Social Worker

The Carefirst Family Health Team (FHT) is seeking Full-time permanent / Part-time permanent Social Worker to join our innovative, interdisciplinary team dedicated to delivering high-quality, community-based care.

About Us

Carefirst FHT is committed to delivering exceptional, comprehensive primary care through a collaborative, team-based model that includes family physicians, nurse practitioners, nurses, social workers, dieticians, physiotherapists, and medical receptionists. We have a robust Chronic Disease Management and Prevention program, including a Diabetes Education Program, and are actively involved in many of the Ontario Health Team's primary care initiatives.

Our strong community partnerships ensure coordinated, high-quality, patient‑centred care across the continuum. We work closely with the Carefirst Seniors & Community Services Association to provide truly integrated services.

On‑site & Integrated Programs/Services include:

• Ontario Health atHome (formerly Home and Community Care Support Services)
• MINT Memory Clinic
• Ontario Structured Psychotherapy (OSP) Program
• Specialist clinics: psychiatry, cardiology, endocrinology, nephrology, optometry, geriatric medicine, gynecology, chiropody, and audiology

Clinic Locations

We currently operate two well-established clinics in Scarborough and Richmond Hill. Beginning in Fall 2025, we will be expanding with five new locations to support continued growth and community needs.

Current clinic locations:

• 300 Silver Star Blvd, Scarborough (Midland / McNicoll)
• 420 Hwy 7 East, Richmond Hill (West Beaver Creek / Hwy 7)

New clinic locations:

• Within Richmond Hill / Thornhill
• 360 Highway 7 East, Richmond Hill (Highway 7 / Chalmers Rd)
• 105 Gibson Centre, Markham (Steeles Ave East/Warden Ave)
• Unionville Commons, Markham (Unionville Main Street/Highway 7 East)

Employees will be assigned to a location that aligns with their preferences and residence, with occasional rotation to support clinic operations.

We are currently seeking a Social Worker to join our Family Health Team.

Terms: Full Time Permanent / Part Time Permanent

Responsibilities:

• Coordinate and manage Carefirst's various programs and services as they pertain to social work
• Provide leadership and consultation to a team of social workers including supervisory work related to staff and daily operations
• Assist with the development and implementation of social work policies and procedures
• Interact with community agencies involved in health and social services, represent Carefirst at meetings and events in the community
• Act as convenor for case conferences and be responsible for chart auditing on a routine basis
• Monitor and evaluate the overall performance of the social work team
• Assess and triage social work referrals
• Monitor targets and compile quarterly statistic reports
• Conduct eligibility and service needs assessments
• Develop, initiate and coordinate individualized care plans for eligible patients/clients and provide ongoing resource management, case management and discharge planning as appropriate
• Ensuring practice is consistent with professional standards and the ethical framework as outlined by OCSWSSW and organizational policy, practice and values.
• Demonstrating commitment to professional life long learning by participating in continuing education activities to meet the needs of the patient population served and the standards of the profession.
• Performing reflective practice, analyzing and evaluating social work knowledge and modifying practice accordingly to improve the quality of patient care.
• Performing cross-functional and other responsibilities, as assigned and/or requested
• Provide client-centered care through administration of comprehensive patient needs
• Perform psychosocial assessments, diagnosis and therapeutic intervention/counselling to patients to assist them to achieve optimum social functioning and psychological wellbeing
• Offer counselling services, with particular regard to individual and family issues and decisions that impact the health of patient and family
• Advocate for patients and their families in matters affecting health
• Identify and support access to community, volunteer and professional services and programs appropriate to patient/client needs
• Perform other duties as available: practicum supervision, collaboration opportunities etc.

Requirements:

• Master of Social Work from an accredited School of Social Work
• Current registration and in good standing with the Ontario College of Social Workers and Social Service Workers
• Current registration with the Ontario Association of Social Workers
• At least 3 years clinical case management experience, in a primary health care/community-based setting
• Demonstrated case management and coordination experience
• Familiar with in-home health care and assisted living services
• Experience in developing, implementing, monitoring, and evaluating health promotion programs and activities. Outstanding assessment skills and ability to exercise good judgment and instincts in order to understand patient/client needs
• Proficiency in current assessment, psychotherapy and psychosocial counselling techniques, including proficiency in the use of Cognitive Behavioural Therapy, strong holistic assessment skills, and Mindfulness Techniques
• Ability to interpret social, emotional and behavioral problems as related to medical conditions, and to develop appropriate treatment plan
• Sensitivity and awareness of cultural, racial, economic, and socially diverse communities of various ages
• Strong ethnical standards and discretion handling sensitive information
• Experience in couples counselling and Geriatrics/working with seniors an asset
• Experience treating sexual abuse/assault as well as complex trauma an asset
• Experience in teaching social work students and other interdisciplinary learners
• Experience with Electronic Medical Record (EMR) systems, InterRAI CHA Assessment and CIMS an asset
• Valid CPR/first aid certification
• Ability to speak a second language such as Cantonese and/or Mandarin is an asset
• A valid vulnerable sector police record check completed within one year

Benefits:

• Dental Care
• Extended Health Care
• HOOPP
• Comprehensive Orientation Program
• Training and Education Subsidy

Application Deadline:

Carefirst is an equal opportunity employer. We are also committed to an environment that is barrier free. If you require accommodation during the hiring process, please inform us in advance to arrange a reasonable and appropriate accommodation.

While we thank all candidates for their interest, only those selected for an interview will be contacted.

Job Types: Full-time, Part-time, Permanent

Benefits:

• Dental care
• Extended health care

Experience:

• Social Work: 2 years (preferred)

Language:

• Cantonese (preferred)
• Mandarin (preferred)

Work Location: In person