Social Worker - South East Toronto FHT

Position Profile

The South East Toronto Family Health Team (SETFHT) is a primary health care clinic undergoing exciting transformation in providing Interprofessional health care services to our patients. We are currently seeking a full-time Social Worker at our 840 Coxwell Avenue site to join our team who will work collaboratively with the physicians and Interprofessional Health care Providers of our team by providing care for clinic patients and accepting referrals from, as well as consulting with the physicians as necessary.  Provision of primary care will be within the scope of the Social Worker (SW) and she/he will play a key role in developing programs with the clinic to enhance patient care.


  • The Social Worker reports to, and is responsible to, the SETFHT Executive Director.   All clinical decision making outside the scope of the Social Worker must be done in consultation of the SETFHT Lead Physician and/or physicians of SETFHT and/or medical directives.  


  • Does not direct the activities of staff or a function without direction of FHT decision makers.  Must comply with the standards of practice guidelines of the Ontario College of Social Workers and Social Service Workers.

Decision Making

  • On a regular and continuous basis, exercises clinical judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and/or quality of service within the FHT.

Roles and Responsibilities

  • Is responsible for making clinical decisions, exercising judgement to ensure best possible care is provided within available resources;
  • Provides counseling services, with particular regard to individual and family issues and decisions that impact the health of the patient and family.  Works within the primary care model of brief therapy, ensuring seamless transition to community resources as appropriate;
  • Is knowledgeable of the community and the resources available, especially in the areas of crisis services, Mental Health, and Long Term Care;
  • Assists the referring physician/health care providers with referrals to secondary and tertiary health care centers;
  • Knowledge and skill in group work including cognitive behaviour therapy, Stanford self-management program and Mind over Mood;
  • Enthusiastic, passionate and self-driven who will participate in data management and measurement of quality improvement indicators of patient outcomes;
  • Communicates results of measurements that are easy to use and understand, looking for patterns that could assist with improvement;
  • Acts as an advocate for patients and their families in matters affecting health;
  • Provides house calls and community outreach visits when appropriate;
  • Liaises with physicians and other team members as required;
  • Teaches family medicine residents and other health care professional students on the role of the social worker and psycho-social issues facing patients and families;
  • Effectively uses the Social Work standards of practice and the therapy process in assessing, planning, implementing, and evaluating the care of the patient;
  • Maintains own continuing education to enhance professional knowledge and growth;
  • Participates and collaborates with other Family Health Team members and health care providers in provision of patient care;
  • Acts as a professional and knowledgeable role model or mentor to colleagues and students; and
  • Maintains confidentiality in the work place and within the community.


Education & Specific Job Requirements
  • Masters Degree preferred;
  • Registered with the Ontario College of Social Workers and Social Service Workers;
  • Previous related patient care experience, specifically in a primary care setting preferred;
  • Minimum of 3 years’ experience;
  • Experience in solution focused brief therapy, cognitive behaviour therapy, motivational interviewing and mindfulness;
  • Ability to operate with the highest level of confidentiality and discretion;
  • Strong conflict resolution skills;
  • Exceptional oral, written and presentation skills;
  • Strong interpersonal skills;
  • Group facilitations skills;
  • In depth knowledge of chronic illness care, including both clinical and supportive care;
  • In depth knowledge of the local health program delivery and community based services;
  • Able to be innovative and creative in order to develop strategies that successfully meet the needs of diverse patient, family, and provider population;
  • Ability to work effectively with all members of the health care team; and
  • Ability to prioritize, manage time effectively and be flexible in a very active work environment.
Compensation is based on experience and will range from $31.50 to $35.38/per hour. Position also includes enrolment in the Healthcare of Ontario Pension Plan and benefits plan. Thank you for your interest in the South East Toronto Family Health Team.  Only those candidates selected will be contacted for an interview. No telephone inquiries, please. SETFHT supports Employment Equity initiatives and encourages individuals from diverse backgrounds to apply for this position. Applicants should quote Job: 1.0 FTE Social Worker Contact by: e-mail only Job Contact Information
  • Human Resources
  • South East Toronto Family Health Team
  • e-mail:
  • Please forward cover letter and resume by April 3, 2014