Case Manager
Core
Coordinate and manage comprehensive care packages for older people transitioning from hospital to home or supportive care arrangements.
Role type
Senior Case Manager (Transition Care Program)
Builds
Short-term reablement and therapy services for older people
Domain
Healthcare / Aged Care / Community Health
Required skills
Care coordination, discharge planning, assessment, multidisciplinary collaboration, documentation, community service liaison
Preferred skills
Acute care experience, rehabilitation experience, aged care experience, reablement expertise
Technologies
None stated
Responsibilities
Coordinating admissions into the Transition Care Program, Completing assessments and developing individualised Care and Service Plans, Coordinating community-based services and supports, Monitoring client progress and supporting achievement of reablement outcomes, Facilitating effective discharge planning, Liaising with hospitals, specialist clinics, general practitioners, and community service providers
Seniority
Senior, hands-on IC