Reporting to the Director of Services, the Manager, Service Integration and Transitions, will work with our service teams to ensure and evaluate the delivery of high quality, comprehensive and compassionate care to infants, children, youth, adults and families throughout the development of a continuous improvement program at AFS. Using a guided care model, the manager is responsible for a team of case managers/system navigators who will provide transitions to and from service systems (hospital-community, child-adult, primary care-CYMH, AFS- Thrive/CLA/CAS ) are well defined, along with the seamless onboarding and offloading of AFS services. In collaboration with community partners and the client, the manager will ensure that comprehensive services are in place to support the service journey while respecting the autonomy and independence of the client and their family.

As a member of the AFS leadership team, the manager plays a key role in promoting our culture of care by modeling our organizational values ​​and achieving our mission, vision and strategic goals. . Extremely committed, the manager will also promote inclusive and culturally appropriate services from a client-centred, strengths-based and solution-oriented approach within a context of anti-oppressive practice.

• Registered nurse or nurse practitioner specializing in child and youth mental health and addictions.
• Relevant graduate degree or willingness to pursue graduate studies
• Being in good standing with a regulated professional order is required.

• A minimum of five years of work experience in a children’s mental health setting.
• A minimum of three years of management/leadership experience, including supervisory experience.
• A minimum of three years of experience in leadership development and the development of continuous improvement initiatives.

• Extensive experience working with community partners and using a collaborative care approach.
• Demonstrated ability to build collaborative relationships with community partners, colleagues, primary care and hospitals.
• Advanced knowledge of assessments, treatment planning and therapeutic interventions and the ability to communicate and interpret this to clients, staff, colleagues and partners.
• Thorough knowledge of pharmacological interventions and thorough understanding of risks and benefits.
• Advanced knowledge of child and family development (psychological, emotional, physical, social), family systems theory, parent-child interaction and attachment theory.
• Passionate about continuous improvement and service excellence.
• Demonstrated a high level of maturity and interpersonal skills. As well as demonstrated leadership qualities competently in making and implementing decisions.
• Advanced knowledge and understanding of privacy settings and reporting responsibilities under the Child, Youth and Family Services Act, and knowledge of relevant legislation, such as the Education Act, Ontario’s Mental Health Act, Personal Health Information Protection Act, and Youth Criminal Justice Act.
• Advanced skills in writing clear and concise reports and documentation, with attention to detail.
• Proficiency in technologies such as: computers/tablets and software, in particular Microsoft Word, Microsoft Outlook, Excel, PowerPoint and data GIS.
• The ability to provide services in both official languages ​​(English/French) is a definite asset.
• Possession of a valid Ontario driver’s license with the ability to travel and use of an insured personal vehicle for business purposes.
• Availability to work flexible hours, including evenings, weekends and on call

1. Maintain the confidentiality of our clients and their information at all times in accordance with agency policies and procedures.
2. Work with counsellors, supervisors and community partners to ensure clients with complex and difficult needs receive the right services at the right time.
3. Using a strengths-based, solution-focused and family-centered approach, the manager will work with the access/intake team to triage the most appropriate service and/or treatment modality for the client, clearly indicating the service channels to the client/family.
4. Ensure that the services provided by AFS are provided in an integrated and coordinated approach with primary care, taking into account the medical needs of the client.
5. Provide planning for transitions to and from services, meet health quality standards and contribute to a positive experience for infants, children, youth, adults and families.
6. Ensure there is clear communication and sharing of information pathways to and from AFS and primary care, and address identified issues.
7. Ensure the integration of mental health treatment provided by AFS with psychiatry and services provided by the Sault Area Hospital.
8. Provide a nursing perspective, as part of an interdisciplinary team, regarding service access, service delivery, and service coordination in treatment planning – particularly regarding the role of medications.
9. Address knowledge gaps and strive to create a more holistic and less fragmented approach to treatment.
10. Demonstrate leadership in integrating services and improving engagement of primary care throughout the client/patient journey, as outlined by the Department of Health in the Roadmap to Better- be.
11. Coordinate the implementation, monitoring and use of CYMH interRAI, HEADS-ED and any other identified assessment tools.
12. Oversee and report on the perception of care in Ontario (OPOC) with the goal of improving the customer service experience.
13. Provide leadership in continuous improvement initiatives and the implementation of innovative practices using data and research.
14. Assist in the establishment of annual service objectives and performance measures.
15. Provide direct supervision to all designated staff and all assigned positions.
16. Manage Access Coordination, Intake Services, Tele-Mental Health Services, Medication Tracking Clinic, Psychiatry Services, Complex Case Coordination, Complex Special Needs Funding and Counselor of transition
17. Lead annual service planning with identified teams.
18. Work with the management team in service evaluation and accreditation processes. Take the specific direction of service evaluation.
19. Contribute to the improvement of the community mental health system through active participation and leadership in establishing and/or supporting community networks, systems planning and community initiatives.
20. Work with the Manager of Community Services and Strategic Initiatives in the development, monitoring, reporting and evaluation of the Community Mental Health Plan.
21. Interpret the AFS service system to customers, warranty agency representatives and the community at large
22. Possess a working knowledge of the required legislation governing the practice, in particular the Psychotherapy Act; also to fulfill the “professional duty to report” any suspected cases of child abuse, as required for case management and service coordination of child, youth and family services.
23. Take the initiative to develop a personal plan for professional development.
24. Perform other responsibilities as assigned by the Service Manager or CEO.

Please forward cover letter and resume to [email protected]