About

• Competition: (2025-545-CC) Comprehensive Care Specialist (2025-545-CC)
• Employment Type: (12-month Contract) Contract Salary, Bargaining Unit (1 Vacancy)
• Work Hours: 37.5 hours/week, Monday - Friday, 9am - 5pm
• Work Setting: Onsite – Limited Opportunities to Work Remotely
• Salary: $72,298.50
• Application Deadline: January 04, 2026, by 11:59 pm

• Who We Are
• WoodGreen is a team of diverse and innovative change makers working together to make a difference in our communities. A United Way Anchor Agency with a proven track record and an entrepreneurial mindset, we continuously seek to develop solutions to critical social needs while striving to become a Centre for Equity.
• Visit www.woodgreen.org to learn more about who we are and to review our Equity Statement.
• We are committed to building an inclusive and diverse workforce, representative of the communities we serve. We encourage, and are pleased to consider, applications from Indigenous peoples, racialized persons/persons of colour, women/women identifying, persons with disabilities, 2SLGBTQIA+ persons, and others who contribute towards promoting innovative ideas and solutions.

• Program Overview – Mental Health & Addictions, Community Care

• This position is accountable to the Supervisor, Comprehensive Care and Integration Specialist Team at WoodGreen Community Services and offers social work/case management support to clients who are part of the MGH2Home program, which is a partnership between WoodGreen, Michael Garron Hospital, Spectrum and VHA Home Healthcare. This is a unique position supporting East Toronto Health Partners’ (ETHP) strategy to improve client transitions. This short-term transitional program (up to 90 days) involves supporting earlier discharges of adults with higher needs to reintegrate into their home and community. This multi-disciplinary team works as “one team” along with the client and designated family to address their complex health and social needs.

• What You Will Do
• Build trust and rapport with clients, families, caregivers, and hospital staff to identify individuals who would benefit from social work and transitional care supports.
• Collaborate with hospital teams to support referrals and intake into the program, including follow-up with referral sources to gather relevant clinical and social information.
• Work closely with central intake, supervisors, and program managers to identify clients with frequent hospital or ED use who may benefit from coordinated intervention.
• Maintain client flow-through and actively prepare clients for discharge and transition from hospital to community-based care.
• Participate in case conferences, clinical meetings, and team calls to ensure continuity of care and smooth transitions.
• Conduct comprehensive psychosocial, psychological, and/or geriatric assessments.
• Develop client-centered care plans and/or Coordinated Care Plans (CCPs) in collaboration with clients, families, caregivers, and service providers.
• Provide short-term case management and intensive care coordination (up to 90 days), including system navigation, planning, follow-up, and advocacy.
• Deliver clinical and/or supportive counseling using evidence-informed and client-appropriate therapeutic approaches.
• Link clients to internal programs and services as well as external community resources to address social, health, and practical needs.
• Facilitate access to services, including arranging interpretation support when required.
• Work proactively to prevent avoidable emergency department visits, hospital readmissions, and Alternative Level of Care (ALC) placements.
• Conduct preliminary risk assessments in crisis situations and develop intervention and action plans in consultation with appropriate partners.
• Provide crisis intervention and practical assistance to clients and/or caregivers in hospital, home, and community settings.
• Work closely with supervisors, interdisciplinary team members, hospital staff, and community partners to ensure coordinated and responsive service delivery.
• Share expertise with colleagues, provide input to other specialists, and participate actively as a member of the care coordination team.
• Contribute to program development by identifying opportunities to expand referral sources while balancing service capacity and operational considerations.
• Support or facilitate onsite programming, social groups, or support groups as required.
• Provide services that are culturally responsive, linguistically appropriate, and aligned with principles of equity, diversity, inclusion, and belonging.
• Maintain accurate, timely documentation and collect required data for program accountability and reporting.
• Ensure compliance with organizational policies, procedures, and professional standards.
• Maintain up-to-date knowledge of community resources and service systems.
• Participate in supervision, performance appraisals, team meetings, training, and ongoing professional development.
• Provide mentorship, training, and/or supervision to students and volunteers as assigned.
• Represent the program on internal and external committees when required.
• Perform other related duties as assigned.
• What You Bring to the Team
• Masters of Social Work or post-graduate degree in relevant field MSW or Post-Graduate degree in a related area with 2+ years of extensive crisis/complex seniors experience or BSW with 5+ years of extensive crisis/complex/seniors’ experience
• Registration in good standing with the Ontario College of Social workers and Social Service Workers or another relevant regulatory body in Ontario (e.g. CPRO or COTO).
• 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.
• What Will Set You Apart
• Ability to support complex adults and senior populations including individuals who have considerable health challenges
• Demonstrated ability in system navigation, service planning, implementation, and coordination, therapeutic or supportive counselling.
• Demonstrated ability in working effectively in a multi-disciplinary team
• Proven working knowledge of theories of addiction and evidence-based treatment models
• Knowledge of and experience with a brief therapy modality, such as Narrative, Solution-Focused, Cognitive-Behavioural Therapy, Motivational Interviewing and Trauma-Informed approaches,
• Comprehensive understanding of mental health, addictions, health and community sectors.
• Strong assessment, clinical and intervention skills.
• Effective oral, written communication skills and documentation skills.
• Effective interpersonal, time management and organizational skills.
• Proven ability to apply and practice anti-oppression, anti-racism, trauma-informed and harm reduction principles, and strategies.
• Ability to be self-directed, independent, flexible and exercise good judgment.
• Ability to work from a client-centered approach.
• Applied computer skills (MS word, excel, Internet) and ability to use client information systems.
• Ability to communicate in a second language (Greek, Spanish, Bengali, Urdu, Tamil, Persian, Tagalog, Arabic, Mandarin, or Cantonese) is a strong asset.
• Capable of fulfilling the physical and psychological demands of the job. Accommodation for disabilities provided upon request.
• Demonstrated skill in using computers including using technology-based solutions for service delivery, documentation, and viewing screening and assessment data.
• 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 careers@woodgreen.org of the accommodation measures required. Information received relating to accommodation will be addressed confidentially.
• This public job posting uses AI-powered tools to screen, assess, or select applicants.