaries, engage in appropriate emotional regulation, refrain from dual relationships with clients, maintain confidentiality, and engage in reasonable self-care strategies designed to reduce stress by balancing work/life responsibilities
• Employs creative thinking in addressing service delivery issues
• Able to demonstrate computer skills, specifically Microsoft Office and Outlook

Nice To Haves

• Experience working with individuals experiencing serious mental illness, concurrent disorders and dual diagnosis (developmental disability and/or traumatic brain injury) is preferred
• A second language (Cantonese, Mandarin, Russian, Italian, Persian, Punjabi, Korean, Tamil, Urdu) reflecting the local community is preferred
• Must possess a valid Canadian driver’s license and have minimum $1,000,000.00 (1 million) third party liability insurance and proof of insurance coverage of personal vehicle and ability to transport clients
• A satisfactory and current Vulnerable Sector Screening

Responsibilities

• Maintains a client caseload, recognizing the need for extensive travel in some rural areas and intensiveness of contact with specific clients
• Creates a Coordinated Care Plan through Health Links for appropriate clients
• Anticipates, understands, and responds to the needs of internal and external clients within organizational parameters in order to meet or exceed their expectations
• Is familiar with signs and symptoms of trauma in clients and is able to respond appropriately in making referrals and providing short-term assistance to clients to help them to manage these symptoms
• Establishes collaborative partnerships with clients that involve non-judgmental listening and client-directed goal setting that fosters independence, self-determination, competence and hope, by employing empowerment/Recovery principles and practices
• Informs clients of confidentiality requirements and the limitations of confidentiality
• Collects relevant information from clients, and with their permission, from family members and other service providers in order to collaboratively develop an empowerment plan that incorporates Recovery principles
• Assists client to identify and manage symptoms that interfere with daily functioning
• Routinely discusses life and interpersonal skills and problem-solving approaches to help clients gain more independence and provides practical assistance as needed
• Collaboratively develops individualized crisis plans with clients
• Helps clients to take advantage of wellness opportunities including healthy diet, exercise, adequate sleep, and a variety of self-care strategies
• Provides information about community resources to clients, and with their permission, family and significant others
• Attends case conferences, and accompanies clients to agencies, and to health-related and other appointments
• Collaboratively develops with clients a transition plan that will result in a positive termination of service
• Engages in a client-directed partnership that fosters strengths, redefines barriers as needs, while promoting independence, competence, and instilling hope in the development of the empowerment plan
• Uses strengths-based crisis intervention strategies to respond appropriately to clients experiencing relapse
• Is able to effectively negotiate, based upon client instructions, with other service providers, including hospital staff, physicians, psychiatrists and community members, including landlords, store owners etc. to help clients meet their goals and live in Shelter or safety and security in the community
• Uses familiarity with a wide range of formal services and informal supports to link clients to services, supports and resources in the community
• Conducts case conferences in collaboration with the client and her/his representatives
• Provides internal referrals including required documentation

Benefits

• Competitive Total Compensation (including salary, benefits, pension)
• HOOPP (Healthcare of Ontario Pension Plan)
• Comprehensive Health Benefits
• Excellent Benefits Package: Full Extended Health & Dental, Life Insurance, EAP, STD, LTD, & Pension Plan
• Generous paid time off including vacation, sick, personal days

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree