
Care Coordination Specialist
7 days ago
Role Overview
This position sits within the SVHM Healthcare for the Homeless program and provides proactive care coordination for clients with complex psycho-social and healthcare needs.
- Maximise patient functional independence through assessment, planning, implementation and evaluation of care.
- Conduct holistic assessments in collaboration with clients using motivational interviewing and self-management approaches.
- Identify and access multidisciplinary and specialist supports to address client issues.
- Facilitate client-generated goals that are realistic and time-limited; coordinate care with clients, carers and families.
- Develop collaborative care plans with the health care team; ensure linkages with hospital and community services.
- Communicate effectively with team members, stakeholders and external service providers; advocate for clients as needed.
- Manage documentation, risk assessment and escalation; ensure appropriate use of funding and resources.
- Provide discipline-specific clinical management, discharge planning and community liaison for Cottage patients.
- Monitor health outcomes and plan transitions from the program with safe long-term community supports in place.
- Contribute to quality initiatives, service development and team processes; meet Activity Based Funding targets.
- Bachelor or Master's Degree in Nursing.
- Registration with AHPRA.
- Completion of basic life support training/CPR/First Aid.
- Minimum of 3 years post-registration experience.
- Current Victorian Driver's Licence.
We Offer
- Excellent benefits including salary packaging.
- Wellbeing initiatives, confidential counselling, and a healthy work/life balance (Full-time role with Accrued Day Off).
- Fitness Passport access; salary packaging; central location in Fitzroy.
- Regular professional development opportunities.
- Culture of continuous improvement.
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