HIP Care Coordinator
Core
Assess, coordinate, and manage a caseload of clients enrolled in Health Independence Programs to support improved health outcomes and independence following hospital discharge.
Role type
Division 1 Registered Nurse (Care Coordinator)
Builds
Individualised care plans for patients with chronic conditions and complex health needs
Domain
Healthcare / Aged Care / Chronic Disease Management
Deliverable
physical/clinical work
Required skills
Clinical assessment, care coordination, chronic disease management, interdisciplinary collaboration, critical thinking, patient education
Preferred skills
Experience in Hospital Admission Risk Program (HARP), Transition Care Program (TCP), Residential In-Reach (RIR)
Responsibilities
Develop and evaluate individualised care plans; Coordinate care across acute, community, specialist, and aged care services; Provide clinical assessment, education, and support to clients and families; Contribute to quality improvement initiatives
Seniority
Mid-Senior (5+ years post-graduate experience)