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Hamilton Health Sciences

Social Worker MSW

Hamilton, ON, Canada

Full-time

Within 25 km of Hamilton · About 14.8 km from the city centre

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Job details

Job type: Full-time
Apply by: Nov 10, 2026
Experience: Minimum of 3-5 years clinical experience in working with older adults in an in-patient setting, including experience with discharge planning
Posted: Nov 4, 2026

Original job description

The Social Worker functions as a valuable member of the interdisciplinary team and provides care to frail, complex senior patients at the Hamilton General Hospital and Juravinski Hospital. The role has a dual focus: to prevent avoidable admissions by liaising with community supports; and to provide early assessment and intervention associated with best practice for geriatric patients. The SW assesses, plans, monitors and evaluates client goal achievement. In particular, the SW practices by combining education and related clinical experience to offer patients and their caregivers support, assessment and resource support for successful discharge with an emphasis on addressing social justice and self determination by enhancing linkages with hospital and community services and acts as an advocate for the frail seniors they serve and where appropriate, in partnership with community resources. In addition, the Social worker will actively participate in professional practice and program committees & initiatives that support patient care, and clinical practice.

Masters or Bachelors Degree in Clinical Social Work from an accredited School of Social Work
Current Certificate of Registration with the Ontario College of Social Workers and Social Service Workers
Demonstrated expertise in complex geriatric assessment, and developing individualized coordinated care plans for seniors living with multiple chronic diseases, frailty, and cognitive impairment
Minimum of 3-5 years clinical experience in working with older adults in an in-patient setting, including experience with discharge planning
Expert knowledge of legislation that impacts on seniors, including the Substitute Decision Makers Act and issues related to capacity and decision-making
Expert knowledge of community-based resources for seniors and people with multiple medical issues
Ability to creatively problem solve and facilitate change
Understanding of the social determinants of health, and the social consequences and risk factors associated with aging
Demonstrated strength in case management, consultation, and teamwork
Demonstrated proficiency in report writing relating to assessment, and consultation
Excellent written and verbal communication alongside strong interpersonal skills
Understanding of diversity as it affects different populations and service delivery
Evidence of self-motivation, enthusiasm, and flexibility
Demonstrated commitment to ongoing learning

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More about this job

Responsibilities

Assess, plan, monitor, and evaluate care for frail and complex older adults, including early intervention and discharge planning to support successful transitions and prevent avoidable hospital admissions. Advocate for patients and caregivers by coordinating hospital and community resources, and contribute to professional practice and program initiatives.

Requirements

Requires a bachelor's or master's degree in clinical social work and current registration with the Ontario College of Social Workers and Social Service Workers. Candidates need 3–5 years of inpatient experience with older adults, expertise in geriatric assessment, care planning, seniors' legislation and community resources, and strong case management, communication, and teamwork skills.

Skills

Geriatric Assessment
Care Planning
Discharge Planning
Case Management
Clinical Social Work
Patient Advocacy
Interdisciplinary Teamwork
Community Resource Coordination
Complex Problem-Solving
Consultation
Assessment and Report Writing
Communication
Knowledge of Seniors' Legislation
Capacity and Decision-Making
Understanding of Social Determinants of Health
Cultural Diversity

Visa sponsorship

Not detected in the job text

Keywords

Clinical Social Work
Master's Degree
Bachelor's Degree
Ontario College of Social Workers and Social Service Workers
Geriatric Assessment
Frailty
Cognitive Impairment
Chronic Diseases
Inpatient Care
Discharge Planning
Care Coordination
Case Management
Patient Advocacy
Community-Based Resources
Substitute Decisions Act
Capacity Assessment
Decision-Making
Social Determinants of Health
Interdisciplinary Team
Caregiver Support
Clinical Practice
Assessment and Report Writing
Consultation
Social Justice
Self-Determination

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