Location: City of Lakes Family Health Team has 4 sites throughout the region including sites at: Sudbury, Val Caron, Chelmsford and Walden. Home based TBD, but regular visits to the other sites are required.
Worksite: In-person
Employment: 18-Month Contract, Full-Time
Hours: 37.5 hours/week Monday to Friday
Salary Range: $68,650-$80,765 annually
Benefits: HOOPP Pension and extended health benefits
Application Deadline: Friday, November 20, 2026
Apply To: Meghan Peters, mpeters@yourfamilyhealthteam.com
Are you a compassionate and resourceful Social Worker looking to make a meaningful impact in primary care?
Join the City of Lakes Family Health Team, where you’ll be part of a dynamic interprofessional team dedicated to collaboration, innovation, and delivering exceptional patient-centered care.
Why Join Us?
CoLFHT delivers comprehensive, team-based primary care designed to support our patients. You will join a collaborative and innovative team dedicated to improving access to comprehensive primary care across Greater Sudbury. Our Social Workers practice to their full scope within an interdisciplinary environment that values patient-centered care. This role offers a unique opportunity to make a meaningful difference in the lives of patients while helping shape and enhance social work services within our organization.
Responsibilities:
Social Workers are a key part of the patient care circle and should be comfortable working to their full scope of practice. As a Social Worker with our team, in collaboration with the primary care provider and an interprofessional care team, you will:
Mental Health & Psychosocial Support
- Provide brief assessments and therapeutic interventions
- Proficient in assessment, psychotherapy and psychological counseling techniques including CBT, SFT, motivational interviewing for working with individuals, couples, families and communities
- Support patients through counseling, education, and outreach
- Demonstrated ability to form and maintain helping relationships with patients.
- Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources;
- Establish collaborative treatment planning and goal setting with patients
- Conduct home visits and community outreach
- Participate in case reviews and team discussions
- Educate patients, families, and staff on psychosocial health and prevention strategies
- Maintain clear, confidential documentation
- Stay current with best practices and share knowledge with the team
- Create and support pathways that facilitate the social worker working to their full scope of practice
- Ability to work effectively as part of an interdisciplinary team
Patient Navigation & Advocacy
· Be a part of our Patient Navigation program, lead by our Patient Navigator
· Help patients access community and social services
· Advocate on behalf of patients with external agencies
· Strengthen communication between community partners and our care team
- Refer patients to the program for supports accessing financial supports, housing, legal aid, and social services
- Build capacity among providers to identify and support patient navigation
Program Development & Evaluation
- Develop tools and guidelines to support best practices
- Collaborate with our Quality Improvement team to measure impact
- Enhance EMR functionality to support navigation and tracking
- Participate in data collection and program evaluation
What We Offer
A supportive, inclusive, and forward-thinking work environment
A collaborative team culture that fosters learning, innovation and a shared purpose
Opportunities for professional growth, leadership, and continuing education
A chance to make a lasting impact in the Greater Sudbury community
Qualifications
· Bachelor’s degree in Social Work from an accredited institution
· Minimum 3 years of relevant experience
· Registered and in good standing with the Ontario College of Social Workers and Social Service Workers
- Experienced in social work interventions and strategies to assist clients or families to achieve optimum psychosocial and social functioning
- Working knowledge of the Mental Health Act, Healthcare Consent Act, Substitute Decisions Act and community mental health resources
- Experience in providing one-on-one supports to individuals with diversity in income, education, ability, and mental health status
- Excellent verbal and written communication. Listening, organizational, multi-tasking and problem-solving skills.
- Demonstrated commitment to and knowledge of community-based resources
- Demonstrable knowledge of financial matters affecting low-income people, including income security programs and policies, tax systems, access to financial services, and other income support programs such as WSIB and private insurance companies.
- Previous experience brokering social support services between agencies
- Experience in the development of educational materials for health providers and patients
- Experience with data collection, research and quality improvement
- Experience with a electronic medical records system is an asset
- Demonstrated ability to work effectively in a multi-disciplinary team environment
- Bilingual in French and English considered an asset
Please forward your cover letter and resume to Meghan Peters, Executive Director of the City of Lakes Family Health Team. mpeters@yourfamilyhealthteam.com
While we thank all applicants, only those under consideration will be contacted for an interview.
- We are an equal opportunity employer and we celebrate diversity and are committed to creating an inclusive environment for all employees!
