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Care Coordinator
2 months ago
We are seeking a highly skilled and compassionate Care Coordinator to join our team at the National University Health System PTE. LTD. As a Care Coordinator, you will play a vital role in supporting patients and their families navigate the healthcare system, ensuring seamless care coordination and continuity.
Key Responsibilities- Triaging and Escalation: Attend to medical queries received via a 24/7 integrated telephone hotline, triage and escalate to the appropriate medical provider, and follow up with proper case closure.
- Care Coordination: Perform triaging for transitional care referrals, right-site care to other external providers, and implement appropriate care coordination and transitional case management.
- Patient Assessment: 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 the programme.
- Guidance and Support: Provide guidance and assistance to Care Manager Associates in escalation of complex medical calls or referrals triaging when needed.
- Care Planning: Synthesize assessment information to prioritize care needs, develop care plans, and goals together with patients and/or family/caregivers, with discussion with patient's care team and community partners involved.
- Community Partnerships: Work in partnership with patients and families/caregivers on various ranges of services and available options in the patient's community, coordinate and follow up referrals outcome accordingly and in a timely manner.
- Multi-Disciplinary Approach: Adopt a multi-disciplinary approach with focus on coordination support, make connections with transitional partners to facilitate support and assistance for individuals to address social and health issues.
- Follow-Up and Monitoring: Conduct follow-up via phone calls and/or home visits to ensure smooth coping of patients and caregivers, monitor patient's general medical condition during home visits, and report to patient's Principal Physician or primary care provider and/or community partner where necessary.
- Advocacy and Education: 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.
- Documentation and Reporting: Document assessments, plans, and outcomes promptly and accurately in the relevant system, maintain high-level contact with step-down facilities, and advocate for patients and their families/caregivers.
- Education and Qualifications: Degree or equivalent professional qualifications in Nursing, Social Work, or Allied Health profession.
- Experience: 3-5 years of experience in healthcare settings is preferred, with knowledge in geriatric and community care being an advantage.
- Skills and Abilities: Strong team-player with natural ability to interact with healthcare staff and community partners of all levels, organized, 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.
