Complex and Aged Care Discharge Navigator

Find purpose and passion in your career with Illawarra Shoalhaven Local Health District._

$113,243.15 - $116,963.48 per annum + 12% super & salary packaging **|** Permanent Full Time** |**Shoalhaven Memorial Hospital (SMH) **|**REQ594165 **| Grade**: Clinical Nurse Specialist Grade 2 **|** **Applications close**: 12 August 2025

**Join us in shaping healthier futures. Together we can do more.**

The Complex and Aged Care Navigator is a Clinical Nurse Specialist (CNS2) who is accountable for managing and supporting coordinated discharge planning for complex care needs patients and for ongoing care plans and appropriate discharge planning processes for Aged Care patients across Shoalhaven and David Berry Hospitals.

The purpose of the role of Complex Care and Aged Care Navigator is to:

- Work across multiple sectors with treating inpatient teams to assist in hospital avoidance and unscheduled representations of older people through the facilitation and support of clinical pathways for frailty, interventions, liaison and monitoring of all service providers who have ongoing roles in the care of older people.
- Work collaboratively with Emergency and other Departments to actively identify and manage older persons optimal care delivery including models of hospital avoidance, hospital substitution, sub-acute rehabilitation options and self-care.
- As part of a multi-disciplinary team be responsible for identifying and initiating discussion related to advanced care planning and end of life care where appropriate.
- Support nonhospital based care and nurse led service models and augment existing models of care internally to ISLHD facilities, and externally to GPs, RACFs and other providers.
- The Complex and Aged Care Nurse Navigator functions within C.O.R.E. values, the Policies and Procedures of the Department of Health, Shoalhaven and David Berry Hospitals and the Nursing and Midwifery Division. Undertaking comprehensive assessment and care planning for inpatient older person with complex non acute care needs in addition to their acute or sub-acute care needs.
- Facilitating timely and effective discharge planning by providing information and assisting the inpatient older person and their person to contact to access services appropriate to their needs post hospitalization.
- Act as a resource and provide education to nursing staff regarding the unique and often complex issues associated with caring for older person (e.g. challenging behaviours, falls, dementia/delirium, etc.) and assist specifically with the minimization of non-clinical delays to their discharge.
- Assist the access of the older person and their person to contact to access appropriate post hospitalization aged care services as required. This includes, but is not limited to: Residential Aged Care, sub-acute care, Transitional Aged Care, Compacks, discharge support packages and home care packages.
- Participation in quality improvement projects and involvement with the National standards committee meetings

For more information and to view the position classification, see the **Position Description**here.

**A little about us.**

Shoalhaven Hospital, located on Yuin Country, is the main acute care hospital for the Shoalhaven region, providing emergency care, medical, surgical and orthopaedic services. The hospital has an Intensive Care Unit focusing on high dependency and coronary patients, Children’s Ward and Maternity Unit, as well as a purpose-built regional Cancer Care Centre and sub-acute Mental Health Unit.

With a significant redevelopment of the hospital currently underway and a strong focus on career development, there has never been a better time to join our progressive and growing team in the Shoalhaven.

**Benefits of working with ISLHD.**

We understand that balancing career aspirations with the demand of the everyday, as well as maintaining a healthy work-life balance, can be a challenge. To help with this, we offer a range of benefits which include:

- Allocated Days Off (ADO) - once a month take a paid day off (eligible full-time employees)
- Salary packaging - less tax and more take-home pay
- Novated leasing - lease a car and pay for all running costs out of your pre-taxed salary (eligible full-time employees)
- Fitness Passport - discounted gym membership that both you and your family can enjoy (eligible employees)
- Employee Assistance Program (EAP) - free confidential and professional assistance for staff and their families
- Discounted health insurance is available through a number of different private health insurance providers. Talk to your provider today for more information
- Career progression, professional development and secondment opportunities
- Applicable vaccination requirements for a Category A role.
- Working With Children Check (WWCC)
- Current AHPRA Registration
- Relevant post registration qualification and/or at least three years’ clinical experience working in a relevant clinical area
- Valid NSW Drivers Li