CDM Nurse | Ballarat
Core
Deliver chronic disease management and preventative healthcare services to patients with long-term conditions through care planning, health assessments, education, and ongoing coaching.
Role type
Clinical nurse (Registered Nurse or Enrolled Nurse) specializing in chronic disease management
Builds
Care plans, health assessments, and patient education programs for chronic conditions
Domain
Primary healthcare / Chronic disease management
Deliverable
clinical/physical work
Required skills
Chronic disease management, health assessments, care planning, patient education, health coaching, clinical documentation, Medicare compliance, care coordination
Preferred skills
GP Management Plans, Team Care Arrangements, ECGs, Spirometry, ABI testing, Urinalysis, ATSI health assessments, Veteran/Refugee/Intellectual Disability health assessments
Responsibilities
Prepare and coordinate GP Management Plans and Team Care Arrangements; Conduct health assessments (75+, Heart Health, Diabetes Risk, ATSI, Veteran, Refugee, Intellectual Disability); Support patients in setting SMART goals and developing action plans; Perform clinical services including ECGs, Spirometry, ABI testing, and Urinalysis; Coordinate care between GPs, specialists, and allied health providers; Maintain accurate clinical documentation and Medicare compliance; Support and educate nursing and administrative teams on chronic disease management processes
Seniority
Mid-level, hands-on IC