Alexandra Hospital
Senior Care Manager
Job Purpose
The Senior Care Manager supports and works within Alexandra Hospital, and collaborates with community service providers, government agencies, and multi-disciplinary hospital and healthcare teams to provide coordination and continuity of patient care across the healthcare continuum; to support patients and their family members in navigating their healthcare journey with Alexandra Hospital within the Queenstown community.
Duties and Responsibilities
- Recruit high risk patients through Multiple Disciplinary Meetings, referrals, and screenings.
- Triage and assess patient's medical-nursing, psycho-social, functional status and daily activity needs; as well as their existing support system availability upon enrolment into programme.
- Synthesize assessment information to prioritize care needs and develop care plan goals together with patient, family/caregiver and the community care team.
- Implement appropriate care coordination and transitional case management; and evaluate the outcomes accordingly.
- Work in partnership with patients and families/caregivers on the various ranges of services and available options in the patient’s community. Coordinate the necessary referrals accordingly and in a timely manner.
- Provide a valuable link by ongoing collaboration among the patients, families/caregivers and the multidisciplinary teams on a timely basis.
- Conducts assessment and follow-up via phone calls and/ or home visits to ensure smooth coping of patients and caregivers
- Promote and guide positive changes in patient’s lifestyle in the community.
- Monitor patient’s general medical condition during home visit and report to patient’s Principal Doctor or primary care provider and/or community partner where necessary.
- Educate and promote advanced care planning, assist patients and their families/caregivers in planning for and improving end of life care, ensuring that choices are reflected in personalized care plans.
- Document assessments, plans, and outcomes promptly and accurately in the relevant systems.
- Maintain high level contact WX1] with step-down facilities.
- Advocate for patients and their families/caregivers; and form strong relationships with community partners in order to work in the patient’s best interests.
- Partner with various community partners and be able to station within community healthcare posts in Queenstown where residents can be cared for conveniently within their community.
- Support Team Manager and counterparts in team operations.
- Provide consultation and/ supervision on the practice of patient management to junior/ new Care Managers.
- Lead and support the professional development of the team in relevant areas of knowledge, skills and attitudes.
- Develop and review protocols, case management tools and work processes for the improvement of patient care.
- Initiate and/or participate in activities that contribute towards the improvement of patient care.
- Lead and/ or participate in projects.
- Any other duties as assigned by Reporting Officer.
Requirements
- Degree or equivalent professional qualifications in Nursing, Social Work or Allied Health.
- 6 to 8 years of experience in nursing or case management or related field in acute and/or community setting in Singapore is preferred.
- Knowledge in geriatric care or palliative care, and experience in home medical care and community will be an advantage.
- Strong team-player, with natural ability to interact with healthcare staff and community partners of all levels.
- Organised, analytical, able to fit different pieces of the puzzle together.
- Pleasant disposition, approachable, with strong interpersonal and relational skills.
- Good verbal and written communication skills. Ability to use local languages and dialects will be an advantage, especially coupled with experience interacting with and managing patients and caregivers.
- Independent worker, with strong initiative.
- Comfortable with ambiguity, unchartered territory, enjoy challenges and problem solving.
- Equipped with basic computer skills in MS Words, Excel and PowerPoint.
If the role sounds interesting to you, please contact ‘[email protected]’ to understand more on the role. Please indicate the position that you are interested in the subject heading.
*Only Singapore Citizens and Singapore Permanent Residents may apply
