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Social Worker, Access to Care and Transitions
**Full Time**
**$40.00 -$50.96 Reference#:22-744A**
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.
**Role Responsibilities**
- Performs client assessment utilizing population-specific and evidence-based assessment strategies
- 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
- 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
***
**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
Located in Kingston, Providence Care is Southeastern Ontario’s leading provider of aging, mental health and
rehabilitative care. Continuing the legacy of our Founders, the Sisters of Providence of St. Vincent de Paul,
Providence Care provides care and services at Providence Care Hospital, Providence Transitional Care Centre,
Providence Manor Long-Term Care home and community locations across Southeastern Ontario.
Providence Care is Fully-affiliated with Queen’s University and St. Lawrence College; Providence Care is a centre
for health care, education and research, and a member of the Council of Academic Hospitals of Ontario.
To learn more about Providence Care and other opportunities please visit:
We are committed to inclusive and accessible employment practices - Please notify the above if you require an accommodation to fully
participate in the hiring process or require recruitment documents in French**.
