Job Description

Asst Care Coordinator works under the supervision of Senior/Care Manager to support services provided by Care Coordination Unit. Triage referrals received from care teams, conducting basic health and geriatric assessments for patients when required. Linking suitable patients up with relevant community care partners to better manage their health and care matters in the community. Staff advocates for, supports, and provides holistic, continuous, individualized, and coordinated care to patients and their caregivers, helping them to cope within their community and improve their quality of life.
Job Responsibilities
One Referral Point for transitional services and support in community

• Understands the inclusion and exclusion criteria for community case and transitional care referrals. Triage all referrals received and allocate appropriate patients to members within the One with Community Team.
• Updates database in an accurate and timely manner. Follow-up with assignment of referral to the relevant Care Manager where appropriate.
• Acknowledge and responds to the referring parties accordingly.

Care coordination and case management support

• Under the supervision of senior/care manager, guided to formulate personalized care plan and assistance in navigating the healthcare system through referrals to healthcare, social and community services and/or medical escalations.
• Perform guided basic health and geriatric assessments for patients when required.
• Conducts guided telephonic or face-to-face reviews as required; to ensure smooth transition and coping of patients and their caregivers.
• Advocate and educate general advanced care planning for suitable patients.
• Document assessments, plans, and outcomes promptly and accurately in the relevant system.
• Understand the various ranges of services and available options in patient's community and coordinate the necessary referrals accordingly and in timely manner. Be able to explain to patients and caregivers the options and encourage enrolment. To assist and support senior/care managers in initiating community service applications if required.
• Provide a valuable link by ongoing collaboration between the patients, their caregivers, and the multidisciplinary teams on a timely basis.
• Conducts guided follow-up via telephonic or face-to-face reviews to ensure smooth coping of patients and caregivers in the community.
• Promote and guide positive changes in patient's lifestyle in the community.
• Monitor patient's general medical condition during telephonic or face-to-face reviews; update Senior/Care Manager and report to patient's Principal Doctor or primary care provider and/or community partner where necessary. Responsible in connecting care intervention within and outside of hospital (community partners).
• Be an advocate for advanced care planning initiatives; linking patients and their families for ACP conversation with relevant community partners.
• Updates database in an accurate and timely manner.

Outpatient to Community Collaboration

• To support and work alongside with clinic and community operations teams to identify, triage and verify patients' suitable for right-siting to primary care.
• To explain to patients, the relevant information and facilitate right-siting arrangements.
• Support service initiatives, provide care links that improves patient's quality of life and health status from the ease of the home.

Secondary Responsibilities

• Supports in conducting High Mobility Exercise sessions at community sites.
• Provide support for community events organized by Alexandra Hospital or partners within Queenstown community.
• Contribute and participate in institution/ department's project work when assigned.
• Participate and contribute ideas in planning on activities that contribute towards the improvement of team strategy/ teamwork and collaboration.
• Contribute to team's learning and sharing sessions; not limiting to learnings from training/ conference, journal reviews, etc.; at department's huddle sessions.
• Any other duties as assigned by Reporting Officer

Requirements
Qualification Required and Area of Discipline
Diploma or equivalent professional qualification in Nursing, Social Work or Allied Health, Health Services Management, Health Management & Promotion.
Those with Nitec in Nursing and has relevant working experience in clinics or community will be considered.
Required Competencies and Capabilities (Skills, Experiences and Professional Licences)

• Preferably with minimally 3 years of working experience in healthcare industry.

• With natural ability to interact with patients/ residents, healthcare team and community partners of all levels. Strong analytical skills with good listening and problem-solving skills.
• Pleasant disposition, approachable, with strong interpersonal and relational skills. Team player with good interpersonal.
• Strong in communication and interpersonal skills. Ability to use local languages and dialects will be an added advantage, especially coupled with experience interacting with and managing patients and caregivers.
• Independent worker, have initiative to resolve issues and strong in problem-solving.
• Comfortable with ambiguity, unchartered territory, enjoy challenges and problem solving.
• Equipped with basic computer skills in MS Words, Excel and PowerPoint; has Strong analytical skills
• Open to contract end date till 31 Mar 2026.

If the role sounds interesting to you, please contact 'careers_alexandra@nuhs.edu.sg' to understand more on the role. Please indicate the position that you are interested in the subject heading.
*Only Singapore Citizens and Singapore Permanent Residents may apply.

Skills Required