Case Manager Registered Nurse



Assertive Community Treatment Team (ACTT)

Bargaining Unit Position

One (1) Permanent Full-Time

(37.5 hours/week)

Cota is an accredited community-based organization that has been supporting adults with mental health and cognitive challenges to live well within their communities for over 40 years. We provide person-centred supports that assist individuals to find inspiration and hope in their inherent strengths and support them to pursue meaningful change in their lives, as they define it. We also work collaboratively with our funders, our partners and other stakeholders, across the provincial health and social service systems, to inspire positive change in the way that services are delivered to individuals living with mental health and cognitive challenges.

We are seeking a dynamic and innovative individual who will work enthusiastically to deliver recovery oriented, client and family centered and comprehensive services that meet client needs, ensures client safety and works within a quality improvement framework to identify opportunities for enhancing quality and quantitative outcomes of the services.  Client and family centered care is guiding principle at Cota that helps improve decision making processes, health outcome and client experiences. The successful individual will embed this guiding principle into their work.  


About the Position:

Cota seeks a Registered Nurse for their Assertive Community Treatment (ACT) Team in Toronto. The “At Home” ACT Team participated in the Mental Health Commission of Canada’s national research demonstration project on Housing First and continues to serve homeless individuals with serious mental illness and substance abuse issues. Cota’s ACT team provides housing opportunities for clients using a “housing first” scattered site approach. Self-determination, choice and harm reduction are at the centre of all considerations with respect to housing and support services.

ACT services are provided to persons with serious mental illness who require the intensity of services provided by the assertive community treatment model in order to facilitate community living, psychosocial rehabilitation and recovery. As a member of this multidisciplinary team, you will provide expertise in the area of addictions, assessments, interventions and programs, and employ an integrated treatment model in which mental health and substance use treatments are provided. You will contribute to the development of comprehensive client-centred assessments and treatment plans, and provide service co-ordination for an assigned group of clients that includes a range of treatment, rehabilitation and support services.

The Mental Health Nurse is responsible for conducting psychiatric assessments, assessing physical health needs and making referrals to community services. The RN is also responsible for providing management and administration of medication in conjunction with the ACT psychiatrist.

The RN also shares the shift management responsibility with other team members working evening and weekend shifts.



  • Bachelor Degree in Nursing
  • Minimum 2 years’ experience in psychiatric nursing, community psychiatric nursing preferred
  • Maintains a certificate of competence with the College of Nurses of Ontario
  • Demonstrated strong commitment to the right and ability of each person with a serious mental illness to live in normal community residences; work in market jobs; and have access to helpful, adequate, competent, and continuous supports and services
  • Demonstrated commitment to the Housing First model and philosophy
  • Familiarity with the Ontario Mental Health Act and Mental Health reform
  • Knowledge of PSR and Recovery as guiding principles for assessing and developing treatment plans for clients
  • Demonstrated skill and competence to establish supportive trusting relationships with persons with a serious mental illness with respect for clients’ rights and preferences.
  • Participation in staff organizational meetings and treatment planning review meetings
  • Excellent mental health and addictions clinical mental health assessment/interview skills
  • Taking the lead role or participation in providing medication administration and medical services
  • Knowledge of psychotropic medications, especially the newer neuroleptics and their intended effects and possible side effects in order to develop, revise, maintain and supervise team pharmacologic and medical treatment and medication policies, including evaluating and charting psychotropic medication effectiveness, complications, and side effects; and arranging for required blood work according to protocol
  • Ability to dispense and inject neuroleptics
  • Under the direction of the team psychiatrists and in collaboration with other nurses on the team, organize and manage the system of getting medication to clients and integrating medication administration into clients’ individual treatment plan
  • Ability to teach clients, families, the Cota At Home ACT team and other staff about medications, symptoms, side effects and health and wellness behaviours
  • Under the direction of the team psychiatrists and in collaboration with other nurses on the team, manage pharmaceuticals and medical supplies
  • In collaboration with the team psychiatrist, coordinate, schedule, and administer medical assessments of client physical health, making appropriate referrals to community physicians for further assessment and treatment, and coordinate psychiatric treatment with medical treatment. Awareness of psychotropic medication side effects that can lead to physical health issues, including weight gain and diabetes
  • Experience working with clients with a concurrent disorder and those living in unstable housing situations or homelessness
  • Demonstrated ability to work independently, cooperatively and constructively within a multidisciplinary team environment
  • Ability to work with agencies, hospitals and the broader community
  • Knowledge of trends and issues related to the delivery of services to a mental health client population.
  • Excellent knowledge of community resources available to people living with mental health illness including those related to diversity
  • Excellent organizational and interpersonal skills, and the ability to work flexible hours, including weekends and holidays
  • Excellent diplomacy and conflict resolution skills
  • Excellent computer skills (e.g., Word, Excel, Microsoft Outlook)
  • Ability to manage and adapt positively to an ever changing health care/work environment.
  • Excellent oral and written skills
  • Experience in networking with Mental Health groups/agencies an asset
  • Experience working in a  community agency an asset



  • Visits will be conducted in the clients’ homes, hostels, hospitals and other community settings
  • Week end and evening rotation
  • Must have a valid Ontario driver’s license and reliable means of transportation on a regular basis. Access to reliable vehicle for the purpose of work is required

Pay: $31.56/hour



Please forward your current résumé on or before September 7,  2018 by 4:00pm to Human Resources via e-mail and reference Job # 141.


If you have any requirements for accommodation due to disability, please advise Human Resources during the recruitment and selection process. We will work with you to best meet your needs as per resources available to us.

Cota is an equal opportunity employer. We would like to thank all those that apply but only those selected for an interview will be contacted. We request no emails, faxes, phone calls, or requests to meet please. Cota encourages a scent-free environment. Employees, students, volunteers, and visitors are asked to refrain from wearing fragrances and other scented personal care products (i.e. perfumes, deodorants, lotions, hairspray, etc.).