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Community Transition Team Systems Navigator, Correctional Health Services DASW 1, BC Mental Health & Substance Use Services

Coquitlam, Canada

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Working within Correctional Health Services, you will provide trauma-informed care to clients presenting with a wide variety and complexity of acute and chronic illnesses/diseases, including communicable diseases, substance dependency, and mental health and general health issues. You will be a member of an interdisciplinary, collaborative health care team, liaising with other health care professionals, clients, family members, and community agencies to provide clients with safe and effective care. Be part of a team where you can live and work in your community, positively influence an incarcerated individual’s journey down a new path, and see the difference you can make as you serve the diverse populations of the BC Corrections system.

  • Job Type: Full-Time, Part-Time,
    Temporary, Casual
  • Job Level: Entry, Mid, Senior,
  • Travel: Minimal

Success Profile

What does it take to be successful working in Correctional Health Services at PHSA? Check out the top traits we’re looking for and see if you have the right mix.

  • Achiever
  • Confident
  • Detail-Oriented
  • Good Listener
  • Team Player
  • Trustworthy

About Correctional Health Services

Correctional Health Services (CHS), part of BC Mental Health & Substance Use Services (BCMHSUS), a program of the Provincial Health Services Authority (PHSA), is an integral part of British Columbia’s health care system. CHS provides health services at the 10 provincial correctional centres. PHSA is mandated to improve the quality and continuity of care for clients across the province during their time in correctional facilities and as they reintegrate into the community. This will help to improve access to primary health care, as well as mental health and substance use support for inmates; key needs that have been identified not just in BC, but internationally.


"We have a really robust health care system within corrections. We have what we call our Mental Health and Substance Use team and it’s made up of allied health professionals as well as nurses, and that includes Mental Health Coordinators, Concurrent Disorder Counsellors, Addictions Counsellors, Access and Transition Nurses who do a lot of discharge planning work, Mental Health & Substance Use Nurses, Social Workers as well as Support Workers"

Shannon Petovello Mental Health Coordinator, Alouette Correctional Centre for Women

"This is a fantastic place to learn and grow as a nurse. I had only been a nurse for a year when I started here."

Jennifer Gill Licensed Practical Nurse, Alouette Correctional Centre for Women

"Corrections was something different, so I tried it, and I never left."

Kelsey Holzworth Registered (Clinic) Nurse, Prince George Regional Correctional Centre

Benefits and Perks

Benefits vary by job type and are confirmed in the interview and hiring process.

  • Healthcare

    Extended health and dental benefits

  • Continuing Education

    Access to more than 2,000 in-house training programs

  • Relocation

    Relocation support for out-of-province hires

  • Collaboration

    Work with an interdisciplinary health care team

  • Variety

    Opportunity to work across multiple roles, such as clinic nurse and mental health & substance use nurse roles.

  • Compensation

    Equitable hourly rates in accordance with collective agreements

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Community Transition Team Systems Navigator, Correctional Health Services DASW 1, BC Mental Health & Substance Use Services

Coquitlam, Canada

Community Transition Team Systems Navigator
BC Mental Health & Substance Use Services, BC


As per the current Public Health Order, full vaccination against COVID-19 is a condition of employment with PHSA as of October 26, 2021.


Join our multi-disciplinary team of passionate and committed professionals working to support clients with complex mental health and/or substance use in the crucial weeks and months after release from a correctional centre. As a member of the Community Transition Teams, you will play a key role as a CTT System Navigator linking clients to mental health and substance use services, providing focused rehabilitative support services, and bridging the gap between correctional institutions and communities, as well as between formerly incarcerated clients and the communities in which they live. To learn more about the important work we do watch our video (

This position will be remote initially for approximately three months. The work location will change to an on-site location to be determined within the Fraser Region.

