Comprehensive Care Specialist (2025-455-CC)

WoodGreen Community Services; Toronto; On-site; CAD 72,000; Full time

Job summary

A community service organization in Toronto seeks a Comprehensive Care Specialist to support clients transitioning from hospital to community. You will provide case management, conduct assessments, and deliver crisis intervention. The ideal candidate has a Master’s degree in Social Work or a related field, and experience in mental health and addictions. This role offers a salary of $72,298.50 on a 12-month contract with onsite work expectations.

Qualifications

• Minimum of 3 years experience in mental health, addictions, and/or social work is required.
• Experience facilitating psycho-social groups and supporting individuals with significant mental health and/or addictions issues.

Responsibilities

• Support transitions from hospital to community for individuals with complex needs.
• Provide service coordination, psycho-social assessment, and intensive case management.
• Collaborate with the CCIS team and contribute to service capacity planning.

Skills

Client engagement

Crisis intervention

Mental health recovery

Psychosocial assessments

Education

Masters of Social Work, Psychology, Counselling or relevant field

Registration with relevant regulatory college

Job description

Employment Type: 12-month Contract Salary, Bargaining Unit (1 Vacancy)

Work Hours: 37.5 hours/week (Mon-Fri 9am-5pm)

Work Setting: Onsite – Limited Opportunities to Work Remotely

Salary: $72,298.50

Application Deadline: October 16, 2025 by 11:59 pm

Competition #2025-455-CC Comprehensive Care Specialist (2025-455-CC)

Program Overview – Community Care

This position is accountable to the Supervisor support to the clients referred to the Comprehensive Care and Integration (CCI) Specialist team. The incumbent is responsible for supporting transitions from hospital to community for individuals living with complex mental health, addictions, and health needs, and psychogeriatric concerns. The CCI specialist provides clients with short term case management, attachment to primary care as needed and develops a coordinated care plan (CCP).

The Comprehensive Care Specialist is responsible for working independently and with the Comprehensive Care and Integration Specialist (CCIS) team to facilitate smooth care transitions (i.e. from acute care to community), to provide service coordination, psycho-social assessment, intensive case management, therapeutic and/or supportive counselling, and making referrals to various resources to improve outcomes for older adults, seniors and/or their family/caregivers.

What You Will Do

Referrals and Outreach

• Develop trust and rapport with clients and hospital staff in order to identify individuals who could benefit from social work support and transitional care coordination.
• Work with hospital staff to identify and engage clients and support hospital staff in making referrals to the CCIS team, as appropriate.
• When necessary, follow up with referral source(s) to learn more about the client being referred, reason for hospitalization and/or reason for referral, to support in development of Coordinated Care Plan (CCP).
• Develop relationships with other service providers in order to make seamless, effective referrals and service connections.
• Work closely with CCU central intake and program managers to identify clients with frequent hospital/ED use who may benefit from CCIS support to reduce unnecessary hospital use.

Direct Client Support

• Conduct psychosocial, psychological, and geriatric assessments.
• Coordinate care through service navigation, planning, and short-term (up to 90 days) case management.
• Provide clinical and supportive counseling using diverse therapeutic approaches.
• Assess risk and deliver crisis intervention and action plans in urgent situations.
• Offer crisis support and practical help to clients and caregivers in homes or community settings
• Link clients to internal/external resources, programs, and services.
• Support hospital-to-community transitions and reduce ED visits and re-admissions.
• Arrange interpretation services and facilitate access to needed supports.
• Develop and lead onsite programs, support groups, and social activities.
• Collaborate with the CCIS team, manage referrals, and contribute to team development and service capacity planning.

General

• Follow organizational policies and maintain accurate records, documentation, and data reporting
• Communicate effectively with on-site staff, supervisors, and community partners.
• Support student placements and volunteers through mentorship, training, or supervision.
• Stay informed about community services and participate in ongoing training, meetings, and supervision.
• Represent the team on committees and perform other duties as assigned.

What You Bring to the Team

• Minimum of 3 years related experience in mental health, addictions, and/or social work. Demonstrated experience facilitating psycho-social groups and supporting individuals with significant mental health and/or addictions issues, cognitive impairment (e.g. dementia), and chronic health issues from a harm reduction, trauma informed, and mental health recovery approach is required.
• Experience in conflict mediation, client engagement and community development is required.

What Will Set You Apart

• Skilled in supporting clients with complex mental health, addictions, geriatric, cognitive, trauma, and chronic health issues.
• Knowledgeable in addiction theories, evidence-based treatments, and therapeutic counseling approaches.
• Experienced in short-term case management, care coordination, assessments, and system navigation
• Strong in crisis intervention, de-escalation, conflict resolution, and collaboration with service providers.
• Effective communicator with strong organizational, time management, and documentation skills.
• Able to work independently and in teams, using sound judgment and a client-centered approach.

WoodGreen is an equal opportunity employer. We are committed to providing an inclusive and barrier-free selection process and work environment. If contacted in relation to an employment opportunity, please advise our People & Culture representatives at [e-mail] of the accommodation measures required. Information received relating to accommodation will be addressed confidentially.

Are you currently employed by WoodGreen?

Are you legally entitled to work in Canada?

Do you have a Masters of Social Work, Psychology, Counselling, or post-graduate degree in a relevant field?

Do you have Registration with the Ontario College of Social Workers and Social Service Workers, or College of Registered Psychotherapists of Ontario, or an equivalent regulatory college in Ontario?

How many years of experience in mental health, addictions, and/or social work do you have?

Do you have experience supporting individuals with significant mental health and/or addictions issues, cognitive impairment (e.g. dementia), and chronic health issues from a harm reduction, trauma informed, and mental health recovery approach?