HOOPP: Effective April 25, 2026, the CFHT is a participating employer of the Healthcare Ontario
Pension Plan (“HOOPP”).

Position: Registered Social Service Worker (1.0 FTE Position, Permanent with Benefits) Reports To:
Program Manager

Position Summary:
The Registered Social Service Worker (RSSW) supports individuals in navigating health and social
care systems by identifying needs, addressing barriers, and facilitating timely access to appropriate
services. The RSSW works with individuals experiencing social, financial, and health-related
barriers, providing short-term, solution-focused support to reduce obstacles and improve access to
care and community resources.

This position will establish and maintain a network within the community, creating strong linkages
between healthcare and social service agencies, while assisting in the development of coordinated
care plans for individuals. Working as part of an interprofessional team, the RSSW contributes to
coordinated, person-centered care and improved overall well-being.

Why Join Us:
Join a collaborative, team-based primary care environment focused on improving access and
continuity of care in the community, and be part of a progressive organization advancing Ontario
Health’s Primary Care for All initiative.

Roles and Responsibilities:

• Support the development of coordinated care plans for individuals receiving support from the
  System Navigation team
• Conduct assessments to identify individual goals, needs, and barriers, and provide system
  navigation support
• Facilitate connections and referrals to appropriate community services and resources (e.g.,
  income supports, housing, mental health services)
• Advocate on behalf of individuals to address social and systemic barriers to care
• Build and maintain strong community partnerships, including with organizations such as ODSP,
  Ontario Works, and community housing providers
• Identify service gaps, duplication, and emerging needs within the community and communicate
  findings to the team
• Complete required forms to support patient goals
• Sit on core working groups as needed
• Provide culturally sensitive care
• Conduct meetings with individuals in home, community, or office settings, based on need and
  accessibility and adhering to the Home Visit Policy Guidelines
• Conduct in-services and workshops for team members, other health professionals and community
  partners as appropriate

Additional Roles and Responsibilities:

• Maintain current knowledge of policies and procedures
• Manage personal health and social information in accordance with privacy laws and ethical
  standards.
• Maintain confidentiality in accordance with the Municipal Freedom of Information and Protection
  of Privacy Act.
• Work in compliance with Health and Safety laws adhering to safe work practices and procedures
  established by the CFHT
• Other duties as required
  Skills/Knowledge Requirements:
• Strong understanding of healthcare and social service systems, including community-based
  programs and eligibility pathways
• Knowledge of social determinants of health and their impact on access, equity, and
  outcomes
• Familiarity with mental health, addictions, housing, income supports, and community
  resources
• Understanding of trauma-informed, culturally safe, and person-centered care approaches
• Knowledge of privacy legislation and documentation standards (e.g., PHIPA)
• Awareness of local and regional service networks and system navigation pathways
• Excellent communication and organizational skills
• Demonstrated ability to work independently and in a team environment
• Demonstrated knowledge of culturally responsive care, ability to work across difference and
  experience, supporting equity-deserving clients

Education/Specific Job Requirements:

• Degree or Diploma in Social Service Work, and registration with the College of Social Workers
  and/or Registered Social Service Workers of Ontario
• Certification in CPR (BLS-C)
• Current Ontario Driver’s License
• Able to work flexible hours including evenings if required
• Ability to travel within the community
• Police Record Check
• It is a condition of employment that you receive the necessary vaccinations to protect against
  infection of COVID-19, or any similar infectious diseases, which may be recommended by governmental
  and public health authorities from time to time

Experience:

• 2 to 3 years related or applicable experience in a community, hospital or primary health care
  setting
• Demonstrated experience supporting individuals with complex social, financial, and
  health-related barriers
• Experience working within or alongside healthcare systems, community agencies, or
  interdisciplinary teams
• Proven ability to navigate and connect individuals to community resources, including housing,
  income supports, mental health, and addictions services
• Experience working with ODSP/OW, housing, and providing intensive case management in a home
  setting is required
• Experience with Practice Solutions an asset
  The Couchiching Family Health Team supports diversity, equity and a workplace free from harassment
  and discrimination. The CFHT is committed to an inclusive, barrier-free recruitment and selection
  process and workplace. If you are contacted to participate in our recruitment process, please
  advise the interview coordinator of any accommodations. The CFHT has an Accommodation Policy and
  Procedure to ensure you have access to a fair and equitable process. While we thank all applicants,
  only those contacted for an interview will be acknowledged.

Please submit cover letter and resume including position title in subject line to: careers@cfht.ca