Clinical Care Coordinator

**internal/external posting**

job title: Clinical Care Coordinator (Counseling and Clinical Case Management)

job ID #: IHS IPC CCC - CCCM 23-0216

department: Integrated Health Services

reports to: Manager, Health Bus

salary range: CS4 $ 31.64 - $39.26

status: Permanent, Full-Time

hours: 30 hours per week

**Who we are**:
Sherbourne is a leading provider of quality health care and transformative support to people who face social, economic, and other systemic barriers. Our mission is to advance the equity and quality of care and services and to improve health for underserved communities. This is done through primary health and chronic disease services; health promotion and education; outreach and social supports; and mental health services.

Sherbourne provides innovative health care and social services to the diverse urban population of southeast Toronto. While our doors are open to everyone, we focus on people who are homeless or under-housed, 2SLGBTQ, and newcomers to Canada. We are funded by the Ministry of Health, Toronto Central LHIN, Ministry of Child and Youth Services, City of Toronto and many generous companies, groups, and individuals.

**Working at Sherbourne**

At Sherbourne Health, we care about our staff and recognize that our biggest strength is our people. We have a solid commitment to life-long learning which is demonstrated through our professional development program. We invest in collective work and staff training to improve client care. We supplement this by creating a low-barrier work environment built on equity and respect, while working together in caring, cohesive teams and providing opportunities for advancement.

**we believe in work-life balance and offer**:

- A competitive salary.
- Membership in Healthcare of Ontario Pension Plan (HOOPP).
- Four weeks of vacation per year (to start).
- Four personal days per year.
- An extended healthcare and dental package.
- Long-term disability insurance.
- Life insurance.
- An employee assistance plan.
- A generous professional development plan: up to $1300 to be used towards learning activities.
- Six fully paid professional development days per year - related to position/responsibilities.

**about the role**:
The **Clinical Care Coordinator - Counseling and Clinical Case Management** helps clients navigate the health system and provides regular supportive counselling and case management to Health Bus clients who are homeless, precariously housed and/or who have mental health and substance use issues.

The **Clinical Care Coordinator - Counseling and Clinical Case Management** liaises with multiple stakeholders, including clients, primary care providers, the Acute Respite Care program and local community organizations to facilitate care coordination and case management. The IPC Clinical Care Coordinator also provides guidance and leadership to the IPC System Navigators.

**Day to day responsibilities**:
**Clinical Care Coordination Services**
- Works on the Health Bus to connect with clients who are homeless, precariously housed, and/or who have mental health substance use issues
- Acts as a resource for, and works closely with, the other members of the IPC team and community partners to assess needs and identify relevant services and support options as well as developing and/or collaborate on the development of coordinated care plans
- Provides counselling and case management services utilizing a variety of techniques, therapeutic modalities and approaches that are trauma-informed, strength-based, culturally sensitive and appropriate to client’s issues
- Provides holistic assessment and support services to individuals presenting with mental/ emotional health or substance use issues
- Ensures that appropriate support plans are developed, implemented, and evaluated in collaboration with clients, monitoring client progress adjusting plans as necessary
- Follow-up with clients serviced on the Health Bus at Sherbourne Health Centre and in the community
- Provides supportive counselling to service users in distress, when necessary
- Operate the Health Bus on a regular basis
- Provide crisis intervention, systems navigation, accompaniments with clients and make appropriate referrals
- Attend and arrange case coordination meetings as required
- Facilitate client referrals for internal or external community services
- Distribute harm reduction supplies and naloxone as required

**Health Promotion, Education and Advocacy**
- Provide appropriate client advocacy services as directed by the client
- Collaborate and consult with multidisciplinary staff, partnering organizations and broader community to facilitate comprehensive care
- Engage in evidenced-based practice and ongoing learning
- Advocate for individual client needs to ensure access to effective care, follow-up and resources from both an individual and systemic level;
- Collaborate with colleagues to identify population trends, develop research questions and/or conduct research stud