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Care Coordinator
2 weeks ago
This role supports and assists the nursing team and the medical social work team in administrative tasks, information gathering, form filling, fieldwork, and other ad hoc duties.
Key Responsibilities:
- Orientate new residents and their NOKs to the nursing home.
- Ensure residents settle well in the nursing home.
- Casework (non-complex case).
Engagement and Assessment:
Establish rapport and build professional relationships with residents and significant others.
- Identify and clarify the key issues to the problem situation and gather relevant information from residents and NOKs.
- Conduct bio-psycho-social-spiritual assessments to identify severity and key risks and protective factors for intervention.
- Engage residents, families, multi-disciplinary teams, and relevant stakeholders to gather holistic and relevant information.
Goal Setting and Intervention Plans:
Analyse and evaluate different courses of action, when appropriate with multi-disciplinary teams and relevant stakeholders.
- Formulate appropriate strategies for action.
- Conduct care planning and goal setting with residents based on standard guidelines and professional assessments.
- Set clear contracts and goals with residents to engage them in sustaining efforts in problem-solving.
Case Review and Documentation:
Follow up and review care plans and provide recommendations to modify care plans where necessary.
- Evaluate the process as well as the outcome objectively and recommend future improvements.
- Provide documentation and timely updates of assessments and interventions to be used by multi-disciplinary professionals.
Additional Duties:
The staff will undertake projects relevant to the post, as requested by HOD or ED.