About The Position
The Outreach Worker, Complex Care is a member of the Complex Care Outpatient Program and will be working under the direction of the Manager, Home and Community Care. The Outreach Worker serves as the primary transition coordinator supporting youth and families as they navigate the transition from pediatric to adult healthcare, social, and community services. Beginning as early as age 14, the Outreach Worker partners with patients, caregivers, healthcare providers, and community agencies to ensure a coordinated, informed, and supportive transition experience. This role acts as the team’s subject matter expert in transition planning and related systems navigation, including developmental services, income supports, and community resources. The Outreach Worker also leads family education initiatives, develops resources, supports internal staff capacity building, and maintains accurate caseload and program data. In addition, the role provides administrative support coverage as required.
Requirements
- Vulnerable Sector Check (Essential)
- Postsecondary diploma: Social Services Diploma, Early Childhood Education or Developmental Services Diploma. (Essential)
- Minimum of two (2) years of recent related experience working with children with disabilities and their families. (Essential)
- Clinical skills that demonstrate competence in dealing with children and youth and their families. (Essential)
- Ability to communicate sensitive health-related information to families. (Essential)
- High level of tact, discretion, confidentiality as well as the ability to interact with internal and external contacts in a professional manner. (Essential)
- The ability to work independently and as part of the complex care team. (Essential)
- Self-directed with the advanced ability to plan, organize, prioritize projects and ability to ask questions and to identify difficulties in meeting deadlines. (Essential)
- Must display sound judgment and have the ability to problem-solve.(Essential)
- Strong oral and written communication skills in both official languages (Essential)
- Knowledge of community resources for children with special needs. (Essential)
- Computer literacy with clinical applications, office automation. (Essential)
- Possession of a valid driver’s license and access to a vehicle (Essential)
Nice To Haves
- Bilingualism (English/French) (Preferred)
Responsibilities
- Coordinate and support the transition process for youth moving from pediatric to adult services beginning at approximately age 14.
- Meet regularly with patients and caregivers to assess transition readiness, identify goals, and develop individualized transition plans.
- Guide families through key milestones and system navigation processes related to healthcare, social services, education, and community supports.
- Support caregivers and patients through complex transitions with a family-centred, trauma-informed, and culturally sensitive approach.
- Collaborate with internal team members, healthcare providers, schools, community agencies, and adult-sector partners to ensure continuity of care.
- Facilitate referrals and connections to adult healthcare providers, community programs, and support services.
- Serve as the team’s internal resource and subject matter expert on transition planning and related systems navigation.
- Maintain current knowledge of relevant programs, funding streams, eligibility requirements, and community resources, including ODSP and other developmental or social support services.
- Develop and maintain transition tools, templates, educational materials, and resource guides for staff and families.
- Provide guidance and consultation to team members regarding transition processes and best practices.
- Identify gaps in transition supports and recommend process improvements.
- Plan, coordinate, and facilitate education sessions, workshops, and information events for patients, caregivers, and community partners.
- Develop and distribute educational materials and family resources.
- Produce and distribute the team’s monthly newsletter, including updates on internal initiatives, community programs, policy changes, and relevant resources.
- Promote awareness of available supports and services within the community.
- Support community engagement and relationship-building with external partners and agencies.
- Maintain accurate and up-to-date caseload information within the team’s tracking and documentation systems.
- Track transition-related activities, service utilization, and program outcomes to support reporting and quality improvement initiatives.
- Ensure documentation is completed in accordance with organizational standards and privacy legislation.
- Provide backup coverage for administrative functions as needed, including reception support, scheduling, communication coordination, and document management.
- Assist with general program operations and team coordination activities.
Benefits
- competitive salary and comprehensive benefits package
- unique culture that fosters dedication, communication, respect and teamwork
- place where your opinions will be respected, contributions valued and your initiatives rewarded
- family-friendly environment that supports you and your own family, as well as the children, youth and families we serve
- chance to grow — personally and professionally — through our comprehensive orientation program and on-the-job learning
- support for continued education and learning
- potential for a relocation reimbursement benefit
- truly unique work environment
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
