Case Worker

POSITION TYPE  FULL-TIME

JOB SUMMARY

Siloam Mission’s Medical Transitional Care Unit (MTCU) is a compassionate 32-bed facility supporting individuals experiencing homelessness who have medical needs that do not require hospitalization. The MTCU provides time limited transitional housing integrated with essential medical and social supports to improve health and housing outcomes.

Guided by person-centered, strengths-based, trauma-informed practice, and rooted in harm reduction and Housing First principles, the MTCU operates through a holistic and multidisciplinary approach.

The MTCU Case Worker provides case management, medical system navigation, and housing support to residents in the unit. Working collaboratively with the Intake and Transition worker, residents, clinical staff, and community partners, the Case Worker supports individuals to navigate health care and social systems and successful transition to permanent housing.

KEY DUTIES & RESPONSIBILITIES

Case Management, Care Coordination & Advocacy

• Engage residents using a trauma-informed, strengths-based approach to complete assessments and gather relevant history
• Collaborate with residents to develop and implement individualized service plans addressing health needs, goals, and housing outcomes
• Provide ongoing case management to monitor progress, reassess needs, and adapt service plans as required
• Support access to services including medical care, identification, income assistance, harm reduction, housing, transportation, and long-term supports
• Advocate for resident needs within health, housing, and social service Systems
• Participate in interdisciplinary case conferences and care planning meetings
• Share resident information explicitly in accordance with consent, privacy legislation, and organizational policy
• Work within defined scope of practice while collaborating closely with nursing, medical, and mental health professionals
• Connect residents to culturally appropriate services and supports

Medical System Navigation

• Support residents in understanding diagnoses, treatment plans, and follow-up care in collaboration with clinical staff
• Coordinate medical appointments, including scheduling, reminders, transportation, and accompaniment when appropriate
• Act as a liaison between residents and medical providers to support continuity of care and consent-based information sharing

Harm Reduction and Mental Health Support

• Provide overdose/poisoning prevention education and respond to poisonings according to organizational protocols (including naloxone administration once trained)
• Support resident-defined harm reduction goals aligned with readiness for change
• Maintain a non-punitive, low-barrier approach to substance use
• Identify and respond to mental health crises in collaboration with clinical staff and external crisis services
• Support safety planning, crisis response, and de-escalation using trauma-informed approaches
• Recognize personal limits and seek supervisory or clinical support as needed
• Adhere to all organizational policies related to safety, incident reporting, confidentiality, and ethical conduct

Housing Support

• Prioritize locating, securing and maintaining permanent housing in alignment with Housing First fidelity standards
• Provide strength-based case management to support long-term housing stability
• Assist with housing-related moves as required
• Build and maintain relationships with landlords and housing providers, advocating for residents as needed

 Administrative & Team Responsibilities

• Complete timely, accurate, and objective documentation to support continuity of care, risk management, and funding requirements
• Maintain electronic and paper records in accordance with departmental procedures
• Attend and participate in team, departmental, and organizational meetings and events
• Participate in professional development activities
• Support and mentor student interns as required
• Perform other related duties related to the role as assigned

EDUCATION & EXPERIENCE

• Completion of a diploma/degree in a health or human service field such as social work, psychology; a combination of education and experience may be considered
• Certifications in NVCI (Nonviolent Crisis Intervention), ASIST (Applied Suicide Intervention Skills Training), CPR/First Aid, Mental Health First Aid (MHFA), and Motivational Interviewing preferred
• Experience and demonstrated knowledge in homelessness, addiction, and mental health fields
• Experience in case management, completing assessments, service planning, and goal setting
• Experience working within a Housing First framework and an understanding of a variety of housing models including Housing First, Recovery-based; transitional, low barrier, supportive, etc.
• Must have a valid Class 5F driver’s license, an acceptable driver abstract, and a vehicle in good condition
• Lived experience is an asset

 KNOWLEDGE/SKILLS/BEHAVIORS

• Strong knowledge of community resources related to homelessness, poverty, health, mental health, and substance use
• Advanced understanding of housing resources and systems
• Demonstrated commitment to harm reduction, trauma-informed, anti-oppressive, anti-racist, and culturally safe practices
• Understanding of Indigenous history, colonization and its ongoing impacts on Indigenous peoples
• Exceptional interpersonal, verbal and written communication skills
• Outstanding relationship-building skills and strong active listening abilities to effectively understand and respond to resident needs
• Strong de-escalation, mediation, critical thinking, and problem-solving abilities
• Ability to work effectively in complex, high-change environments with patience and resilience
• Outstanding attention to detail, organizational and time management skills
• Skilled at prioritizing and multitasking
• Exceptional documentation skills
• High level of professional judgement, integrity, confidentiality, and accountability
• Highly developed understanding of and proven ability to communicate appropriate professional boundaries
• Ability to collaborate and coordinate effectively with multiple departments and functions to support client-centered outcomes
• Proficiency in Microsoft Office (Word, Excel, Outlook)

RELATIONSHIP

• Building professional and respectful relationships with residents
• Collaborate with other internal departments in the assessment and support of residents
• Working closely with medical system personnel including emergency room, hospital social work, primary care providers in community
• Liaise, advocate, and collaborate with other agencies and housing providers throughout the sector

WORKING CONDITION

• Hours of work: 40 hours per week - Monday to Friday; 8 a.m. - 4:30 p.m.
• A work-issued cell phone will be provided. No on-call responsibilities are required
• Will be required to drive residents to appointments in your personal vehicle
• May be required to lift up to 50 lbs., perform repetitive motions (bending, twisting, lifting, etc.) and assist residents with moving related to housing
• Will require working alone with residents and visiting residents in their homes
• Work will involve exposure to substance use (including residual smoke), mental health crises, medical needs, and emotionally demanding situations
• Hazardous conditions could potentially include unpredictable or risky behaviours from community members

Please send a cover letter and a resume to employerrep@abcentre.org.

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