Case Manager - Community Based Transition Care Program
Core
Provide person-centred case management, assessments, and goal-directed care planning to support older people's recovery and safe transitions from hospital to home.
Role type
Senior Case Manager (Community Transition Care)
Builds
Safe, sustainable transitions from hospital to community/aged care
Domain
Healthcare / Aged Care / Transition Care
Required skills
Case management, multidisciplinary care coordination, advocacy, care planning, aged care system knowledge, quality improvement, collaboration
Preferred skills
Experience with Allied Health (Social Work, Physiotherapy, Occupational Therapy, Speech Therapy), staff/student education
Technologies
None stated
Responsibilities
Conduct comprehensive assessments and develop goal-directed care plans; Coordinate multidisciplinary team (MDT) care and community-based supports; Monitor client progress and facilitate access to ongoing health and aged care services; Contribute to quality improvement, service development, and staff education
Seniority
Senior, experienced clinician (5+ years post-graduation)