Responsibilities and Duties:
- Lead the team to support patients and their families with appropriate services and programmes to ensure optimal health outcomes and enhance coping at home.
- Lead the team to conduct post discharge follow-up (via phone call and/or home visit) to ensure patients and caregivers’ ability to cope by streamlining and coordinating community services, and providing caregiver education. It also includes helping patients and families to plan for end-of-life care.
- Oversee and maintain entry, management and analysis of data and data systems.
- Network with other partners in Acute Care and ILTC setting to enhance continual support to patients and their families post discharge from community hospitals so as to ensure optimum health outcomes and reduce inappropriate hospital readmissions.
- Support and implement programmes/services to meet patient and caregiver needs within the community.
- Manage staff performance and ensure clinical competence of team
- Plan and oversee the professional development and training needs of team.
- Review and revise work processes with internal stakeholders and external organizations to ensure quality of care and efficiency.
- Participate or lead hospital activities (e.g. quality improvement projects, LEAN projects or research projects) to enhance the quality of clinical care.
Job Requirements:
- Professional qualification in Nursing, Social Work or Allied Health or/and any clinical disciplines relevant to the job.
- At least 8 years of experience as a Care Coordinator or Case Manager in an acute or community healthcare setting.
- Has minimum of 3 years of experience leading a team.
