Social Worker - Transitional Care Program
Full-time Entry LevelJob Overview
Union: Non-Union
Number of vacancies: 1
New or Replacement Position: Replacement
Site: UHN Reactivation Care Centre - 82 Buttonwood Ave, York, ON M6M 2J5
Department: Transitional Care Program
Reports to: Clinical Director
Salary Range: $43.47 - $54.34 per hour
Hours: 37.5 hours per week
Shifts: Days - Monday-Friday - 8 hour shifts
Status: Permanent Full-Time
Closing Date: August 3, 2026
Position Summary
The Social Service Worker at the UHN Reactivation Care Centre provides psychosocial assessment, care planning, advocacy, and discharge support for patients requiring rehabilitation and restorative care. Working collaboratively within an interdisciplinary team, the Social Service Worker helps patients and families navigate healthcare and community resources, addresses social determinants of health, and supports safe, patient-centered transitions to home or alternative care settings. The role promotes patient independence, well-being, and quality of life through counseling, crisis intervention, resource coordination, and family support while ensuring care aligns with patient goals and organizational standards.
Duties
- Assessing patients for the purpose of evaluating the need and appropriateness for service, the
- nature of problem and the formulation of recommendations or treatment plans
- Implementing an intervention plan with patients, family members, significant others and the multi-disciplinary team for the purpose of facilitating changes in behaviour, attitudes, feelings and/or environment
- Reassessing and modifying the intervention plan, as required
- Liaising with appropriate community agencies
- Facilitating timely transfers of patients to appropriate alternate level of care facilities
- Establishing contact with members
- of the multi-disciplinary team and community agencies to obtain, provide or exchange information relating to the patient’s psycho-social functioning and health care in the past, present and future
- Rendering services for the immediate benefit of the Hospital and the community
- Providing clinical teaching to graduate social work students, medical students and professional colleagues at University Health Network and at Faculties of Social Work and in the Community
- Developing and participating in patient education programs
- Participating in program planning and evaluation
- Participating in research activities, projects
- Performing activities required for the effective and efficient operation/maintenance of Social Work practice
- Performing other duties consistent with the job classification, as required.
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