Determine suitability of client referrals as a team through initial screening in accordance with Foundation guidelines and requirements of funding bodies
Conduct full assessment, as a component of team assessment in the areas of medical, nursing, social, financial and psychological etc and ensure assessments are carried out as required
Identify problems related to illness and decline in functional, cognitive abilities and advocate early medical attention for client through appropriate intervention or referral
Facilitate the use of internal and external resources through appropriate linking of services to serve the basic support needs of the clients and families
Develop comprehensive client care plans and carry out regular evaluation, ensuring recommended services are in place to meet the needs of the clients, families and caregivers
Provide health education to the clients and families to reduce medical complication and accident prevention, and monitor medication management and compliance, nutrition, diet etc.
Participate in regular client review discussions with team members to evaluate efficacy and currency of care plans, and recommend modification as needed
Liaise with external agencies from government, social services and medical establishments to establish an effective network of care for the continuing care of the clients, particularly in respect of a good hospital discharge plan
Conduct termination reviews when required and write the relevant reports and referrals to facilitate the clients\xe2\x80\x99 discharge to another service
Ensure CM activities meet regulatory requirements, and ensure accurate and timely documentation and submissions of client reports
Participate in continuous quality improvement projects
Represent the Foundation in presentation to external parties such as students on clinical attachments
Participate and lead where appropriate, in activities or outreach projects - internal or joint, that promote the Foundation\xe2\x80\x99s cause and mission
Requirements:
Singapore Nursing Board registered Nurse with minimum 3 years working experience
Professional certification / specialist diploma / advance diploma on gerontological nursing is preferred
Courses on care management is preferred
Working experience in case management / care coordination will be an added advantage
Excellent clinical knowledge and skill
Good communication skills in both spoken and written English
Penchant for working with older people
Able to communicate in local dialects
IT proficient
We regret that only shortlisted candidates will be notified.
GMP Technologies (S) Pte Ltd | EA Licence: 11C3793 | Eddie Tang | Registration No: R1221129