Transitional Case Manager, Psychogeriatric

Transitional Case Manager, Psychogeriatric
Direct Service - (OPSEU)
Full-Time, Permanent (Benefitted)

This posting is the result of a current vacancy.
Woodstock, Ingersoll, Tillsonburg, Ontario (Oxford Zone)
- Application Deadline: August 25, 2026 -

The Transitional Case Manager (TCM), Psychogeriatric works one on one or in groups with individuals who choose our program to meet their needs. They will provide support to individuals 65+ as they improve their health and quality of life in the face of Mental Health and/or Addictions concerns and the accompanying barriers they experience.

The Seniors Outreach and Recovery (SOAR) TCM Psychogeriatric assesses the person’s needs, strengths, and supports to co-develop goals and a customized recovery and support plan. You would work from a trauma informed perspective as part of a team and part of a community to advocate, challenge stigma, and prevent harm.

The TCM Psychogeriatric acts as a special resource in psychogeriatric care, including co- occurring disorders; provides consultation and formal teaching; is responsible for the provision of clinical services to the psychogeriatric client through assessment, treatment, monitoring and directing care; act as liaison with community agencies and care providers; and assists in community development activities.

Consider revitalizing your career and making a difference in your community by joining our team!

WHAT WE'RE OFFERING:

• What you'll be making - Starting rate for this role is $27.14per hour (Level 1 – Direct Service), with a wage differential, based on regulation ($30.01 per hour for Level 1 – Direct Service, Regulated):
  • Successful candidates who are registered with one of the designated professional colleges (e.g. OCSWSSW, CNO, COTO, CRPO, CPSO, or CPO) will receive the wage differential for regulation
  • Successful external applicants will start at Level 1, with grid progression based on seniority up to Level 8 ($34.41 per hour for non-regulated, and $37.26 per hour for regulated); for internal applicants, grid level placement will occur as per the Collective Agreement
  • Premiums of $2.00 per hour will be applied for eligible Evening/Night (8:00pm – 7:00am) and Weekend Shifts.
• When you'll work - 70 hours biweekly; Monday to Friday, 8:30am-4:30pm
• Your pension plan – Immediately enrolled in the Healthcare of Ontario Pension Plan (HOOPP)
• What your benefits will be – After a 90-day waiting period, will be enrolled in extended healthcare benefits

HOW YOU WILL BE MAKING A DIFFERENCE:

Assessment--In collaboration with the client:

• Assist with short term crisis management by providing an urgent/emergent response to individuals in need of case management supports
• Engage with clients on a short-term basis to support their immediate needs
• In collaboration with the client, conduct a variety of assessments (skills, functional ability, needs, barriers, etc.)
• Assess the adequacy of resources/supports currently available to the client
• Determine the impact of psychiatric symptoms on functioning
• Identify risk factors related to client and staff safety as well as relapse
• Assess barriers to successful community living (e.g. treatment options, transportation, finances, etc.)
• Ensure the assessment incorporates cultural and ethnic factors
• Identify areas requiring additional assessment

Individualized Goal Setting and Rehabilitation Planning -- Utilizing the information obtained through the assessment process and in collaboration with the client:

• Assist the client to identify their personal goals and preferences and utilize standardized tool (GAIN, OCAN, etc.)
• Design rehab plans based on client needs, goals and preferences
• Assist the client to navigate systems and connect to appropriate resources
• Assist the client to explore options and consequences of different choices
• Build on the client’s personal strengths, abilities and resources
• Help clients work towards their vision of a positive personal future
• Help clients identify practical strategies for achieving their vision
• Ensure issues related to transportation are addressed, incorporated into the rehab plan and are consistent with organizational policies and practices
• Work in partnership with the client in all aspects of planning
• Identify intervention strategies to meet goals
• Establish an intervention plan which includes expectations and responsibilities of the client, Case Manager, other supports (e.g. family) and resources, as well as the frequency and nature of interventions
• Document and communicate the plan to all relevant stakeholders

Implementation of Rehabilitation Plan -- Based on identified goals and intervention strategies:

• Provide individual skill teaching and/or support the client to obtain the necessary skills training from other sources
• Provide needed information and education about mental illness, coping skills, services, resources, self-help and consumer initiatives/supports
• Utilize basic communication and intervention skills, supported by empirical validity, practice guidelines and relevant standards of care for different interventions
• Encourage and facilitate personal growth and development towards rehabilitation and recovery
• Motivate the client to learn new skills and behaviours
• Build on client’s personal strengths and adjust interventions based on individual response
• Support the client to access needed resources
• Assist the client to identify and connect with personal/natural supports
• Meet with the client regularly to work on specific goals until other permanent supports are in place

WHAT YOU'LL NEED TO APPLY:

Police Vulnerable Sector Check Requirements
Successful candidates must have a Police Vulnerable Sector Check (PVSC) completed within the last six months. In order to avoid delays in beginning a position, interested applicants who are in need of a PVSC are encouraged to apply for one as soon as possible.

We require the following qualifications:

• Diploma or degree in a health, social service or a related (primary proof of credentials will be required during the hiring process i.e. original degree/diploma or official transcript)
• Valid Driver’s License: minimum G class required
• Access to a vehicle for personal transportation
• Transportation of clients in personal vehicle required; two million-dollar ($2 000 000.00) liability insurance required
• Current, satisfactory Police Vulnerable Sector Check (PVSC)
• Demonstrated ability to attend work regularly

We prefer the following qualifications:

• Current First Aid/CPR
• Experience working with individuals with a serious mental illness
• Excellent knowledge of community resources in the Thames Valley region
• Bilingual in both official languages, preferred; Une préférence sera accordée aux personnes possédant des compétences dans les deux langues officielles du Canada

INTERNAL APPLICANTS: To be considered as an internal applicant, current staff members are reminded to apply using their @cmhatv.ca or @slwar.ca email address.

Get your application in by – August 25, 2026

Our recruitment process allows us to learn about your previous work experience, your qualifications and your commitment to fulfilling our vision. While we appreciate the interest of all applicants, only those individuals being considered for a position will be personally contacted by someone from the interview team. 

We welcome and encourage applications from all members of our community including persons of any gender, gender identity, gender expression, or sexual orientation, persons with disabilities, Indigenous persons, and members of visible minorities. If you require accommodations related to a disability at any point during the recruitment process, please contact [email protected]

Legal Notifications:

• For legal purposes our full business name is: Canadian Mental Health Association Thames Valley Addiction and Mental Health Services
• Artificial Intelligence is not currently employed in our recruitment processes