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Assistant Care Coordinator _ R.I.C.E Comm Care
2 weeks ago
Asst Care Coordinator works under the supervision of Senior/Care Manager to support services provided by the Care Coordination Unit. Triage referrals from care teams and conduct basic health and geriatric assessments for patients when required. Link suitable patients with community care partners to better manage their health and care matters in the community. Staff advocate for, support, and provide holistic, continuous, individualized, and coordinated care to patients and their caregivers, helping them cope within their community and improve their quality of life.
Responsibilities
One Referral Point for transitional services and support in the community: Understand inclusion and exclusion criteria for community case and transitional care referrals. Triage all referrals received and allocate appropriate patients to members within the One with Community Team.
Update database accurately and in a timely manner. Follow up with assignment of referral to the relevant Care Manager where appropriate.
Acknowledge and respond to referring parties accordingly.
Care coordination and case management support: Under the supervision of senior/care manager, formulate personalized care plans and assist in navigating the healthcare system through referrals to healthcare, social and community services and/or medical escalations.
Perform guided basic health and geriatric assessments for patients when required.
Conduct guided telephonic or face-to-face reviews as required to ensure smooth transition and coping of patients and their caregivers.
Advocate and educate general advanced care planning for suitable patients.
Document assessments, plans, and outcomes promptly and accurately in the relevant system.
Understand the ranges of services and available options in the patient’s community and coordinate the necessary referrals accordingly and in a timely manner. Explain options to patients and caregivers and encourage enrolment. Assist and support senior/care managers in initiating community service applications if required.
Provide a link by ongoing collaboration between patients, caregivers, and multidisciplinary teams on a timely basis.
Conduct guided follow-ups via telephonic or face-to-face reviews to ensure smooth coping of patients and caregivers in the community.
Promote and guide positive changes in patients’ lifestyles in the community.
Monitor patients’ general medical condition during reviews; update the Senior/Care Manager and report to the patient’s Principal Doctor or primary care provider and/or community partner where necessary. Connect care interventions within and outside of hospital (community partners).
Be an advocate for advanced care planning initiatives; linking patients and their families for ACP conversations with relevant community partners.
Update database in an accurate and timely manner.
Outpatient to Community Collaboration
Support and work with clinic and community operations teams to identify, triage and verify patients suitable for right-siting to primary care.
Explain to patients the relevant information and facilitate right-siting arrangements.
Support service initiatives, provide care links that improve patient’s quality of life and health status from the ease of the home.
Secondary Responsibilities
Support High Mobility Exercise sessions at community sites.
Provide support for community events organized by Alexandra Hospital or partners within the Queenstown community.
Contribute to and participate in institution/ department’s project work when assigned.
Contribute ideas in planning activities that contribute to team strategy, teamwork, and collaboration.
Contribute to team learning and sharing sessions; include trainings, conference learnings, journal reviews, etc.; at department huddle sessions.
Any other duties as assigned by Reporting Officer.
Requirements
Qualification: Diploma or equivalent professional qualification in Nursing, Social Work or Allied Health, Health Services Management, Health Management & Promotion. Those with Nitec in Nursing and relevant clinic or community experience will be considered.
Required Competencies: Preferably with at least 3 years of working experience in healthcare. Strong interpersonal, communication, and problem-solving skills. Comfortable with interacting with patients, residents, healthcare teams, and community partners. Able to use local languages and dialects; advantageous for patient/caregiver interactions. Independent worker with initiative and strong problem-solving abilities. Comfortable with ambiguity and new challenges. Basic computer skills in MS Word, Excel and PowerPoint.
To apply, please email with the position in the subject line. Note: Only Singapore Citizens and Singapore Permanent Residents may apply.
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