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Care Transition Navigator
2 weeks ago
This role plays a pivotal part in empowering older individuals to regain independence after hospitalization. As a Care Transition Navigator, you will coordinate client care, working collaboratively with a multidisciplinary team, and ensuring seamless transitions across various settings.
About the Role
You will apply your clinical expertise to deliver person-centred, re-ablement focused care. You will work closely with a skilled, supportive team of nurses and allied health professionals to drive quality outcomes, service improvement, and client satisfaction.
Responsibilities include liaising with hospitals to identify suitable patients, developing short-term care coordination plans, and facilitating smooth transitions to rehabilitation services. You will take accountability for your practice standards while mentoring and guiding less experienced staff.
You will establish ongoing case management in the community and maintain linkages with aged care agencies, primary health care, and General Practice. Your leadership will help ensure that our older patients receive comprehensive care for a successful recovery and reintegration into their community.
Key Responsibilities:
- Liaise with hospitals to identify suitable patients
- Develop short-term care coordination plans
- Facilitate smooth transitions to rehabilitation services
- Mentor and guide less experienced staff
- Establish ongoing case management in the community
Benefits:
This role offers the opportunity to make a meaningful difference in the lives of older individuals and their families. You will be part of a dedicated team committed to delivering high-quality care and support.