What you’ll do

  • Work from a culturally informed, client-centered, client-choice based care model to coordinate referrals to care, especially primary care and social supports. Work with Indigenous partners and with the FNHA in partnership and the best interests of the clients and families. Where clients have complex or unique needs, facilitates holistic care planning, proactively engages with and coordinates inputs from a range of different service providers, influences health and community care providers and leverages existing service providers to bridge health and social offerings, support of the community and to ultimately support the best outcomes for clients. Referrals may support access to counselling services, income assistance, housing, legal support, food, education, immigration support, employment training, disability assistance, clinical case management, mental health and addictions services.
  • Participate in care coordination meetings and multidisciplinary case conferences as needed to support client access to care. Network with service providers and builds collaborative relationships to support care planning.
  • Work alongside community members, community service providers and health service professionals to engage in community capacity building efforts with a focus on supporting and expanding local service options and to support service enhancements.
  • Providesbrief supportive counselling and information services to clients. Establish trust, confidentiality, credibility with community members, reviews referral information and case histories, interviews service providers, referral agents and other sources, determines risk factors for threats of harm to self and others, mental health issues and substance misuse. Maintain knowledge of various care pathways, service options and care providers across the province to facilitate accurate information provision and referrals.
  • Research educational programs, services, practices and professional literature for application to local context. Maintains current knowledge of local related resources. Stay informed on best- and emerging practices related to this patient population.
  • Maintain records in accordance with established procedures and policies, and prepare/maintain statistical data, correspondence reports and other documentation, as required. Provide an ongoing commitment to client services and continuous improvement to ensure enhanced client services and that services are provided in most effective way.

What you bring           

  • Master’s Degree in Social Work or Behavioural Science from a recognized program.
  • Minimum one (1) year of recent related clinical experience working with complex care individuals with significant mental health, substance use issues and/or cognitive limitations; must include experience in trauma informed, culturally sensitive and gender affirming service delivery. 
  • Demonstrated systems thinking skills attained either from university level systems course(s) and/or experience
  • Knowledge of and commitment to strengths-based, client-centred practice.
  • Knowledge of community development, community health agencies and services.

What we bring


Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That’s why we’re focused on your care too – offering health, wellness, development programs to support you – at work and at home.

  • Join one of BC’s largest employers with province-wide programs, services and operations – offering vast opportunities for growth and development.
  • Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
  • Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
  • Annual statutory holidays (13) with generous vacation entitlement and accruement.
  • PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
  • Perks include access to fitness classes and discounts to 350 BC-wide recreational programs, travel, technology, car and bike sharing, and more.



Job Type: Regular, Full- Time (1.00 FTE)
Wage: $40.53 to $50.62 per hour.
This position will be remote initially for approximately three months. The work location will change to an on-site location to be determined within the Fraser Region.
Applications will be accepted until position is filled.
Hours of Work: Monday to Friday; 0800-1600.
Requisition # 133809


What we do


BC Mental Health & Substance Use Services (BCMHSUS) cares for people with complex mental health and substance use challenges.


BCMHSUS is part of the Provincial Health Services Authority (PHSA).


The Provincial Health Services Authority (PHSA) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Cultivate partnerships – Serve with purpose.


Learn more about PHSA and our programs:


PHSA and BCMHSUS are committed to employment equity, encouraging all qualified individuals to apply. We recognize that our ability to provide the best care for our diverse patient populations relies on a rich diversity of skills, knowledge, background and experience, and value a safe, inclusive and welcoming environment.



ATTN: PHSA Employees:


To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at    


Please note the internal job posting will no longer be accessible after the expiry date of October 14, 2022. If the internal job posting has expired, please contact the Internal Jobs Help Desk and advise that you would like to be considered as a late internal applicant for this position. Please do not apply for the external job posting.


If you have not registered your internal profile, a password is required to log in for the first time. To obtain your password, please contact the Internal Jobs Help Desk at 604-875-7264 or 1-855-875-7264. Please note regular business hours are Monday – Friday (excluding stats), 8:30am to 4:30pm. For inquiries outside of regular business hours, please email the Internal Jobs Help Desk at and a Help Desk Representative will contact you the next business day.


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