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Social Worker II/Care Coordinator, Connect 4 Care Service, BC Children's Hospital, Sunny Hill Health Centre

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BC Children’s Hospital (BCCH) cares for the province’s most acutely ill or injured children and youth, provides developmental and rehabilitation services to children and youth throughout BC, and offers a broad range of health services. Sunny Hill Health Centre for Children (SHHC), a leading provincial facility offering specialized services to children and youth with developmental disabilities from birth to age 19, works collaboratively with BCCH. SHHC focuses on the child and their family while supporting health care professionals in their community. BCCH also operates a wide number of specialized health programs, is a leading acute care teaching facility, and conducts research to advance health and care through the BC Children’s Hospital Research Institute and in partnership with the University of British Columbia.

BCCH is a part of the Provincial Health Services Authority (PHSA) which plans, manages and evaluates specialty and province-wide health care services across BC. PHSA embodies values that reflect a commitment to excellence. These include: Respect people • Be compassionate • Dare to innovate • Cultivate partnerships • Serve with purpose

Social Worker II/Care Coordinator, Connect 4 Care Service, BC Children's Hospital, Sunny Hill Health Centre

Reference# 77127

Regular, Full Time

Wage: $34.26 to $42.74

Vancouver, BC

Working from a family-centered, trauma-informed care model, the Care Coordinator works without general supervision as part of multidisciplinary community and hospital teams and alongside clients, to provide clinical and consultative social work services to families whose children have complex care needs. Working in close communication with broader community-based service providers and relevant medical staff across BC as needed, the Care Coordinator performs professional social work services with a focus on advocating for clients and supporting coordination of services as close to home as possible. The care coordinator engages in on-going service planning, program development, evaluation and quality improvement activities to achieve excellence in client care and also supports capacity building among patients and families, hospital services and community partners. The Care Coordinator utilizes advanced psycho-social assessments to identify the patient and family needs and goals and to support the coordination of a Collaborative Plan of Care. The Care Coordinator provides advocacy and consultation to team members and relevant community agencies and provides leadership, direction and support to the inter-professional treatment team around matters concerning community and hospital resources. The Care Coordinator plays a central role in liaison, and applies advanced knowledge, skill and clinical experience in facilitating communication and decision making around patient care. The Care Coordinator promotes family-centered care within BC Children’s Hospital and Sunny Hill Centre for Children, and the community.

Duties and Accountabilities:

  • Using advanced knowledge and expertise, functions in a lead role as Care Coordinator for the patient and their family as the point person for the patient/family, BCCH/SHHC clinics, and for the involved community providers. This includes: providing advanced level intake and family needs assessment, making recommendations on service planning/delivery throughout BCCH/SHHC, providing clinical leadership to the involved interdisciplinary clinicians and determining when and how to integrate with other community resources over time.
  • Provides advanced clinical consultation on potential patient referrals and participates in complex case planning for children and youth with multiple and complex developmental and behavioral needs, using methods such as phone or in person consultation to clinicians/health providers at BCCH/SHHC and throughout the province. Assists with coordinating follow-up with BCCH/SHHC clinics and community partners; utilizes teleconferencing to include health care professionals in care planning alongside patients and families around the province.
  • Conducts a comprehensive review of BCCH/SHHC patient chart to reduce repetitive parent/caregiver information and history. Using a family centered care framework, conducts an intake assessment by phone or in person, which is intentionally parent/caregiver driven and guided by their perspective and needs. Obtains additional relevant psycho-social information; for example, the patient’s family, social supports, environment, financial status, community resources, gaps in service, etc.   Initiates a plan of care which includes the goals and needs identified by parent/caregiver, and other areas of agreed support suggested by comprehensive intake assessment.
  • Advocates for the patient/family within BCCH/SHHC to assist in streamlined service delivery. Can include; communicating with Program Managers/Directors, Physicians, Case Managers, Clerical staff to plan innovative pathways, efficient timelines for services/assessments, a decrease in paperwork/forms, coordination of appointment bookings to reduce long distance travel, and work with clinicians to share relevant information for purposes of collaboration in patient care.
  • Establishes and maintains effective collaborative and constructive liaison relationships with a variety of individuals and groups, including patients and families, community primary care physicians and pediatricians, community mental health providers, MCFD social workers, schools, hospitals and other agencies, in order to coordinate services.


