Principal Care Coordinator - #1115059

Responsibilities and Duties:

• Lead the Care Coordination team to support patients and their families with appropriate services and programmes to ensure optimal health outcomes and enhance coping at home.

• Lead the team to conduct post discharge follow-up (via phone calls and/or home visits) to ensure patients and caregivers’ ability to cope by streamlining and coordinating community services and providing caregiver education. It includes helping patients and families to plan for end-of-life care.

• Oversee and maintain data entry, data management and analysis.

• Network with other partners in Acute Care and ILTC settings to enhance continual support to patients and their families post discharge from Community Hospital to ensure optimum health outcomes and reduce inappropriate hospital readmissions.

• Support and implement programmes and services to meet patient and caregiver needs within the community.

• Provide clinical supervision and manage staff performance.

• Plan and oversee the team’s professional development and training needs to ensure clinical competence

• Review and revise work processes with internal stakeholders and external organizations to ensure quality of care and efficiency.

• Participate or lead hospital activities (e.g. quality improvement projects, LEAN projects or research projects) to enhance the quality of clinical care.
  

Job Requirements:

• Professional qualification in Nursing, Social Work or Allied Health or/and any clinical disciplines relevant to the job.

• At least 8 years of experience as a Care Coordinator, Case Manager or Community Nurse in the community healthcare setting.

• Has 3 to 5 years of experience leading a team.