Case Manager - Substance Use Hub

JOB DESCRIPTION – CASE MANAGER – Substance Use Hub

Position: Full-Time Contract (15 Months with the possibility of extension)

Hours: 35 Hours per week (1.0 FTE)

Bargaining Unit: OPSEU Local 5115

Salary: $65,025.47 - $75,382.34

Location: Onsite (downtown) and mobile in the community

Deadline: October 26, 2025

Background:

The Inner City Family Health Team is a multidisciplinary team which serves individuals with complex health needs. These include untreated chronic and complex multi-system diseases, an elevated risk of acute health emergencies, and serious and persistent mental health and substance use challenges. The Substance Use Hub (HUB) was launched in 2021 by Inner City Health Associates (ICHA) and the Inner City Family Health Team (ICFHT) to address the ongoing substance use and overdose crisis in Toronto's homeless population. The service provides safer drug supplies, addiction medicine treatments and psychiatric care with a pathway to primary care and wraparound supports for individuals struggling with substance use who are at the highest risk for overdose and death. The project aims to support a substantial number of individuals who have the greatest risk of overdose and death due to substance use with the goal of seeing a decrease in the number of substance-related deaths and overdoses that are reported amongst the homeless population.

Purpose of the Position:

The Case Manager provides direct case management support to adults with a comprehensive range of complex issues, including health, financial, housing, legal, and life skills concerns. Working from a harmful, trauma-informed perspective, Case Managers provide extensive direct one-to-one support, home visits and telephone contact to assist participants in identifying and achieving self-determined goals. Working closely with the client and external service providers involved, the Case Manager liaises with and coordinates access to services, including substance use and mental health supports, landlords, healthcare providers, legal institutions, income supports, housing providers, and other community services.

Roles and Responsibilities:

• Providing direct and intensive case management services to clients
• Working with participants to identify and achieve self-directed goals.
• Maintaining ongoing support in the community, including home visits, office visits, accompaniments to appointments, and meetings in institutional settings.
• Working collaboratively and developing strong partnerships with external service providers, such as withdrawal management services, hospitals, law enforcement agencies, and housing providers.
• Connecting clients with supports in the community based on their needs, which will help them achieve and maintain stability, including support groups, life skills groups and social events.
• Organizing group programming that promotes well-being and recovery.
• Supporting client engagement initiatives within the agency includes the volunteer program and peer development initiative.
• Intervening and de-escalating a crisis.
• Engaging in active team case management and clinical consultation meetings.
• Maintaining accurate case management records and complete reporting required by funders and supervisors, adhering to PHIPA
• Regular data collection using OSCAR EMR and other data collection systems
• Experience and/or comfort level using computer programs to document client interactions
• Other duties as assigned.

Qualifications, Skills, and Experience:

• 2 years of experience as a Case Manager
• Minimum 2 years’ direct client experience working with individuals living with mental health, substance use issues, histories of trauma and homelessness
• BA/B.S.W or a combined equivalent of education, lived experience and/or significant related training.
• Experience, alignment and commitment to harm reduction principles and practice.
• Formal training in substance use, and mental health is an asset.
• Strong familiarity and commitment to trauma-informed care.
• Physically able to travel consistently throughout the city on transit.
• Recent demonstrated knowledge and skills in assessment, crisis intervention and prevention, conflict resolution and negotiation skills.
• EMR and charting knowledge and skills.
• Excellent written and verbal skills in English.
• Strong understanding of and commitment to harm reduction, trauma-informed, anti-oppression, anti-racist, and trans-inclusive practices.

Qualified applicants should send in a cover letter and resume by October 26, 2025 to: recruitment@innercityfht.ca

We thank all applicants for their interest in this position; however, we will only be contacting those selected for an interview.

We encourage applicants who reflect Toronto’s Indigenous, 2SLGBTQIA+, racial and cultural diversity to apply.

We are committed to accommodating the individual needs of job applicants throughout the recruitment and selection process, in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). If you require accommodation at any time during the recruitment process, please contact the Clinical Manager.

As a condition of employment, the successful candidate will be required to submit proof of COVID-19 vaccination or documentation unless a valid accommodation under the Ontario Human Rights Code exists. Please also note that the successful candidate will be required to provide a police check as a condition of employment. However, strong consideration is given to the type of offence.