Community Care Case Worker

3 weeks ago

Surrey BC, Canada Fraser Health Full time

The salary range for this position is CAD $42.Why Fraser Health?

Fraser Health is the heart of health care for nearly two million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.
Our hospital and community-based services are delivered by a team of 45,000+ staff, medical staff and volunteers dedicated to serving our patients, families, and communities: Better health, best in health care. Effective October 26, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.
Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.
We are committed to planetary health, we value diversity in the work force and seek to maintain an environment of Respect, Caring and Trust.
Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members You can also visit us on Indeed and Glassdoor .


conducts comprehensive social work and psychosocial assessments of clients and their families using a variety of assessment tools to provide treatment services for clients including liaising with community agencies and caregiver support groups; provides clinical support to the interdisciplinary team including physicians in the development of care plans and services within the assigned area of responsibility; participates on local committees and planning bodies to identify areas to improve the efficiency and effectiveness in service delivery to enhance client care services and reduce service gaps.

Conducts comprehensive social work and psychosocial assessments by interviewing the client and/or their family, obtaining relevant information, gathering social data and interpreting the data using a variety of tools, in accordance with professional standards, clinical policies, legislation and practices.
# participates with the client, families, community supports and the interdisciplinary team to coordinate services, manage cases and facilitates meetings.
# Collaborates with the interdisciplinary team in client care planning by interviewing the client and/or family to assess and determine care plan and type of service required; follows up and provides ongoing monitoring of complex psychosocial situations; Supports a seamless approach to care and service delivery across the healthcare system by participating in the admission and discharge process of clients in acute care and community; arranges meetings to assist in developing and coordinating comprehensive care plans and community services for clients; collaborates with the hospital and community services to determine the effective utilization of available resources.
# Partners with community services, health and social agencies including provincial Ministries, physicians and other primary care providers in the assessment and management of individuals at risk, making referrals to appropriate resources when longer term treatment or follow-up is required and exchanging relevant information.
# Facilitates timely exchange and provision of information regarding client care between the acute care facility and the community service to allow for individualized discharge planning; works with community service providers to ensure client care needs are met.
# Acts as a clinical resource for clients and their families by providing information regarding community resources and access to these resources, facilitating referrals where appropriate; determines if client is capable of making decisions around client care plans, in collaboration with the interdisciplinary team; refers client to appropriate health care professional for assistance and follows procedures around client incapacity, respecting the client’s right to privacy and confidentiality.
# Maintains patient records by documenting assessments, charting information and preparing progress notes and reports in accordance with established standards, policies, procedures and current regulatory requirements.
# Maintains a variety of records such as workload statistics by recording information into approved formats, collating data, analyzing trends, accounting for variances, preparing reports as required and provides recommendations to the Manager, Clinical Operations or designate, as required.
# Develops, coordinates and delivers in-services, presentations, psycho-educational and support groups and/or training by collaborating with members of the interdisciplinary team, determining relevant content, conducting literature searches, planning and coordinating seminars.
# Participates on local committees and planning bodies to identifying opportunities for change, assess available resources, analyze outcomes and identify areas to enhance patient care services and reduce service gaps.
# Initiates, develops and carries out research activities and program planning and development relevant to the needs of the patient, families, hospital and community, as assigned.
# provides advice to the clients and/or caregiver about available community resources.
# Education, Training and Experience
Current full registration with the BC College of Social Workers.
Two (2) years' recent related experience in a complex health care environment such as a community or home health setting, or an equivalent combination of social work education, training and experience.
Valid BC Driver's License and access to personal vehicle for business-related purposes.

Demonstrated ability to conduct comprehensive social work and psychosocial assessment.
Comprehensive counseling skills including crisis counseling, brief therapeutic interventions and loss and grief applicable to patients, families and their support networks.
Comprehensive knowledge of pertinent/relevant health care and privacy legislations.
Demonstrated ability to communicate effectively both verbally and in writing.
Ability to operate related equipment including applicable software applications.

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