Case Manager (Clinical Coordinator/Allied Health Professional)
Core
Coordinate complex discharge planning and transitions of care for older people moving from hospital to community, aged care, or residential services.
Role type
Senior clinical case manager (Nurse or Allied Health Professional)
Builds
Person-centred care plans and discharge pathways for older adults
Domain
Healthcare / Aged care / Transition of care
Required skills
Holistic patient assessment, discharge planning, care plan development, multidisciplinary collaboration, clinical leadership, patient advocacy, quality improvement, evidence-based practice
Preferred skills
Postgraduate qualification, senior clinical experience, mentoring capability, autonomous work, negotiation, analytical problem-solving
Technologies
None stated
Responsibilities
Undertake comprehensive holistic assessments of patients and their care needs; Coordinate complex discharge planning and transitions of care; Develop and monitor person-centred care plans and client goals; Facilitate access to community supports, aged care services and residential care pathways; Collaborate with multidisciplinary and specialist teams to achieve optimal patient outcomes; Provide expert clinical leadership, advice and support; Contribute to quality improvement initiatives, evidence-based practice and service development; Advocate for patients, families and carers throughout their healthcare journey
Seniority
Senior, hands-on IC