Social Worker, Full Time, Access to Care & Transitions

Providence Care Centre; Kingston; On-site; CAD 61,000 - 80,000; Full time

Benefits offered by this job

HOOPP

On-site parking

Cafe on-site

Education and bursary opportunities

Affiliation with local colleges

Job summary

Providence Care Centre seeks a Social Worker to deliver psychosocial assessment, counselling, case management and discharge planning to support patients and families. You will work under the designated manager in a hospital setting, aligning with best practice standards.

The role requires a Master of Social Work and current Ontario registration, with two years hospital experience preferred and EMR familiarity. This position emphasizes community linkages and timely transitions.

Qualifications

• MSW from a recognized educational institution.
• Current unrestricted registration with the Ontario College of Social Workers and Social Service Workers.
• Two years of hospital-based social work experience (preferred).
• Experience with electronic patient record systems (EMR), preferred.

Responsibilities

• Performs client assessment utilizing population-specific and evidence-based assessment strategies.
• Provides crisis intervention as necessary.
• Uses evidence-based treatment strategies and engages and supports clients and their families in establishing and achieving person-centered treatment goals.
• Advocates for, and arranges family/community support conferences as necessary, in consultation with the patient/client.
• Evaluates outcomes of Social Work treatment plan on an ongoing basis and modifies as appropriate, completing follow-up as needed.
• Provides psycho-education and support around the client/patient illness/functional outcomes and the family’s role in the therapeutic process.
• Facilitates community referrals to support efficient and effective discharge planning and/or transition as necessary.
• Provides leadership in care navigation and discharge planning by collaborating with the client/patient/family by assisting the client/patient in the development of a discharge plan consistent with realistic, achievable, identified goals.
• Takes a primary role in managing patient/client/family/provider expectations about discharge and communicating discharge logistics to achieve timely transitions, positive outcomes, service efficiency and effectiveness.
• Facilitates access to care and transitions by actively supporting predictive discharge planning, where applicable.
• Acts as liaison and assists clients and staff with coordination of Community Care Access Centre (CCAC) and other community resources/services.
• Builds and maintains linkages with appropriate community agencies to facilitate effective collaboration related to access to care and transitions.

Skills

Crisis intervention

Client assessment

Case management

Evidence-based treatment

Advocacy

Education

Master of Social Work (MSW)

Ontario social work registration

Tools

Electronic health records (EMR)

Job description

Job Code: 27054

Status: Full Time

Location: Access to Care & Transitions

Union: OPSEU Paramedical

Wage: $44.67- $57.91/hr

Posting Period: September 9, 2026 - September 15, 2026

Reporting to the designated manager, the Social Worker provides psychosocial assessment, counselling/psychotherapy, case management, patient/family education, supportive counselling, discharge planning, service coordination and consultation according to organizational and best practice standards in order to assist patients to achieve optimum recovery and quality of life. This includes maximizing the benefit patients and families receive from their medical treatments and transitioning to timely and risk-reduced discharges. The Social Worker provides leadership in high risk social situations, program development, advocacy, and developing and maintaining strong community linkages. The Social Worker aligns his/her work with the operational priorities related to access to care and transitions and is accountable for maintaining the Code of Ethics and Standards of Practice of the Ontario College of Social Workers and Social Service Workers.

Required Qualifications and Experience

• Master of Social Work (MSW) from a recognized educational institution
• Current unrestricted registration with the Ontario College of Social Workers and Social Services Workers
• Two years of experience in providing Social Work service in a hospital setting with the relevant population, preferred
• Experience with electronic patient record systems, preferred

Role Responsibilities

• Performs client assessment utilizing population-specific and evidence-based assessment strategies
• Provides crisis intervention as necessary
• Uses evidence-based treatment strategies and engages and supports clients and their families in establishing and achieving person-centered treatment goals, including promotion of self-management skills
• Uses a strength-based approach to support clients in achieving optimal health/functioning/recovery
• Advocates for, and arranges family/community support team conferences as necessary, in consultation with the patient/client
• Evaluates outcomes of Social Work treatment plan on an ongoing basis and modifies as appropriate, completing follow-up as needed
• Provides psycho-education and support around the client/patient illness/functional outcomes and the family’s role in the therapeutic process
• Facilitates community referrals to support efficient and effective discharge planning and/or transition as necessary (this includes but is not limited to community agencies such as CCAC, Addiction and Mental Health Services)
• Provides leadership in care navigation and discharge planning by collaborating with the client/patient/family by assisting the client/patient in the development of a discharge plan consistent with realistic, achievable, identified goals
• Takes a primary role in managing patient/client/family/provider expectations about discharge and communicating discharge logistics to achieve timely transitions, positive outcomes, service efficiency and effectiveness
• Facilitates access to care and transitions by actively supporting predictive discharge planning, where applicable
• Acts as liaison and assists clients and staff with coordination of Community Care Access Centre (CCAC) and other community resources/services
• Builds and maintains linkages with appropriate community agencies to facilitate effective collaboration related to access to care and transitions

Why Work at Providence Care Hospital:

• Specialized sub-acute Care in rehabilitation, mental health services, complex medical management and palliative care
• A hospital striving for excellence in care, education and research
• Committed to people centred approach to care delivery
• Competitive salaries with excellent full-time benefits
• Healthcare of Ontario Pension Plan (HOOPP)
• State of the Art Building with on-site parking
• On-site café and cafeteria with a variety of food options
• Corporate and unit/service specific orientation for new hires
• Focus on Healthy Workplace& Culture of Quality
• Employee & Family Assistance Program
• Education, mentorship and bursary opportunities
• Fully affiliated with Queen’s University and St. Lawrence College and other academic institutions
• Located on the shores of Lake Ontario surrounded by park land and walking trails

Disclosure: We do not use artificial intelligence to screen, assess, or make selection decisions in our recruitment process.

Unless specifically stated, all job postings are for existing positions at Providence Care.