Education, Experience and Training

  • Master’s Degree in Social Work from an accredited School of Social Work, including relevant graduate level mental health courses.
  • Minimum 5 years’ experience specifically providing assessment, coaching and care coordination both within Hospital outpatient settings and in the community, with families of children with complex behavioural and developmental conditions or equivalent combination of education, training and experience.
  • Current full registration with the British Columbia College of Social Workers.

Skills and Abilities

  • Comprehensive knowledge of Social Work theory and practice.
  • Knowledge of complex developmental behavioural conditions.
  • Knowledge of the range of service options available for the designated client population both within the hospital and community setting.
  • Knowledge of solutions and strategies to reduce various barriers to care for the designated client population.
  • Demonstrated ability to work competently with the designated program/client population.
  • Knowledge of and commitment to strengths-based, family-centred practice.
  • Demonstrated ability to advocate for families as they navigate the health care system.
  • Comprehensive knowledge and demonstrated ability to apply case management/care coordination principles.
  • Broad knowledge of case management and practice within a client and family-centred care model for clients with complex health care needs.
  • Demonstrated ability to establish and maintain supportive, trusting and professional relationships with clients and their support group..
  • Demonstrated ability to establish rapport with clients and families in order to explore issues that are beyond the initial presented concerns.
  • Demonstrated listening and information seeking skills that promotes communication and leads to a co-operative approach to goal setting and problem solving with the family and within a multidisciplinary setting.
  • Demonstrated ability to conduct social and psychosocial assessments.
  • Demonstrated ability to apply coaching or motivational interviewing techniques with families.
  • Demonstrated ability to establish and maintain effective working relationships.
  • Demonstrated ability to work both independently and collaboratively as a member of a multidisciplinary team.
  • Demonstrated ability to prepare and maintain a variety of charts, records and reports.
  • Demonstrated ability to communicate effectively, both verbally and in writing.
  • Demonstrated ability to organize and prioritize workload and adapt to a changing team.
  • Demonstrated ability to perform a range of needs assessments with both individuals/groups.
  • Demonstrated skills in program development and building partnerships among allied services providers and community partners.
  • Working knowledge of quality improvement and research processes and methodology.
  • Broad knowledge of mental illness issues and care.
  • Broad knowledge of psychotherapeutic, counseling skills and clinical practice models..
  • Broad knowledge of psychopharmacology (indications and side-effects).
  • Broad knowledge of other health disciplines and their role in healthcare.
  • Broad knowledge of legislation and government policies and procedures that relate to the client.
  • Demonstrated ability to apply systems theory to practice in Social Work assessment and intervention.
  • Demonstrated ability to understand and influence group and inter-group processes, decision making and problem solving.
  • Demonstrated ability to establish workload priorities.
  • Demonstrated ability to problem solve, adjust to new or unexpected events and deal effectively with conflict situations.
  • Demonstrated ability to teach Social Work students and other team members both formally and informally.
  • Physical ability to perform the duties of the position.
  • Basic computer literacy to operate a computerized client care information system and word processing, spreadsheet, Internet and e-mail software.

We invite you to apply by clicking on the "Apply Online Now" button where you can register for the first time or enter your Username and Password in order to re-access your profile on our system. 

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 November 18, 2018.  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 temporary password is required to log in for the first time.  To obtain your temporary 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 atinternaljobshelpu@phsa.caand a Help Desk Representative will contact you the next business day.

Applications will be accepted until this position has been filled.

For more information on BC Children’s Hospital please visit:

For more information on what PHSA has to offer please visit

The PHSA is committed to employment equity and hires on the basis of merit. We encourage applications from all qualified individuals, including Aboriginal peoples, persons with disabilities and members of visible minorities.

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