About The Position

This is a full-time permanent Case Management position within the TRANSITIONS Program in Hamilton, ON. The role involves providing short-term case management supports to tenants, helping them navigate community and social services, connecting them to appropriate referrals, and building their capacity to self-manage physical and mental health needs. As a registered health professional, you will assist in assessing tenant needs, care planning, compiling resources, coordinating care, documenting, and completing referrals for various health and psychosocial needs. The organization, Indwell, is a growing Christian charity focused on providing affordable housing and supportive programs to individuals impacted by poverty and homelessness, operating under core values of DIGNITY, LOVE, and HOPE.

Requirements

  • Degree in Social Work, Diploma in Nursing (RPN), Recreation Therapy or a related discipline with a focus on mental health, addictions, or disability.
  • Registered with a regulated college of professionals or willing to get registered for that discipline.
  • Experience working within a case management framework with individuals with serious mental illness, substance use, or other special needs.
  • A background working with individuals who have serious mental illness, addictions, developmental services, or other specialized needs using a person-centered & trauma-informed approach.
  • Knowledge of serious mental illness, addictions, concurrent disorders, dual diagnosis, mental health and legislation.
  • Familiar with the community and social services available in the Hamilton area is required.
  • Working collaboratively with internal & external partners.
  • Must demonstrate a warm, sensitive, and caring approach in working with tenants while maintaining appropriate professional boundaries.
  • Having strong initiative, communication, and problem-solving skills with the ability to work independently, be flexible and responsible.
  • A harm reduction and trauma-informed lens, seeking to uphold the health and wellness of individuals as well as the community.
  • A valid “G” class driver’s license with own vehicle.

Nice To Haves

  • Partnering with tenants to develop and implement individualized care plans that support health self-management, connection to community and healthcare services, and navigation of social systems.
  • Lead the development of coordinated care planning with internal and external supports.
  • Complete required documentation in a thorough and timely manner with a focus on maintaining and protecting tenant health records.
  • Promoting the values, vision, and mission of Indwell through positive communication, collaborative decision-making, and active participation in team and agency meetings.
  • Adhering to all applicable policies, procedures, and regulatory requirements.

Responsibilities

  • Provide tenants with short-term case management supports.
  • Help tenants navigate community and social services.
  • Connect tenants to appropriate community referrals.
  • Build tenant capacity to self-manage physical and mental health needs.
  • Assist in assessing tenant need.
  • Assist in care planning.
  • Compile community and social service resources in the Greater Hamilton Area.
  • Coordinate care.
  • Document tenant interactions and progress.
  • Complete a full referral process to a variety of services.
  • Partner with other program staff from multiple disciplines in a participatory, collaborative, and coordinated approach to shared decision-making around case management and referrals.
  • Work within a team in on-site, in-home assessments and interventions to support long-term stable housing through effective holistic supports.
  • Utilize various asset-based and person-centered frameworks to create and manage care plans with tenants.
  • Demonstrate ongoing learning and experience around supporting diverse individuals and communities (i.e., cultural safety, anti-racist and anti-oppressive practice, trauma-informed care, etc.).
  • Enable tenants to build capacity to self-manage their health and related concerns.
  • Connect tenants to appropriate community and social service supports for health promotion and maintenance.
  • Educate tenants on system navigation and self-advocacy skills and resources within healthcare and community and social services.
  • Compile up-to-date resources on community and social services in the GHA and surrounding regions.
  • Facilitate information sessions and workshops for tenants on various public health and community and social service topics.
  • Partner with tenants to develop and implement individualized care plans that support health self-management, connection to community and healthcare services, and navigation of social systems.
  • Lead the development of coordinated care planning with internal and external supports.
  • Complete required documentation in a thorough and timely manner with a focus on maintaining and protecting tenant health records.
  • Promote the values, vision, and mission of Indwell through positive communication, collaborative decision-making, and active participation in team and agency meetings.
  • Adhere to all applicable policies, procedures, and regulatory requirements.

Benefits

  • Vacation: 3 weeks 15 days paid with 8 HEAL days (sick and personal appointments) per year
  • Extensive Benefits paid: Extended health (100% medication coverage- some exceptions may apply), dental and vision care.
  • Life Insurance and long-term disability
  • Employee Assistance Program- primary care and professional consulting services
  • Group RRSP: Indwells contributes 5% of salary
  • New Staff Orientation Days
  • Professional and Personal Development- annual Leadership Conference (themed with guest speaker) + Spiritual Ranch Retreat (reflection and recharge with various outdoor activities). Clifton Strengths Finder Assessment facilitated by People Developer for mentoring opportunities, Lunch and Learn Webinars, Indigenous Cultural Competency and 2SLGBTQ Awareness. Non-Violent Crisis Intervention (NVCI), First Aid/CPR/Naloxone, Therapeutic Relationships and Applied Suicide Intervention (ASIST)
  • Social Events: Indwell’s Hope and Homes Banquet yearly to celebrate the important work we do + team gatherings
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