Transitional Case Manager, Queens Ave.

CMHA Thames Valley Addiction and Mental Health Services•London, ON

7d•CA$27 - CA$37•Onsite

About The Position

This role supports individuals transitioning from hospital to live as independently as possible. The Transitional Case Manager works collaboratively with clients to build their support systems, connect them to their community, and teach life skills to help them achieve their recovery goals. Successful candidates must have a Police Vulnerable Sector Check (PVSC) completed in the last six months. This is a full-time, permanent position with benefits, starting in July or August 2026.

Requirements

Diploma or degree in a health, social service or a related discipline.
Valid G2/G class Driver's licence and access to a vehicle with at least $2 million in liability insurance to transport clients.
Ability to attend work regularly.
Police Vulnerable Sector Check (PVSC) completed in the last six months.

Nice To Haves

Knowledge of serious mental illness and addiction and its impact on individuals.
Experience working with individuals with a serious mental illness and/or addiction.
Excellent knowledge of community resources in London-Middlesex.
Basic computer skills.
Registration in good standing with the Ontario College of Social Workers and Social Service Workers (OCSWSSW), the College of Psychologists of Ontario (CPO), or the College of Nurses of Ontario (CNO).
First Aid & CPR, ASIST, and CPI certification.
Bilingual both official languages, preferred; préférence sera accordée aux candidats qui sont compétents dans les deux langues officielles du Canada.

Responsibilities

Assist with short term crisis management by providing an urgent/emergent response to individuals in need of case management supports.
Engage with clients on a short-term basis to support their immediate needs.
Conduct a variety of assessments (skills, functional ability, needs, barriers, etc.) in collaboration with the client.
Assess the adequacy of resources/supports currently available to the client.
Determine the impact of psychiatric symptoms on functioning.
Identify risk factors related to client and staff safety as well as relapse.
Assess barriers to successful community living (e.g., treatment options, transportation, finances, etc.).
Obtain information, as needed, from other relevant sources.
Ensure the assessment incorporates cultural and ethnic factors.
Identify areas requiring additional assessment.
Assist the client to identify their personal goals and preferences and utilize standardized tool (GAIN, OCAN, etc.).
Design rehab plans based on client needs, goals and preferences.
Assist the client to navigate systems and connect to appropriate resources.
Assist the client to explore options and consequences of different choices.
Build on the client’s personal strengths, abilities and resources.
Help clients work towards their vision of a positive personal future.
Help clients identify practical strategies for achieving their vision.
Ensure issues related to transportation are addressed, incorporated into the rehab plan and are consistent with organizational policies and practices.
Work in partnership with the client in all aspects of planning.
Identify intervention strategies to meet goals.
Establish an intervention plan which includes expectations and responsibilities of the client, Case Manager, other supports (e.g., family) and resources, as well as the frequency and nature of interventions.
Obtain necessary consents.
Document and communicate the plan to all relevant stakeholders.
Provide individual skill teaching and/or support the client to obtain the necessary skills training from other sources.
Provide needed information and education about mental illness, coping skills, services, resources, self-help and consumer initiatives/supports.
Utilize basic communication and intervention skills, supported by empirical validity, practice guidelines and relevant standards of care for different interventions.
Encourage and facilitate personal growth and development towards rehabilitation and recovery.
Motivate the client to learn new skills and behaviours.
Build on client’s personal strengths and adjust interventions based on individual response.
Support the client to access needed resources.
Assist the client to identify and connect with personal/natural supports.
Meet with the client regularly to work on specific goals until other permanent supports are in place.
Have knowledge about community resources relevant to clients, including other mental health services, entitlement and benefit programs (e.g., ODSP, Ontario Works, London Housing, etc.).
Identify, develop and maintain good links with a wide range of community resources.
Assist the client to obtain needed resources by educating and supporting the client to access resources, linking the client to appropriate services, advocating with or for the client when needed.
Demonstrate knowledge of community resources and its place within the mental health care system.
Assist in building positive working relationships across the service system.
Participate in public education and advocacy.
Have knowledge of range of crisis prevention and intervention approaches including: crisis prevention strategies, crisis planning, crisis intervention, risk assessment, relapse prevention strategies, crisis services and hospital services.
Maintain regular contact with the London Mental Health Crisis Service to communicate relevant information about clients who may utilize that service.
Regularly solicit feedback from the client regarding their needs and preferences.
Regularly seek input from other relevant stakeholders, internal and external, regarding client progress and incorporate that information into planning and interventions.
Conduct ongoing assessments of client’s progress towards recovery and the need for ongoing intensive case management.
If intensive case management is no longer required, ensure a discharge plan has been developed with the client and other relevant stakeholders.
Ensure important information is communicated to all relevant stakeholders and documented in the record.
Provide outreach support (cold-calls phone/walk-ins) to clients who need more information about mental health services.