Community Transition Team Systems Navigator

1 month ago


Coquitlam, Canada PHSA Full time

**Community Transition Team Systems Navigator**
BC Mental Health & Substance Use Services, BC

**As per the current Public Health Order, full vaccination against COVID-19 is a condition of employment with PHSA as of October 26, 2021.**

**This position will be remote initially for approximately three months. The work location will change to an on-site location to be determined within the Fraser Region.**

**What you’ll do**
- Work from a culturally informed, client-centered, client-choice based care model to coordinate referrals to care, especially primary care and social supports. Work with Indigenous partners and with the FNHA in partnership and the best interests of the clients and families. Where clients have complex or unique needs, facilitates holistic care planning, proactively engages with and coordinates inputs from a range of different service providers, influences health and community care providers and leverages existing service providers to bridge health and social offerings, support of the community and to ultimately support the best outcomes for clients. Referrals may support access to counselling services, income assistance, housing, legal support, food, education, immigration support, employment training, disability assistance, clinical case management, mental health and addictions services.
- Participate in care coordination meetings and multidisciplinary case conferences as needed to support client access to care. Network with service providers and builds collaborative relationships to support care planning.
- Work alongside community members, community service providers and health service professionals to engage in community capacity building efforts with a focus on supporting and expanding local service options and to support service enhancements.
- Providesbrief supportive counselling and information services to clients. Establish trust, confidentiality, credibility with community members, reviews referral information and case histories, interviews service providers, referral agents and other sources, determines risk factors for threats of harm to self and others, mental health issues and substance misuse. Maintain knowledge of various care pathways, service options and care providers across the province to facilitate accurate information provision and referrals.
- and emerging practices related to this patient population.
- Maintain records in accordance with established procedures and policies, and prepare/maintain statistical data, correspondence reports and other documentation, as required. Provide an ongoing commitment to client services and continuous improvement to ensure enhanced client services and that services are provided in most effective way.

**What you bring**
- Master’s Degree in Social Work or Behavioural Science from a recognized program.
- Minimum one (1) year of recent related clinical experience working with complex care individuals with significant mental health, substance use issues and/or cognitive limitations; must include experience in trauma informed, culturally sensitive and gender affirming service delivery.
- Demonstrated systems thinking skills attained either from university level systems course(s) and/or experience
- Knowledge of and commitment to strengths-based, client-centred practice.
- Knowledge of community development, community health agencies and services.**
**What we bring**

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That’s why we’re focused on your care too - offering health, wellness, development programs to support you - at work and at home.
- Join one of BC’s largest employers with province-wide programs, services and operations - offering vast opportunities for growth and development.
- Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
- Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
- Annual statutory holidays (13) with generous vacation entitlement and accruement.
- PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
- Perks include access to fitness classes and discounts to 350 BC-wide recreational programs, travel, technology, car and bike sharing, and more.

**Job Type: Regular, Full
- Time (1.00 FTE)**

**Wage: $35.65 to $44.56 per hour.**

**Location**:
**_This position will be remote initially for approximately three months. The work location will change to an on-site location to be determined within the Fraser Region._**

**Applications w



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