Intensive Case Manager

Join our team as an Intensive Case Manager for an Innovative Pilot Project!

We are launching an exciting one-year pilot project aimed at increasing housing stability and reducing inflows to homelessness for individuals housed in private market rental units through a scattered site Intensive Case Management support team. The team made up of Intensive Case Managers and Social Workers will develop individualized health and housing care plans and coordinate care. This role will enhance individualized care and help break down health-related barriers that can prevent individuals from securing and maintaining housing. You’ll have a unique opportunity to work directly with individuals in the community, supporting their ability to manage daily living, build routines, foster community connections, and develop essential skills for sustaining housing through both individual and group interventions.

Program Overview:

Stepping Stone is a community-based agency that believes in the Housing First philosophies and practices. We strive to improve the quality of life for people who are struggling with chronic homelessness, significant mental health issues and substance misuse. Our shelter program provides individuals a place to stay and staff support 24/7, along with wrap-around health care services on site to help people experiencing homelessness transition to housing and successfully stay housed.

Job Summary:

The Intensive Case Manager is responsible for leading care plans with individuals who are precariously housed. Supported by and in collaboration with the team’s social workers, the Intensive Case Manager will hold a caseload of approximately 15 individuals. This role will be based in Mount Forest and work closely with the Mount Forest Health Team’s Outreach Services to support coordinated, community-based care. The role will ensure that individuals’ health and housing care plans are supported by an interorganizational team to promote health and housing stability. Working within a person-centred approach, the Intensive Case Manager will deliver support through a complex-capable, harm reduction, and trauma-informed framework. They will take the lead in ensuring that individuals receive adequate and appropriate support to address the complex factors contributing to their history of housing instability or homelessness.

Qualifications, Skills and Experience:

• Post-secondary degree or diploma in human services/human sciences, or related field.
• Experience of working with those who have experienced mental health challenges, addictions and trauma
• Respectful, supportive and engaging approach to persons with physical disabilities, addictions, mental health and other life challenges
• Demonstrated knowledge, skills and experience working with community organizations as well as an understanding of issues related to poverty and homelessness
• Strong interpersonal and resilience skills
• Must have exemplary communication, conflict management, organization and problem solving skills
• Ability to work professionally as a team member with staff, participants and community members
• Experience working within a non-profit and/or social services environment preferred
• Ability to work sensitively and effectively with people from various abilities, life situations and cultural backgrounds
• Ability to carry and operate cleaning equipment up to 50 pounds
• Experience using a Data Management System (i.e. HIFIS) and tools (i.e. VI-SPDAT)
• Current First Aid / CPR certification, Naloxone training and Vulnerable Sector Police Check or willingness to obtain at hiring
• A valid Driver’s License, vehicle and insurance

Overview of Duties and Responsibilities:

• Actively engage individuals with complex needs living in private market rental units to maintain housing stability
• In partnership with the team’s social workers, collaborate with individuals in the formulation of a housing and health plan that is reviewed and modified with the individual on a regular basis and provide crisis intervention when necessary
• Oversee care planning to ensure mental health, addiction and medical goals are being created and carried forward with a team comprising of both internal staff and external partners
• Create care plans through an ABI, trauma-informed and person-centred lens
• Develop stage-matched, client centered care
• Advocate on behalf of the individuals to ensure appropriate service delivery
• Take part in case conferencing tables to advocate for individuals/families, contributing recommendations for case management in collaboration with the team’s social workers
• Support clients with guest management, life skills, food security and overall housing retention needs
• Assist in developing a plan for financial literacy which would include budgeting, rental insurance and rent payment as well as ensuring food security is established
• Conduct in unit visits and wellness checks in accordance with program policies and provide ongoing case management services using a strength-based approach
• Support individuals at appointments (e.g. Food Bank, Ontario Works, medical, psychiatric, counseling etc.)
• Encourage and support participants in becoming actively engaged in their community through social activities, volunteering and attending community events
• Track all active evictions and support individuals/families facing eviction in legal clinic or LTB matters as required. Help with a re-housing plan if needed.
• Maintain excellent documentation on each case and each contact with the participant and using this documentation to evaluate project outcomes, goals and progress on a regular basis
• Participate in regular supervision, team meetings, and trainings
• Support in ensuring continuity of care in the community
• Maintain client records in a timely and accurate manner
• Attend both internal staff meetings and client care meetings as required
• Follow PHIPA standards
• Take part in team meetings to enhance program delivery

Working Environment / Schedule:

• Flexibility to work evenings and weekends when required
• Thirty-five (35) hours per week, with the hours being flexible to the needs of clients
• Exposed to stress due to dealing with clients in difficult personal circumstances
• This role requires working within a rural service delivery environment, including travel on rural roads and adapting to varying road and weather conditions.
• Start Date: December 1st, 2026.

Compensation and Benefits:

• $28.67 / hour starting wage
• 2 weeks vacation / year (on an accrual basis)
• 7 sick days / year (on an accrual basis)
• $100 / month cell phone reimbursement & $100 / month gas allowance
• Extended Health & Dental benefit package available after (3) months of employment
• An environment that supports continuous learning

Pay: From $28.67 per hour

Expected hours: 35.0 per week

Benefits:

• Dental care
• Extended health care
• Paid time off
• RRSP match
• Vision care

Work Location: In person