Work closely with the general practitioners (GP) in taking consent from the patients for enrolment, referral and care coordination process within the primary care network;
Extract the clinical data (patient demographics and parameters) from the various clinical management systems (CMS) and enter these information in the chronic disease registry (CDR);
Work closely with the nurse in identifying patients who require nurse counselling;
Prepare and submit the patient appointment list to the GPs for vetting;
Liaise with the service providers in scheduling ancillary service deployments;
Schedule patients\' appointments for ancillary services, calling of patients for appointment reminders and collecting of payments during deployments;
Track and submit monthly ancillary reports;
Prepare the reconciliation reports after each deployment;
Track the defaulters and to liaise with the Clinic Assistants to ensure patients adhere to their scheduled chronic visits, blood tests and screenings;
Check through the CDR and highlight to the GPs the patients who have missing clinical indicators minimally twice a year.
Secondary Responsibilities
Support the admin team in administering surveys and collating data for analysis and reporting;
Provide support in gathering feedback on ground issues;
Perform any other duties assigned by the Reporting Officer.
Requirements
At least Diploma with experience in interacting with people from diverse background, preferably with frontline service experience.
Relevant work experience in healthcare or social/community services industry and coordinating care across the various care settings would be an advantage.
Proficient using MS Excel (basic data entry and monitoring).
Passionate about making a difference to the health of the population with good interpersonal and communication skills.
Meticulous and able to keep proper and timely documentation.
Positive attitude and willingness to learn; proactive; able to work as a team, multi-task, adaptable and have a \xe2\x80\x9ccan-do\xe2\x80\x9d spirit.
Approachable personality, service-oriented and patient-focused.
Able to work independently with minimal supervision.
Willing to travel to the northern and central parts of Singapore.