Chronic Disease Management Specialist

7 days ago


Singapore NATIONAL HEALTHCARE GROUP POLYCLINICS Full time
Job Description

We are seeking a highly skilled Chronic Disease Management Specialist to join our team at National Healthcare Group Polyclinics.

Role and Responsibilities
  • Collaborate with General Practitioners in the network to provide structured nurse counselling, health screening services, and patient education on chronic disease management.
  • Identify patients suitable for nurse counselling to help them understand their chronic conditions and improve their health outcomes.
  • Assess patients' social history, current lifestyle, and dietary habits to help patients bring about effective change and enhance their well-being.
  • Work closely with GPs in providing individualized care plans to patients to manage their chronic conditions effectively.
  • Teach/advice patients on how to administer insulin injections, perform self-monitoring of glucose and home blood pressure readings, proper usage of inhalers, provision of targeted diet plans, and other nurse-related counseling.
  • Conduct eye and foot screening with patient education to diabetic patients and perform spirometry tests to diagnose patients with asthma or COPD.
  • Assess patients' mental well-being through questionnaires and escalating to GPs when required.
  • Support the admin team in tracking and monitoring of clinical and outcome indicators for the clinics.
  • Work closely with Primary Care Coordinators (PCC) on scheduling patients for ancillary services.
  • Support the PCN in quality improvement projects to achieve better clinical and process outcomes.
  • Perform any other duties assigned by the Reporting Officer.
Requirements
  • At least an Advanced Diploma in Nursing.
  • Registered Nurse with the Singapore Nursing Board.
  • Specialist Diploma in Diabetes Education/Gerontology or Advanced Diploma in Chronic Disease Management is preferred.
  • Minimum 4-5 years of working experience, with experience in chronic disease management preferred.
  • Experience in conducting health screening and providing comprehensive health education to patients with chronic conditions.
  • Ability to provide good clinical judgment, possesses critical thinking and problem-solving skills in the delivery of patient care in line with established work instructions and protocols.
  • Excellent communication and interpersonal skills are essential.
  • Passionate about making a difference in improving the health of patients.
  • Possess proactive attitude, team spirit, and maturity.
  • Meticulous and able to keep proper and timely documentation.
  • Conversant in a second language/dialect would be an advantage to speak with patients.
  • Willing to travel to the northern and central parts of Singapore.
  • Willing to work on Saturdays, when required.
Salary and Benefits

We offer a competitive salary range of SGD $8,000 - SGD $12,000 per month, depending on experience.

In addition to the attractive remuneration package, you will also enjoy a comprehensive benefits program, including medical insurance, paid annual leave, and professional development opportunities.


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