Support the care team to better integration and coordinate patients\' care across care continuum
Collaborate with multi-disciplinary team members to provide comprehensive care and advocate care option and services for patients and families with complex psycho social needs.
Be a care buddy for patients.
Case Management
Screen patients for their bio-psycho-social, environmental, vocational and financial needs
Interview patients and families\' health beliefs/attitudes that influence their views on health and health seeking behaviors
Gather information of the patients and families\' social support system and other socioeconomic resources that can impact patient\'s health and care
Synthesize gathered information to identify the predisposing factors of the patients\' bio-psychosocial needs and discuss with the care team to prioritize patients\' care needs
Work with the care team to plan and effect the patient\'s care plan e.g. lifestyle and behavioral health modification, medication, self-monitoring, self-care adherence, psycho-social needs etc.
Understand patients and families\' health literacy to enable them to be able to understand the care team\'s care plans.
Assess patients and families\' confidence in ability to carry out the health behavior change and provide the continuous support (buddy) and motivate patients to achieve their health goals
Follow-up, monitor and evaluate the patients\' coping ability at home and escalate issues identified with patients and families to care team
Perform regular follow-up calls to patients with poorly controlled chronic conditions and/or with complex psycho-social issues
Assist home assessment/visit with Medical Social Worker for poorly control chronic patients with complex psycho-social issues, if only needed
Act as the \xe2\x80\x9cPoint of Contact\xe2\x80\x9d to integrate the complex patients\' care vertically and horizontally beyond the primary care setting. Be a social health integrator for the care teams, community partners and hospitals.
Engage, Educate and Empower patients and families in their care
Educate patients and families to understand how their behavioral health factors can affect their health and illness
Use strong interpersonal skills to help patients feel comfortable and motivated, and build therapeutic relationship with patients and families
Communicate effectively to ensure patients and families are able to access, understand and use information. Provide appropriate health materials to reinforce information provided during clinic visits.
Health Education and Community Involvement
Assist in organizing and preparing of the support workgroups, workshops and activities.
Participate actively in community outreach programmes.
Risk and Quality Management
Adhere to the International Patient Safety Goals and infection control practices.
Comply with guidelines and safe practices according to organizational Work Instructions and Policies.
Maintain a clean and safe working environment
Participate in continuous quality improvement activities.
Requirements
Min Degree in health-related fields. Possess working experience in healthcare or social care sectors preferably in case management
Dynamic, resourceful and proactive in approach to work and challenges.
Possess a \xe2\x80\x9ccan do\xe2\x80\x9d attitude, as well as good planning and organizational abilities
Self-motivated, result -oriented and can work independently
Excellent interpersonal, communication and coordination skills.
For interested candidates, please send your most recent and updated resume to michelle.lee@recruitexpress.com.sg
Subject heading: Comm Care Exec
Michelle Lee Ser Min
(R1440070)
Recruit Express Pte Ltd
EA License No. 99C4599
Industry
Healthcare / Pharmaceutical / Life Science / Medical Device
Specialization
Healthcare - Nurse / Allied Healthcare Healthcare - Pharmaceutical / Life Science / Medical Device / Clinical Research / Regulatory Affairs
Location
Central
Employment Type
Contract / Temp
Salary
Negotiable
If you meet the requirements of this role, please email a detailed resume in Word document to Michelle Lee Ser Min. CEI Registration No.: R1440070 Email: michelle.lee@recruitexpress.com.sg Tel: 67363280 *All information will be treated with strictest confidence. We regret that only short-listed applicants will be notified.