Care Coordinator
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To access care needs, provide care coordination, monitor the clinical and well-being of patients and their caregivers to ensure coping of the patients and a smooth transition of care to the community.
Job Responsibilities:- Assess patient's medical, physical, cognitive, economic and social needs as well as their available support systems.
- Provide ongoing support and education to the caregivers, patients and families.
- Conduct post discharge follow-up via phone calls and/or home visits to ensure adequate and ongoing support and education to the patients, caregivers and families.
- Work in partnership with care professionals in the social and healthcare sectors to enhance patient's well-being across the continuum.
- Collaboration with patients, caregivers and the families to facilitate shared decision making.
- Participate in activities that contribute towards the improvement of the quality of patient care and support care integration activities.
- Possesses a Degree or Postgraduate Diploma in Social Work or an equivalent relevant qualification.
- Preferably at least 5 years of relevant working experience in the healthcare, social or community services sectors.
- Experience in case management will be an advantage.
- Demonstrates an interest in and commitment to working in a community healthcare setting.
- Demonstrates a strong interest in elderly care, including providing counselling and supporting families with social matters such as discharge care planning.
- Possesses good engagement and communication skills when interacting with patients, family members, members of the public and healthcare partners.
- Able to collaborate effectively with the hospital's multidisciplinary team and external healthcare and community partners.
- Demonstrates integrity, resourcefulness, resilience, adaptability and strong interpersonal skills.
- Able to work independently and contribute effectively as part of a team.
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