Social Worker

City of Lakes Family Health Team; Northeastern Ontario; On-site; CAD 65,000 - 90,000; Full time

Job summary

City of Lakes Family Health Team in Ontario is seeking a compassionate Social Worker for an 18-month full-time contract. The role involves engaging with an interprofessional team to provide psychosocial care in primary care settings across multiple sites, with potential site visits in Sudbury, Val Caron, Chelmsford and Walden.

You will conduct assessments, counseling, and care coordination, while advocating for patients and connecting them with community resources and supports.

Qualifications

• Bachelor’s degree in Social Work from an accredited institution.
• Minimum 3 years of relevant experience.
• Registered and in good standing with the Ontario College of Social Workers and Social Service Workers.
• Knowledge of Mental Health Act and related acts; experience with community resources.

Responsibilities

• Provide brief assessments and therapeutic interventions.
• Conduct case reviews and participate in team discussions.
• Assist clients with counseling, education, and outreach.
• Develop collaborative treatment plans and goals with clients.
• Engage in home visits and community outreach activities.
• Support patient navigation and access to social services.
• Educate patients and families on psychosocial health and prevention.

Skills

Counseling

Communication

Organizational skills

Problem-solving

Team collaboration

Advocacy

Client/community resources

Education

Bachelor’s degree in Social Work

Tools

Electronic Medical Records (EMR) system

Job description

Location

City of Lakes Family Health Team has 4 sites throughout the region including sites at: Sudbury, Val Caron, Chelmsford and Walden. Sudbury and Val Caron to be the main sites, but visits to the other sites may be required.

Employment

18-Month Contract, Full-Time

Hours

37.5 hours/week Monday to Friday

Application Deadline

Friday, November 20, 2026

Are you a compassionate and resourceful Social Worker looking to make a meaningful impact in primary care?

Join the City of Lakes Family Health Team, where you’ll be part of a dynamic interprofessional team dedicated to collaboration, innovation, and delivering exceptional patient-centered care.

Why Join Us?

CoLFHT delivers comprehensive, team-based primary care designed to support our patients. You will join a collaborative and innovative team dedicated to improving access to comprehensive primary care across Greater Sudbury. Our Social Workers practice to their full scope within an interdisciplinary environment that values patient-centered care. This role offers a unique opportunity to make a meaningful difference in the lives of patients while helping shape and enhance social work services within our organization.

Responsibilities:

• Provide brief assessments and therapeutic interventions
• Proficient in assessment, psychotherapy and psychological counseling techniques including CBT, SFT, motivational interviewing for working with individuals, couples, families and communities
• Support patients through counseling, education, and outreach
• Demonstrated ability to form and maintain helping relationships with patients.
• Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources;
• Establish collaborative treatment planning and goal setting with patients
• Conduct home visits and community outreach
• Participate in case reviews and team discussions
• Educate patients, families, and staff on psychosocial health and prevention strategies
• Stay current with best practices and share knowledge with the team
• Create and support pathways that facilitate the social worker working to their full scope of practice
• Ability to work effectively as part of an interdisciplinary team
• Be a part of our Patient Navigation program, lead by our Patient Navigator
• Help patients access community and social services
• Advocate on behalf of patients with external agencies
• Strengthen communication between community partners and our care team
• Refer patients to the program for supports accessing financial supports, housing, legal aid, and social services
• Build capacity among providers to identify and support patient navigation

Program Development & Evaluation

• Develop tools and guidelines to support best practices
• Collaborate with our Quality Improvement team to measure impact
• Enhance EMR functionality to support navigation and tracking
• Participate in data collection and program evaluation

What We Offer

• A supportive, inclusive, and forward-thinking work environment
• A collaborative team culture that fosters learning, innovation and a shared purpose
• Opportunities for professional growth, leadership, and continuing education
• A chance to make a lasting impact in the Greater Sudbury community

Qualifications

• Bachelor’s degree in Social Work from an accredited institution
• Minimum 3 years of relevant experience
• Registered and in good standing with the Ontario College of Social Workers and Social Service Workers
• Experienced in social work interventions and strategies to assist clients or families to achieve optimum psychosocial and social functioning
• Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources
• Experience in providing one‑on‑one supports to individuals with diversity in income, education, ability, and mental health status
• Excellent verbal and written communication. Listening, organizational, multi-tasking and problem‑solving skills.
• Demonstrated commitment to and knowledge of community-based resources
• Demonstrable knowledge of financial matters affecting low‑income people, including income security programs and policies, tax systems, access to financial services, and other income support programs such as WSIB and private insurance companies.
• Previous experience brokering social support services between agencies
• Experience in the development of educational materials for health providers and patients
• Experience with data collection, research and quality improvement
• Experience with a electronic medical records system is an asset
• Demonstrated ability to work effectively in a multi‑disciplinary team environment
• Bilingual in French and English considered an asset

While we thank all applicants, only those under consideration will be contacted for an interview.

We are an equal opportunity employer and we celebrate diversity and are committed to creating an inclusive environment for all employees!