Care Navigators Integrated Healthcare

Nurse Care Navigators, Max Term June 2026, Hawthorn
- $59.09 hr plus super Not for Profit, salary packaging benefits
- Collaborative, highly supported team and career development

About Us

Access Health and Community (AccessHC) is a leading not-for-profit healthcare provider with over 150 years of experience delivering inclusive, person-centered care across Melbourne’s inner and outer east and northeast. With 500+ staff and 200 volunteers across 17 locations, we offer a wide range of integrated services to support diverse communities. Following our May 2025 merger with Inspiro, we’ve expanded our reach into the Yarra Ranges and strengthened our commitment to accessible, high-quality community health. We value Diversity, Equity, and Inclusion (DEI), uphold strong Environmental, Social, and Governance (ESG) principles, and respect the rights of First Nations peoples and we continue to build healthier lives through compassion, collaboration, and community-led care.

About the role

This is an extremely exciting and rewarding opportunity for multiple Nurse **Care Navigators**to leverage their expertise in supporting holistic patient care, to deliver **integrated care navigation**within **GP practices across Eastern Melbourne Primary Health Network (EMPHN). You will be supporting**patients that are presenting with likely mental health concerns via their GP and will use motivational interviewing and health coaching techniques to develop self-determined action-oriented care plans in partnership with their GP and care team. This role offers opportunity to build strong trusted relationships with **GPs, other health professionals, and community healthcare teams** to optimise **patient outcomes**.

The Care Navigator Program is a collaborative initiative funded by EMPHN and is part of a Medical Research Future Fund (MRFF), involving the University of Melbourne, EMPHN and Access Health and Community. Care Navigators will be actively involved and will contribute to key research findings, and **join us in transforming primary healthcare with innovative, patient-centred solutions.**

**There is strong likelihood this program will be extend beyond June 2026 and remuneration is highly competitive.**

What you will be doing

Key Responsibilities
- Holistic Care Navigation: Develop, manage, and optimise individualised care action plans to improve patient outcomes
- Multidisciplinary Collaboration: Enhance communication and coordination between GPs, mental health professionals, AOD specialists, and community healthcare providers
- Patient-Centered Support: Provide integrated care navigation within GP practices, supporting patients with complex healthcare needs, including mental health and AOD challenges
- Care Plan Implementation: Develop, implement, and review collaborative care action plans, ensuring effective and timely execution
- Continuous Patient Monitoring: Track patient progress, offer guidance at critical points, and ensure care action plans align with evolving needs
- Healthcare Innovation & Partnerships: Build strong relationships with GPs, EMPHN, and the University of Melbourne to foster innovation in primary healthcare
- Program Development: Support the launch and implementation of the Care Navigators Program, enhancing care models across the healthcare network
- Healthcare Outcome Optimisation: Strengthen partnerships to improve patient health outcomes through integrated, proactive care strategies

What you will bring Key Selection Criteria
- Qualifications in nursing in the community, with desirable experience in mental health and/or care navigation
- Relevant work experience with a minimum of 3 years’ experience working with clients with multiple and complex healthcare needs (including severe mental health, AOD and other co-occurring conditions)
- Experience working effectively within an integrated care team delivering better client outcomes for complex clients, including appropriate involvement of mental health, AOD and social support services to develop collaborative care plans and provide holistic goal-directed care
- Strong interpersonal and administration skills with the ability to work collaboratively with individuals and their families, GP Practices and other stakeholders
- Experience in clinical case management and conducting clinical risk assessments and implementing risk management plans with clients
- Experience in using motivational interviewing techniques to support better outcomes highly desirable, though not essential
- Excellent understanding of mental health treatment services and referral pathways, with particular focus on the Eastern Region
- Strong communication & advocacy skills to engage with patients, GPs & service providers
- Passion for integrated, multidisciplinary healthcare
- Proficiency with electronic health record systems, Medical Director and Best Practice and Microsoft Office programs (Word, Excel, Outlook and PowerPoint)

Attributes we value
- Knowledge of mental health, AOD